Objectives
- How to meet regulatory requirements for incident investigations.
- How to develop and implement a structured program.
- Designed for learning from incidents.
- Why and how to define misses.
- How to train others to recognize and report incidents.
- Includes planning for trending of data.
- How to initiate and conduct an investigation.
- Establishing an effective team quickly.
- Methods for collecting different types of data, including effective interviewing skills.
- How and when to apply causal factor and root cause analysis for investigating process and non-process incidents.
- How to develop appropriate recommendations to address root causes at various levels to avoid future incidents.
- How to structure reports.
- Via actual industry examples and workshops, learn key points and practice your new skills
Outline
Traditional approach to accident prevention
- Why we prevent accidents?
- Major accident history.
Accident theories
- Single factor theory
- Energy theory
- Multiple factor theory
- Domino theory
- Modern causation model
Accident Causation
- Unsafe Acts
- Unsafe Conditions (Environmental)
- Unsafe Personal Factors
Accident Prevention Programmer
- Principles of the accident prevention process success.
- Key elements of an accident prevention program.
- Principles of risk management for accident prevention program.
Accident / Incident Investigation
- Why investigate?
- What to investigate?
- Who investigates?
- When to investigate?
- Phases in the investigation process
Root Causes Analysis
- What is RCA?
- Why do an RCA
- Where did it come from?
- RCA model
- When is an RCA done?
- Why is an RCA important?
- When not to do an RCA?
How RCA’s Work
- Key RCA roles
- NORMS-based analysis of information
- Development of corrective and preventive actions
- Review findings, assess, and implement actions
Writing a Good Report and lessons to be learned
Who Should Attend ?
This course is appropriate for everyone involved in the incident investigation – root cause analysis.
Manager, Technician, Supervisor, Engineer, Operator, Safety professional