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LATCHY  
#1 Posted : 04 December 2014 11:50:57(UTC)
Rank: Forum user
LATCHY

I have been looking for a good format for an accident investigation form, to be honest there are so many different formats "I can't see the forest for the trees" can any one let me take a look at what they considered to be a good format so I can assess what we need, thank you.
westonphil  
#2 Posted : 04 December 2014 12:49:34(UTC)
Rank: Super forum user
westonphil

Start a list of what you think should be in there and we can all chip in. Maybe that way we can design the best fit form between ourselves, if you agree. Regards.
LATCHY  
#3 Posted : 04 December 2014 12:56:38(UTC)
Rank: Forum user
LATCHY

The thought is a good one you would think the amount of knowledge combined within this site perfection on a lot of levels could be achieved , but I work in the demolition industry and I think an accident form for my industry would contain/need a lot more information than say for someone who worked in an office therefore a generic form would not be suitable-comments please
pl53  
#4 Posted : 04 December 2014 13:09:40(UTC)
Rank: Super forum user
pl53

I recently developed an investigation form for my current employee to address some fundamental problems with the previous form particulrly from the point of view of root cause analysis, effective corrective actions and just as important clims defensibility. In addition to the usual photos, statements etc the form has the following mandatory requirements to be completed before sign off: Risk assessment review with pre and post accident RAs attached. SSoW review with pre and post SSoWs attached. Root cause analysis based on 5 whys Corrective and preventive action plans with who and when by A review of the effectiveness of actions at a specified interval after implementation. PM me with your email addressa nd I will send you a copy
jay  
#5 Posted : 04 December 2014 15:29:10(UTC)
Rank: Super forum user
jay

Ideally, the formal should be based on you actual process/procedure. There is Health & Safety Executive guidance on accident investigations that has some formats. "Investigating accidents and incidents-A workbook for employers, unions, safety representatives and safety professionals" http://www.hse.gov.uk/pubns/priced/hsg245.pdf
A Kurdziel  
#6 Posted : 04 December 2014 15:43:40(UTC)
Rank: Super forum user
A Kurdziel

As I am feeling a bit cocky how about this…you don’t need a form. What you need is a template for your report. Include obvious things like name and person details etc, then write down what happened, why it happened(primary cause) why it really happened(underlying management failure), recommendations for corrective actions and an action plan to carry them out. A standard form with standard questions (tick boxes) will only give you standard responses for what will be non-standard accidents. (If you are having standard accidents there is something fundamentally wrong with the way you are running the organisation)
JohnW  
#7 Posted : 04 December 2014 15:57:25(UTC)
Rank: Super forum user
JohnW

My main customer has developed an investigation form, used for accidents, incidents and near misses. Start with the usual day, time, location, names of IP and witnesses, and Accident Book No. Then 'Detailed Description of Accident / Incident / Fire': Include injuries & any first aid or hospital treatment required, property damage, materials spilt, and any remedial actions to recover from / clean up incident. (written statements if obtained are on separate sheets) Root Cause – Identify (or try to) root cause of incident, taking into account what was going on, equipment, training, behaviour etc. also a note about lost time (in hours/days) or any RIDDOR the same form is then also used to record the later outcomes: Corrective & Preventative Actions – Actions taken to prevent recurrence with responsibilities (who will do what) and later still: Results of corrective & preventive actions (description of actions taken) and even later: Effectiveness of corrective & preventative actions (Have the actions addressed root cause? Have they worked? Has a similar situation happened?) So the investigation continues into the corrective action stage. enter a closure date
RayRapp  
#8 Posted : 05 December 2014 08:03:43(UTC)
Rank: Super forum user
RayRapp

In principle the form needs to be proportionate to the risk/severity as alluded to in a previous post. Moreover, you could have more than one form. For example, an Immediate Investigation Report, which is normally completed by a supervisor or local manager. This form captures the basic details - who, what, when, how. With many incidents of a minor type this is all that is needed. In any case, once the form has been completed and passed to a H&S person they can review it and decide whether a follow-up investigation is required or not. The second type of investigation is the one completed by a H&S person. This will contain more detail, including a section for witness statements, photos, causes, remedial actions, closure. However not everything has to be captured on an incident form. You could, fore xample, review SSOW, RAMS, etc as part of the investigation and comment accordingly. Finally, for a more serious incident a Formal Investigation may be needed which will entail the participation of 'experts' who feed into the investigation sometimes by providing their own separate investigation if it involves technical issues.
JohnW  
#9 Posted : 05 December 2014 11:38:27(UTC)
Rank: Super forum user
JohnW

Taking up Ray's point that accidents and incidents have different degrees of severity, yes that is true but I would still encourage a 'one form for all'. This takes away a decision (which form) from a supervisor. There are such things as accidents which will not need much of a study of root cause or effective corrective actions, and notes on the form can explain if such a decision was taken. I suppose there is no such thing as a trivial accident but there are accidents I've investigated where there seemed no point pursuing a long investigation. e.g. what would others have done when talking to a chap who had hit himself on the forehead with a hammer, almost knocked himself out? He said he was flattening a stubborn piece of sheet metal, a very small piece on his work bench, and basically lost his temper and swung the hammer up into his face, thankfully wearing safety glasses but no forehead protection! Nice bruise for days to everyone's amusement. The consequences could have been serious if he had knocked himself out and fallen on to the workshop floor, but our investigation put 'Brief chat about taking care with tools' in the Corrective Action, and in the 'effectiveness' section 3 months later I've written 'No recurrence of this incident' :o)
Barrie(Badger)Etter  
#10 Posted : 05 December 2014 13:33:20(UTC)
Rank: Super forum user
Barrie(Badger)Etter

Latchy You have mail Regards, Badger
MrH&S  
#11 Posted : 07 December 2014 00:43:18(UTC)
Rank: Forum user
MrH&S

Latchy, Please also remember to include an accident incident form procedure & Guide So many organizations I have worked for have a basic template which most is not relevant and other organizations have electronic forms for Incident, accident, near miss, environmental In my experience I have had to use my own templates including witness statement forms with Who, Why, where, when, I always ask what would you do differently MrH&S
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