2. Provide guidance and awareness on
construction sites
Increase the understanding of the process of
incident investigation
Prevent incidents through the analysis of
factors leading to incidents
3. An after the fact reaction or response
to an unfortunate event
Purpose is to determine root causes
and recommend corrective actions to
eliminate or control hazards, according
to the National Safety Council
Steps can be implemented through use
of policy, procedures, and training to
avoid future occurrences
Goal is prevention and learning, not to
place blame
What is an Incident Investigation?
5. Question 1: WHO?
Who was injured?
Who saw the accident?
Who instructed or
assigned the victim?
Who else was
involved?
Who can help prevent
recurrence?
6. What was the accident?
What tools were used?
What was the injury?
What protective equipment was provided
and was it used?
What safety rules were violated?
What will be done to prevent recurrence?
Question 2: WHAT?
7. When did the accident occur?
When did he/she start the job?
When was he/she assigned to the job?
When were the hazards pointed out to him/her?
When had his/her supervisor last checked on job progress?
Question 3: WHEN?
8. Where did the accident occur?
Where was he/she at the time of the accident?
Where were witnesses when the accident occurred?
Where were co-workers at the time of the accident?
Where was the supervisor at the time of the accident?
Question 4: WHERE?
9. Why was he/she injured?
Why did he/she do what
he/she did?
Why did he/she use the
tools or equipment
he/she used?
Why did he/she continue
working under the
circumstances?
Why weren’t specific
instructions given?
Question 5: WHY?
10. How did he/she get hurt?
How could he/she have
avoided the accident?
How could supervisor
have prevented this
accident?
How could co-workers
have avoided it?
How was he/she trained?
Question 6: HOW?
11. Key Words
Incident - an unexpected event that may or
may not have caused personal injury or
property damage
Accident - an unexpected or unplanned event
that results in injury to persons, property
damage, or loss
A Near Miss - a term for an event that could
have caused injury to persons, property
damage or loss
12. Basic Causation Facts
As a Safety Officer, remember these key facts:
Accidents are caused.
Accidents can be prevented if the
causes are eliminated.
Unless the causes are eliminated,
the same accidents will happen again.
13. Accidents and Investigations
are effective when you:
Identify causes and determine how it resulted in
injury, property damage, or death
Identify means to prevent similar future accident or
incident from occurring
Utilize investigation findings to develop or revise
policies and procedures
Determine if training is necessary to prevent
occurrence
Ensure compliance with legislation as defined by
OSHA and other agencies
Determine financial implications and process
compensation claims
14.
15.
16.
17. Lack of Management Systems
Failures that permit basic system causes to exist:
Inadequate safety program
Inadequate compliance with program standards
Inadequate procedures and implementations
Inadequate resources and commitment.
18. Basic Causes: Personal Factors
Preconditions for immediate causes:
Inadequate psychological capability
Inadequate physical capability
Physical stress or illness
Improper motivation
Lack of knowledge
Lack of skill
19. Basic Causes: Job Factors
Poor working standards and systems
Poor leadership
Poor engineering
Poor purchasing
Poor maintenance
Inadequate tools
20. Immediate Causes: Unsafe Acts
Using equipment improperly
Failure to follow procedures
Operating equipment without
authority
Operating at improper speed
22. Stages of Accident Investigation
Stage 1: Preparation
Stage 2: Active Investigation
Stage 3: Research, Analysis,
Corrective Actions & Communication
23. Investigation Process
Stage 1: Preparation
Procedures
Training
Toolkits
Barricade tape, paint, pencils, required PPE for
investigations, clipboard, camera, voice recorder,
flashlight, batteries, appropriate forms, checklists,
and applicable regulations.
24. Investigation Process Stage 2:
Active Investigation
Preserving and documenting scene
Mobilizing team collecting and controlling evidence
Interviewing witnesses.
25. Stage 3: Research, Analysis
Corrective Actions and Communication
Review documentation.
Analyze and identify direct and basic causes.
Communicate lessons learned and prevent re-
occurrence.
26. Active Investigation
A successful investigation team would gather their
information from:
Observation
Documentary Evidence
Interviews
27. Investigation Traps
Put your emotions aside.
Do not let your feelings interfere, stick to the facts.
Never assume anything.
Do not make any judgment.
Do not pre-judge.
Find out what really happened.
Do not let your beliefs cloud the facts.
28. Summary
Secure the scene immediately. Usually this is the
responsibility of the first person on the scene. The
employer or supervisor notified is responsible to preserve
evidence and ensure that there is no further risk of injury
or damage.
Basic causes are the main reason why accidents happen.
Accidents are an inevitable outcome of lack of
management control.
Critical injury or fatality scenes must not be disturbed
without permission from an Agency inspector.
No one should remove anything connected to the scene.