Accident Reporting & Investigation 4/16/2017 Accident Reporting & Investigation Paul Craythorne Health, Safety & Environmental Advisor

Accident Reporting & Investigation Course Objectives to understand: accident definition accident causation accident costs accident prevention accident reporting/notification accident investigation

Accident Reporting & Investigation Common Uninformed Comments accidents just happen we don’t have many accidents safety is expensive the insurance will pay safety is just common sense

Accident Reporting & Investigation Accident Definition what is an accident? unplanned & uncontrolled event that led to, or could have led to: injury to persons, damage to property/plant/equipment, impairment to the environment or some other loss to the company

Accident Reporting & Investigation Accident Definition accident types minor dangerous occurrence near miss plant/equipment damage minor injury lost time injury disablement/fatality

Accident Reporting & Investigation Accident Definition Frank Bird (Accident Triangle) 600 near misses 30 property damage 10 minor injuries 1 serious injury (lost time or fatal)

Accident Reporting & Investigation Accident Causation environment personal fault unsafe act unsafe condition accident injury/damage

Accident Reporting & Investigation Accident Causation causal factors individual job organisation

Accident Reporting & Investigation Accident Causation causal factors individual knowledge skills training experience personality attitude risk perception

Accident Reporting & Investigation Accident Causation causal factors job task workload equipment controls procedures environment

Accident Reporting & Investigation Accident Causation causal factors organisation culture leadership resources work patterns communications

Accident Reporting & Investigation Accident Causation Kings Cross Fire (1987) - 31died discarded cigarette accumulation of rubbish poor cleaning regime wooden escalator failure of fire fighting equipment lack of emergency training poor safety culture

Accident Reporting & Investigation Accident Causation Herald of Free Enterprise (1987) - 189 died failure to close bow doors no checking/reporting system commercial pressures internal friction disease of sloppiness

Accident Reporting & Investigation Accident Causation Clapham Junction (1988) - 35 died & 500 injured signal failure incorrect maintenance degradation of working practices training problems communication problems poor supervision excessive working hours failure to learn lessons

Accident Reporting & Investigation Accident Causation Piper Alpha (1988) - 167 died maintenance error inexperience poor maintenance procedures communications breakdown permit to work system fault safety procedures not practised

Accident Reporting & Investigation Accident Causation Automotive Supplier (1999) - 1 died poor safety culture lack of guarding lack of training poor perception of risk no safe systems of work no risk assessment programme no effective accident system no communication

Accident Reporting & Investigation Accident Costs insured costs uninsured costs

Accident Reporting & Investigation Accident Prevention reasons humane economic legal

Accident Reporting & Investigation Accident Prevention control measures safety procedures/work instructions adequate training effective communications good housekeeping guards/safety devices/warning signs adequate working environment regular safety inspections risk assessment

Accident Reporting & Investigation Accident Reporting/Notification internal report form HSE RIDDOR report injury claim requirement

Accident Reporting & Investigation Accident Investigation reasons identify root causes identify faults identify corrective/preventative action prevent recurrence

Accident Reporting & Investigation Accident Investigation investigation team supervisor safety rep engineer manager safety officer

Accident Reporting & Investigation Accident Investigation investigation objectives establish chain of events identify root causes identify faults identify corrective/preventative action

Accident Reporting & Investigation Accident Investigation investigation techniques attend promptly ensure medical attention leave scene undisturbed take photographs/sketches take measurements take samples gather documentation interview witnesses

Accident Reporting & Investigation Accident Investigation investigation techniques interviewing witnesses explain purpose their version of events do not listen to ‘hear say’ ask open questions avoiding leading or implying do not apportion blame express appreciation

Accident Reporting & Investigation Accident Investigation investigation report identify team summarise consequential events identify root causes describe other weaknesses identify corrective/preventative action allocate responsibility & timescale