Accident and Incident Investigation

What are adverse events, what causes adverse events, what is accident and incident investigation and who is involved, the importance and benefits of accident and incident investigation, which accidents and incidents should be investigated, ensuring health and safety immediately after an accident or investigation, timescales and conduct of investigations, the four steps of successful investigations, step 1: information gathering, step 2: analysis of the information gathered, step 3: identifying risk control measures, step 4: drawing up and implementing action plans and the Hierarchy of Control.

Treatment of injuries and making areas safe, sharing information and immediate lessons, notifying others and recording information, who should carry out the investigation, step 1: information gathering, what happened, when and to whom, how did the adverse event happen, working conditions, case study, safe systems of work and working procedure, injuries and ill health, information gathering, management and supervision, information, instruction and training, maintenance and good housekeeping, provision and use of health and safety equipment, additional work factors.

The role of the investigation team, determining the immediate and underlying causes of accidents, underlying causes: general working conditions, safe access and safe places of work, work equipment and supervision and communication, determining root causes: organisational factors, the health and safety management system, leadership, responsibilities and training, design and planning, management of change, communications and emergency responses, determining root causes: job factors, risk assessments, safe systems of work and resources for health and safety, provision and maintenance of work equipment, management of health hazards and emergency procedures and determining root causes: personal factors, competence, training, information and instructions, excessive demands, fatigue and stress and errors, mistakes, violations and perceptions of risk.

Organisational factors, organisational factors - case study, job factors, managerial and supervisory competence, suitability, use, cleaning, maintenance and repair of work equipment and materials, managing health risks, work environment, resources and emergency procedure, personal factors, competence and training, instructions, information and perception of risk, reducing stress, overload and excessive pressure of work, implementing actions, the risk control action plan and other key actions from risk control action plans.