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

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

3. 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

4. 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

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

6. 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)

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

8. Accident Reporting & Investigation
Accident Causation
causal factors
individual
job
organisation

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

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

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

12. 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

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

14. 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

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

16. 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

17. Accident Reporting & Investigation
Accident Costs
insured costs
uninsured costs

18. Accident Reporting & Investigation
Accident Prevention
reasons
humane
economic
legal

19. 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

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

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

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

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

24. 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

25. 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

26. 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