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Posted By Michael Armstrong
Hello Everyone,
I am currently producing a dissertation on near miss reporting and investigation and am trying to gather information on how other organisations approach this subject.
I would be very grateful if any of you could send me information on how your company deals with near miss reporting i.e.
The definition your company uses of what a near miss is.
How near misses are reported and documented.
How near misses are investigated.
How the information provided by the investigation of near misses is disseminated amongst the workforce and other interested parties.
Whether any statistical analysis of near misses and accidents etc is carried out.
Thanks very much in advance for any information (brief or detailed) that you can provide me with.
Regards Michael
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Posted By Raymond Rapp
Michael
The under reporting of near misses is allegedly common place in organisations. My company working in utilities, construction and rail, use a unique method for recording near misses. All h&s inspection reports are recorded via an Excel type template and copied to our head office, where the information is stored on a data base.
The scoring system for activities is 1-10, with 8 being company standard, 4-7 corrective action is needed, 3 or less is a non-conformance and requires immediate action. All activities between 4 and 7 are 'classed' as a near miss. The data is then analysed with actual accidents and incidents for trends etc.
Should you require more information please feel free to contact me direct.
Regards
Ray
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Posted By Chrisopher Gilbert
In my previous employment the reporting of near misses was encouraged by tieing the ratio of near misses to incidents into the company bonus. ie - percieved under reporting leads to loss of (part of) bonus.
Below is a rough guide to actions
Definitions used were, near miss - event that under similar conditions could cause damage to property or persons. Incident - event where damage occured.
To ensure apropriate investigation, area manager would assess severity of incident or near miss and asign apropriate resource to investigate. All investigation staff recieved training!
Minor (up to 1 day lost time)- team leader
Major (up to 3 day lost time)- Manager
3day (Riddor reportable or dangerous occurrence) Manager + business unit HS&E advisor
Severe (Fatality or multiple injuries) Manager + corporate HS&E advisers.
So near misses could go right to the top of the chain if there was potential for a severe incident.
All near misses / incidents were screened by Management / HS&E advisor committee weekly with all actions subject to scrutiny.
OK the system was a bit OTT for many businesses, but this job was in a high risk industry (likelihood of major incident was v.low but due to materials being used consequences of an incident could be severe).
Not surprisingly the safety record of the business was very good as the culture fostered good practice.
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Posted By Michael Armstrong
Thanks Christopher and Ray for you information, your help is much appreciated. If any others can provide me with info on how their company deals with near misses I would be very grateful.
Regards Michael
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Posted By Raymond Rapp
Michael
I don't wish to be seen as a cynic, but with 235 views to date and only 2 postings, I think you can glean quite a lot from that.
Ray
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Posted By Pete48
Micheal,
I have never had any great success with establishing the theory of "near miss" reporting into practice in an H&S programme. Yes, I have introduced it and gained some results but it always needed; a lot of explaining; avoidance of too much rationalisation by users and analysts; strong leadership and once left as a routine process would diminish pretty quickly. Whether this has been due to a lack of skill on my part or inherent failures in the process is, of course, debatable.
Whichever it may be I have experienced a much better level of success from a synergy with Quality management. There the concept of quality improvement requests /corrective action requests/ defect reports seems to be accepted more readily by both managers and employees. By morphing the near miss into a quality report you can gain the useful data that can be presented as part of the Quality reports. The type of analysis and use of the output is integrated into the Q reports and used in the same way to drive continuous improvement at all levels in the organisation. The definition then becomes "anything that could improve the safety of our workplace, our people, our products and our safety performance, difficulties in compliance to standards etc.
So as a low level example, what would get reported would be the "dodgy" step rather than a near miss report saying I tripped on the step and if....
Some might argue that this is not near miss reporting but it is pro-active, does not rule out near miss reports and it does improve H&S without waiting for the accident to happen before doing anything.
It worked particularly well on one occasion when working in the glass industry when we named them Safety Corrective Action Reports! (SCAR)The results were beyond expectation and unlocked a whole raft of information and subsequent problem solving. I am convinced it was being within the quality programme that made that possible and ensured that it continued to flourish.
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Posted By Jan Moore
Hi Michael. I always think it worth referring to'Bird's Triangle' here - so many near misses will result in a serious incident.
I came up with my own Near Miss reporting form some years ago which was similar to an accident report form except there was no injury or damage to report. These reports went to senior managers who investigated the cause and put control measures in place to prevent a full blown accident. This works very well.
I can certainly send over a copy of the NM form if you are interested.
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Posted By Alan Hoskins
Our report form is entitled "Report of Injury, Ill Health or Dangerous Occurrence (Including Near Miss)" but I can easily count on the fingers of one hand the number of near miss reports we receive annually.
Having said that, there are numerous items and issues reported using other means (the Estates Help Desk service for example) which are made as a result of what probably would have been a near miss incident (someone slipping or tripping on or over something for example, but not being injured, will often result in a report about the trip hazard to get it repaired or removed).
With e-mail and the telephone being used for this type of incident reporting, I think the form is now pretty well redundant for near miss reporting. Perhaps we need to link into the alternative systems now.
The near miss reports we do receive are generally for significant incidents and I would expect the incidence of these to be low.
Alan
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Posted By Adrian Watson
Jan,
I'm afraid that you are misinterpreting Bird's Ratio. It does not mean that for every x minor accidents you will have y major accidents, and z deaths.
Regards Adrian Watson
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Posted By Merv Newman
We use a definition which says "A "near miss" is an incident which, while not causing material damage or bodily injury, could have done so if circumstances had been slightly different"
This made the difference between an "incident" : material damage only, and an "accident" : bodily harm.
Supervisors are on orders, if you like, to welcome near miss and incident reporting with open arms, a smile and a cup of coffee.
"Thanks for telling me you've just destroyed the chairman's jag with your FLT. Let's have a coffee and chat about it. we need to see how we can avoid doing that to his next one, like we did with his others"
Encouraging positive reaction to reporting is essential. Otherwise all sorts of things that you need to know will stay underground.
Also, during any enquiry, try to find something positive to say about the person or persons involved. "rapid reporting" is an example of a "positive" and should be included in the report. Go on. force yourself.
Reports normally only mention the errors, which leads to the feeling that you are looking to prove someone guilty. Which leads to a lot of self-protecting replies.
Merv
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Posted By Michael Armstrong
Thanks again to all those who have responded, it will help greatly with the dissertation.
Regards Michael
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