1. ACCIDENT INVESTIGATION PRESENTATION
04:2011

2. Provide participants with the basic skills necessary to conduct an effective accident investigation in your workplace.
You will identify;
Primary Reasons, Benefits, and
Employer Responsibilities to
conducting an accident
investigation
Three Steps for an
Effective Investigation
Investigate and Analysis
CB106 Accident Investigation

3. The most important things in an accident are:
When an accident happens, the most important thing is taking care of the victim or victims.
After that, the most important thing is finding the causes of the accident.
All of us, including employers, need help and advice to identify the causes of accidents.
CB106 Accident Investigation

4. ACCIDENT INVESTIGATION PRESENTATION
What is an accident ?
An unwanted, unplanned event that causes injuries, illnesses, or property damage.
What is an incident ?
An unwanted, unplanned event that almost causes injuries, illnesses, or property damage.
The term "accident" can be defined as an unplanned event that interrupts the completion of an activity, and that may (or may not) include injury or property damage.
An incident usually refers to an unexpected event that did not cause injury or damage this time but had the potential. "Near miss" or "dangerous occurrence" are also terms for an event that could have caused harm but did not.
Please note: The term incident is used in some situations and jurisdictions to cover both an "accident" and "incident". It is argued that the word "accident" implies that the event was related to fate or chance. When the root cause is determined, it is usually found that many events were predictable and could have been prevented if the right actions were taken -- making the event not one of fate or chance (thus, the word incident is used). For simplicity, we will use the term accident to mean all of the above events.
CB106 Accident Investigation
04:2011

5. we have to investigate the accidents and the incidents!
For each accident,
300 incidents occurred, or
you lost 300 chances to
prevent the accident!
300 INCIDENTS 1
ACCIDENT
If we are going to
prevent accidents,
we have to investigate the
accidents and the incidents!
CB106 Accident Investigation

6. Causes of Accidents Unsafe Conditions
Poorly maintained machinery or equipment.
Defective or missing personal protective equipment.
Unguarded machinery or equipment.
Missing or inadequate
warnings or safety and health
signs.
Lack of housekeeping.
CB106 Accident Investigation

7. Causes of Accidents Unsafe Acts
Conduct work operations without prior training
Block or remove safety devices.
Clean, lubricate, or repair equipment while its in operation.
Working without protection in hazardous places.
CB106 Accident Investigation

8. Investigate
Analyze
Report
CB106 Accident Investigation

9. Seal the accident area. Interview witnesses. Draw and take
measurements of the
accident area.
Take samples.
CB106 Accident Investigation

10. Say what happened step-by-step.
Analyze the events with the 6 key questions:
Who?
What?
When?
Where?
Why?
How? .
Who saw the crash?
What happened to the brakes?
When did the brakes fail?
Where were the replacement brakes?
Why wasn’t the mechanic told?
How did the crash happen?
CB106 Accident Investigation

11. Say which were the surface causes. Say which were the root causes.
Say what happened.
Say which were the surface causes.
Say which were the root causes.
Say what needs to be done
so the accident doesn’t happen again.
CB106 Accident Investigation

12. Accidents must be investigated and analyzed from three different points of view:
1 . Direct cause of injury
2. Surface causes of
accident
3. Root causes of the
CB106 Accident Investigation

13. ACCIDENT INVESTIGATION PRESENTATION
A harmful transfer of energy that produces injury or illness.
The worker suffered two broken legs when the truck crashed into the wall.
Accidents must be analyzed from three different points of view: DIRECT COUSE OF INJURY; Burns, Strains, Cuts, Fractures.
SURFACE CAUSES; Unguarded machine, Broken Tools, Chemical spill, Defective PPE ,Untrained workers, Lack of time, Too much work.
ROOT CAUSES; Inadequate training, No discipline procedures, No orientation process, Inadequate training plan, No accountability policy, No recognition, Inadequate labeling procedures ,Outdated procedures, No recognition plan, No inspection policy.
CB106 Accident Investigation
04:2011

14. ACCIDENT INVESTIGATION PRESENTATION
Specific unsafe conditions or unsafe behaviors that result in an accident.
The truck crashed into the wall because the brakes failed.
Accidents must be analyzed from three different points of view: DIRECT COUSE OF INJURY; Burns, Strains, Cuts, Fractures.
SURFACE CAUSES; Unguarded machine, Broken Tools, Chemical spill, Defective PPE ,Untrained workers, Lack of time, Too much work.
ROOT CAUSES; Inadequate training, No discipline procedures, No orientation process, Inadequate training plan, No accountability policy, No recognition, Inadequate labeling procedures ,Outdated procedures, No recognition plan, No inspection policy.
CB106 Accident Investigation
04:2011

15. ACCIDENT INVESTIGATION PRESENTATION
Common conditions and behaviors that
ultimately result in an accident.
The company did not have a maintenance program for its vehicles.
Accidents must be analyzed from three different points of view: DIRECT COUSE OF INJURY; Burns, Strains, Cuts, Fractures.
SURFACE CAUSES; Unguarded machine, Broken Tools, Chemical spill, Defective PPE ,Untrained workers, Lack of time, Too much work.
ROOT CAUSES; Inadequate training, No discipline procedures, No orientation process, Inadequate training plan, No accountability policy, No recognition, Inadequate labeling procedures ,Outdated procedures, No recognition plan, No inspection policy.
CB106 Accident Investigation
04:2011

16. ACCIDENT INVESTIGATION PRESENTATION
Weed out the causes of injuries and illnesses
Strains
Direct Causes of Injury/Illness
Burns
Cuts
Unguarded machine
Horseplay
Surface Causes of the Accident
Broken tools
Create a hazard
Chemical spill
Ignore a hazard
Defective PPE
Fails to report injury
Untrained worker
Fails to inspect
Conditions
Behaviors
Lack of time
Fails to enforce
To much work
Fails to train
Inadequate training
No recognition
No discipline procedures
Inadequate labeling procedures
No orientation process
Outdated Procedures
Inadequate training plan
No recognition plan
No accountability policy
No inspection policy
Root Causes of the Accident
Accident Weed
CB106 Accident Investigation
04:2011

17. Summary Secure the accident scene Collect facts about what happened
Develop the sequence of events
Determine the causes
Recommend
improvements
Write the report
CB106 Accident Investigation