Most organizations have accident investigation procedures. However, these procedures are often based on a blame culture & do not inspire the investigator to nd & correct the defects in the management system (root causes) that allowed the hazards to exist & the accident to occur.

Several industries have adopted excellent accident investigation & analysis techniques. Competence in the application of modern accident/incident investigation tools will assist organizations to learn & to prevent the recurrence of accidents & to evaluate the extent & location of management defects (root-causes), which contributed to the accident event. A good analytical accident investigation is invaluable to achieve continuous improvement in an organization’s HSE performance.

Day 1

• Adopting Accident Prevention strategy thru Risk Management
• Understanding how accidents are caused
• The process & system view of accidents & accident investigations
• The need for & benets of Root Cause Analysis
• Introductions, Expectations & Anticipations
• Dening Incidents, Accidents, Near Misses, Dangerous Occurrences
• Categorizing of Incidents according to nature & severity
• Complying with the Legal Requirements for report ing & investigating accidents
• Understanding Immediate, Underlying & Root causes & Causal Factors
• The four stages of an Investigation Process
• Case Study & Group Activity

Day 2

• Video-based Case Study & Group discussions
• The various sources & categories of evidence
• Collecting & Preserving Evidence
• Common Pitfalls in observations
• Conguration & Levels of the investigation team
• Immediate response in case of an accident
• Emergency procedures, Crisis handling & loss minimization
• Taking control of the scene (Immediate Response)
• Eective practical interviewing tips & techniques
• Role Play Group Exercises

Day 3

• Analyzing evidence & information
• Identifying immediate causes, root causes and system causes
• Using CLC Charts for analysis
• Using 5-Why & Fish-bone techniques to re-enforce CLC Analysis
• Sifting and sorting evidence & information
• Incident Timeline – Data Mapping
• Understanding the problems using Building blocks
• Identifying critical factors
• Case Study & Group exercises

Day 4

• An Overview of Root Cause Elimination
• Understanding & applying the Hierarchy & symmetry of controls
• Addressing the personal, job & organizational factors in the recommendations
• Overview of Solution Implementation
• Identifying human factors & Understanding Human Errors
• Modifying & inuencing behaviors
• Case Study & Group exercise
• Corrective Measures, Recommendations
• Developing an Implementation Plan & organizing for its Implementation
• Report Writing
• Action Tracking & Closure monitoring
• Trend Analysis