Incident & Accident Investigation

Incident & Accident Investigation

OBJECTIVES

• Explain accidents and explain their relationship to incidents
• Explain the causes of accidents using accident causation models
• Interview witnesses
• Understand the application of accident causation models
• Detail the methods for effective evidence gathering and preservation
• Coordinate the AI activities
• Compile a corrective action report and presentation
• Conduct root-cause analysis
• Apply modern accident investigation and analysis techniques. In particular:
• Cause Tree Analysis (CTA)
• Fault Tree Analysis (FTA)
• Events & Causal Factors Analysis (E&CFA)

WHO SHOULD ATTEND?

The seminar is intended for all staff from supervisors to senior management with roles and responsibilities for safety in the workplace. In addition, all safety professionals or risk managers need to have a full understanding of the modern tools available to be competent in accident investigations. The seminar will also benefit regulators and enforcement officers who may have to oversee certain classifications of investigations.

COURSE OUTLINE

DAY 1: Human Contribution to accidents

• Course Introduction and Structure
• Accident investigation and the blame culture
• The Relationship between ‘Accidents’ and ‘Incidents’
• Human error and contribution to accidents
• Framework for Accident Investigation and Analysis
• Management systems (latent) failures and root causes for accidents

DAY 2: Accident Investigation and Analysis (Cause Tree Analysis)

• Why and who should investigate?
• The role of the ‘Organization’ in Accident Causation and effects.
• Reason’s accident causation model
• Development of the ‘no blame’ culture
• Human error and accident causation
• Framework for accident investigation process
• Witnesses interview techniques
• Introduction to Cause Tree Analysis (CTA)
• Applications for CTA

Day 3: Accident Investigation and Analysis (Fault Tree Analysis)

• The principle stages of an Accident Investigation
• Planning the investigation
• How to counteract investigator bias and mindset
• Introduction of advanced accident investigation tools (Fault Tree Analysis)
• FTA as an accident investigation tool
• FTA as an accident analysis tool to identify root-causes

Day 4: Events & Causal Factors Analysis

• Introduction to E&CFA
• Applications for E&CFA
• Major Case Study for application of analytical techniques (Group work)
• Case study Report back
• When to use CTA, FTA and E&CFA

Day 5: Planning and Implementing

• The role of a lead accident investigator
• Analysis of the consequences- Forensic evidence
• Modeling fire, explosion and toxic releases
• Preparation of reports, conclusions and recommendations
• The use of accident investigation as a Audit tool
• Discussion and course review