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#1 Posted : 06 December 2005 10:29:00(UTC)
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Posted By Steven John Nelson As a H&S Advisor I am often involved in the investigation of incidents &/or illhealth in the workplace, resulting in written reports with conclusions & recomendations. I am keen on causal analaysis, and use the approach promoted by HSG 245 to identify underlying management failures and thereby potential improvements to our risk control systems. My incident reports tend to focus on these issues, but I do also like to comment on compliance &/or liability issues, concluding that we had AFARP complied with our legal duties, or maybe had not. I do like to refer to relevant legal &/or management standards and discuss whether we were compliant. However, this is where my problems seem to start. The managers in my business who liase with our insurers never want any discussion of legal standards, compliance &/or liability in my reports, as it is disclosable to injured parties or their preresentatives, and it may thereby compromise their attempts to defend any civil claim for damages resulting from our potential neglience &/or breach of statutory duty. Is there any guidance out there about how to deal with compliance &/or liability issues in incident investigation reports, possibly from insurance companies. Hope someone can help.
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#2 Posted : 06 December 2005 10:31:00(UTC)
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Posted By Heather Collins Steve You posted this yesterday and got a response. Why not do what the response suggested - it sounded very sensible to me....
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#3 Posted : 06 December 2005 10:47:00(UTC)
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Posted By Steven John Nelson I posted this query again today, minus the spelling mistakes, in the hope that I could elicit some more responses &/or help. I will be acting upon you very good advice of yesterday. Thanks again Helen.
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#4 Posted : 06 December 2005 16:53:00(UTC)
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Posted By Ron Hunter I support the original response - don't stop doing what you are doing.Whilst Managers my well be uncomfortable with discussion of management failures, if the issues aren't effectively identified and addressed, how do they ensure that the same accidents (and claims) don't occur again and again? What would be the effect in terms of adverse publicity and customer/client confidence from this effect? (i.e. there is a valid and hopefully convincing argument or two that you can put to your managers.)Then again, there's none so blind as those that will not see.........
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#5 Posted : 06 December 2005 17:24:00(UTC)
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Posted By Kieran J Duignan Steven You write indicating that you want 'to identify underlying management failures and thereby potential improvements to our risk control systems'.and you ask 'Is there any guidance out there about how to deal with compliance &/or liability issues in incident investigation reports?' May I suggest that you may more readily achieve your own balance of objectives by enlarging your frame of analysis with a view to educating and persuading your managerial clients, than by pursuing a power struggle that may simply be beyond your role to win in the short run? You can enlarge your frame of analysis with a view to educating and persuading your managerial clients by introducing ergonomic and/or behavioural safety frameworks. They offer the advantage of highlighting the positive impact you may achieve and change the basis of evaluation to one much larger than legal compliance. When done well, this commonly leads to mature evaluation of quality safety management.
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#6 Posted : 06 December 2005 17:41:00(UTC)
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Posted By John C How about dealing with this another way, say when you have an accident or incient which raises particular concern, whether for e.g. it be an employee with a history of accidents or a particularly serious accident/incident; Ensure the manager for the area and the employee are both taking part in a formal review process. Ensure the review is carried out over a period of time, perhaps a couple or three months. During the process, ensure the employee and manager both have an input as to both what is going wrong in the area AND corrective actions being actioned. Ensure there is a written report compiled by the manager, during the review period and a final report. Mark my words, this will work to ensure both a message is provided to the remainder of the workforce and also ensures the manager is dealing with root cause issues. John www.Gmails.co.uk/forums
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#7 Posted : 09 December 2005 09:48:00(UTC)
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Posted By Dave Wilson Any investigation should be a statement of fact surrounding the incident with recommendations for improvement etc, should not apportion blame and definately NOT and a big NOT whether you feel you have complied with statute etc. This is a matter for the courts and if you identify a failure and put it in writing as a breach etc I feel your Insurance compoany will not be best pleased! After all they are the ones who with your factual report decide on whether or not liability rests with them. Remember you are there as an employee of the company to safe guard the employees AND the company as well. NO blame culture just recognising safety lapses and learning from them.
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#8 Posted : 09 December 2005 16:10:00(UTC)
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Posted By Paul Craythorne Steven, Your approach to accident investigation is as it should be. As a contract insuarnce surveyor and accident investigator I would expect to see an approach to accident investigation akin to that of HSG245. When carrying out insurance surveys I often give risk improvements that require companies to develop and implement accident/incident investigation systems and I cite the aformentioned HSE publication as a source of information. When carrying out insurance investigations following serious/fatal accidents at work I would identify any management system failures and legal breaches present so that the underwriter can determine whether or not the claim is defendable. The omission of a thorough and informative accident investigation by the insured company would not make them any less liable or help in any way with their defence and in fact it would be seen as a negative because they have no mechanism for identifying and preventing similar accidents/incidents occuring in the future. Take this response to your management team and let them chew it over. Regards, Paul Craythorne
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#9 Posted : 11 December 2005 22:16:00(UTC)
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Posted By Ian Waldram IOSH Technical Committee has been working for some time to produce guidance on investigating more serious accidents, including fatalities. This response takes account of our discussions and several drafts which have to date been reviewed internally (but before too long we should be ready for a wider review by others who have particular expertise in this area - probably using the member forum). Your approach to investigation seems absolutely correct, though I would hope that most investigations are in fact led by a line person with yourself advising them. If not, possibly that's why some of the disagreement arises? However, reports should in general not include personal opinions of the investigators, except to weigh up contradictary or incomplete evidence - in which case they are probably in the best position to make those judgements, certainly better then those who come along later and know only what is in the report itself (unless there is additional evidence at that time). There is nothing wrong in you writing separately with your opinions about liability, and cross-referring to the report. However the internal investigation report itself should be about how to prevent recurrence, not to decide who should be liable if any legal procedings result. Of course a report by someone employed to recommend about liability issues (an insurance surveyor, a regulator) will cover these issues - but then their reports aren't shared with other stakeholders such as employees, supply chain (if involved), etc. who may become party to future legal proceedings.
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