Purpose of an
accident investigation is to prevent
similar accidents. The efforts
of the accident investigation will
improve safety.
Accident Investigation Features :
Improve Safety
Perfect and Clarify Organizational
Responsibilities
Impressing Employees with Management
Concerns
Improve Employees Performance
Improve ability of Supervisors and
Managers
Reduce Errors and Oversight
Improve Policy and Standards
Identify Training Weakness
Finer Points
:
An accident investigation is task
orientated, task specific with
authorization. An accident
investigation is not to find blame
or people err. The purpose of
an accident investigation is
not to determine liability or enforcement
proceeding. The accident
investigation is to be unbiased and
independent of influences and
judgments. Below are some of the
finer points of an accident
investigation:
Analytical Tools
Change Analysis
Management Oversight Risk Tree
Causal Factoring
Energy Sequencing
Accident
Investigative Field Work
Courteous Treatment of People (not
an inquisition)
Meticulous
Searching and Methodical in approach
Truth Seeking
Sound Judgment
Open Minded
Observation
Skills from an Experienced
Investigator
Report of Accident Investigation
Well Organized and Detailed
Well Founded
Conclusions
Many Recommendations
Engineering truth of who, what,
where, why and how
Cause-Effects will be Explained
