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#1 Posted : 17 September 2004 17:32:00(UTC)
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Posted By Jacqui hughes
I recently undertook an accident investion in my work place and thought that the standard forms where quit frankly poor.
I then decided to do a little project to improve the situation and am wondering if there is anyone out there would share their forms and ideas, as I want do develope a really good one and to show the company I mean business.

Any help would be appreciated


Thanks

Jacqui

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#2 Posted : 17 September 2004 17:42:00(UTC)
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Posted By Paul Craythorne
Jacqui,

I have emailed you direct.

Regards,

Paul Craythorne
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#3 Posted : 18 September 2004 10:07:00(UTC)
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Posted By Kieran J Duignan
Jacqui

In response to your invitation to share ideas on this subject, I'd encourage you to have regard for the language you (and most others) use. For example, 'incident analysis' can respresent a more collaborative approach to establishing facts about an incident (which includes 'near hits' as well as casuality events) and ways of improving processes, than an 'investigation' which still tends to imply some individual to blame.

In other words, you can develop 'incident analysis' as an integral part of the larger process of building a Total Safety Culture, where the focus is always on cultivating and celebrating safe, healthy behaviour.
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#4 Posted : 20 September 2004 14:45:00(UTC)
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Posted By Derek Rooney MIOSH MIIRSM
Hi Jacqui

I have emailed you direct
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#5 Posted : 20 September 2004 15:11:00(UTC)
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Posted By Ian Stone
Jacqui

Ive found the new HSE publication "Investigating accidents and incidents" HSG 245 to be quite useful

Regards

Ian
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#6 Posted : 20 September 2004 15:29:00(UTC)
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Posted By fats van den raad
Kieran
With all due respect, I am getting so annoyed by the "no blame" culture that seems to be what the hip occupational psychologist is preaching this season. This whole phylosophy is taking away from one of the fundamental pillars that the whole behavioural safety and safe culture movement is trying to establish, i.e. empowerment of employees. But with this empowerment also comes responsibility and accountability. If someone screws up, they have to be prepared to take the blame for it.
I am not saying that the investigation of any accident or incident should stop as soon as enough evidence is gathered to apportion blame, no, the investigation should unearth ALL the factors that contributed to the incident, and that includes personal liability for persons involved.

I refer to a (very) recent case where a rertail manager fell off a makeshift platform that was being lifted by a flt in order for the manager to empty waste in to a skip. The manager fell 9 ft to the floor and fractured both ankles. Despite the manager's own personal stupidity and negligence, and that of the flt driver, the company still got done for £8000 + £17000 costs. This because "although the company's procedures identified that it was unsafe for people to stand on the forks of fork lift trucks, they had failed to ensure that this did not happen"
No Blame.... not bloody likely!!!
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#7 Posted : 20 September 2004 15:31:00(UTC)
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Posted By fats van den raad
PS

Sorry for the hijack!!!
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#8 Posted : 20 September 2004 15:39:00(UTC)
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Posted By Jim Walker
Fats,

What you mean is lets nail them all those responsible instead of just the easy targets. Yes, I'm with you on that one.

I warn our company managers that if their investigation concludes with "operative should take more care" or "it was Joe Bloggs fault" - I'm going to come looking for a managerial control failure, as root cause.

However you do need to ensure everyone realises accident investigation is about (future) prevention not blame.
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#9 Posted : 20 September 2004 16:41:00(UTC)
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Posted By Neil Pearson
It's just a matter of trying to distinguish mistakes from negligence. I find that in alot of cases the root cause was about management control so not blaming the operator allows you to blame the manager instead! Seriously, a "no blame" investigation seems to address root causes more effectively and get better results in the long run. Sometimes, though, you have to recognise that someone has really behaved badly and their line manager should give them a telling off.
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