Topic Seven
Accident and Incident
Investigation
Objectives of this Section
• To define the reasons for investigating accident and incidents. • To outline the process for effectively investigating accidents and incidents.
• To facilitate an effective investigation.
Accident Investigation
• Important part of any safety management system.
Highlights the reasons why accidents occur and how to prevent them.
• The primary purpose of accident investigations is to improve health and safety performance by:
Exploring the reasons for the event and identifying both the immediate and underlying causes;
Identifying remedies to improve the health and safety management system by improving risk control, preventing a recurrence and reducing financial losses.
What to Investigate?
• All accidents whether major or minor are caused.
• Serious accidents have the same root causes as minor accidents as do incidents with a potential for serious loss. It is these root causes that bring about the accident, the severity is often a matter of chance.
• Accident studies have shown that there is a consistently greater number of less serious accidents than serious accidents and in the same way a greater number of incidents then accidents.
Many accident ratio studies have been undertaken and the one shown below is based on studies carried out by the
Health & Safety Executive.
1
Major injury
Or illness
7
Minor injuries or illnesses
189
Non Injury Accidents/Illnesses
Accident Studies
• In all cases the ‘non injury’ incidents had the potential to become events with more serious consequences.
• Such ratios clearly demonstrate that safety effort should be aimed at all accidents including unsafe practices at the bottom of the pyramid, with a resulting improvement in upper tiers.
•
Peterson (1978) in defining the principles of safety management says that “an unsafe act, an unsafe condition, an accident are symptoms of something wrong within the