What is an Accident Why Investigate Iceberg Analogy

What is an Accident?

Why Investigate?

Iceberg Analogy Accident Cost Direct Costs • Medical Payments • Compensation Breaking in substitute Temporary workers Poor efficiency due to break-up of crew Indirect or Loss of good will Hidden Supervisor time Costs to investigate Damaged equipment Overtime by employees Change in WC rating Administrative costs Lost time by fellow workers

Causal Factors (1) Task (2) Material (3) Environment (4) Human Factor ( Personal) (5) Management/Process Failure Accident Investigation Page # 42

(1) Task u Ergonomics u Safety work procedures u Condition changes u Process u Materials u Workers u Appropriate tools/materials u Safety devices (including lockout)

(2) Material u Equipment failure u Machinery design/guarding u Hazardous substances u Substandard material

(3) Environment u Weather conditions u Housekeeping u Temperature u Lighting u Air contaminants u Personal Protective Equipment

(4) Human Factor (Personal) u Level of experience u Level of Training u Physical capability u Health u Fatigue u Stress

(5) Management/Process Failure Visible Active senior management support for safety u u Safety policies u Enforcement of safety policies u Adequate supervision u Knowledge of hazards u Hazard corrective action u Preventive maintenance u Regular audits

Investigation Priorities u 1 st - Medical attention u 2 nd – Investigation u 3 rd – Analyze & Conclude Accident Investigation Page # 41

Investigation Photographs u Preserve Area u Collect Statements u Take Measurements u Gather Samples u Complete Accident Report u

Accident Investigation Kit u u u u u Camera, extra film, flash attachment Clipboard, paper, pencils Graph paper (for diagram) Ruler and tape measure Identification tags (for parts) Interview comment sheet (blank paper) Personal protective clothing or equipment Containers (for material samples) Barrier tape or cord (to rope off areas)

Accident Investigation Kit (cont) u Diagram of a person and list of all body parts involved in the accident. To be completed by injured employee and person conducting the investigation. u JSA u Safety Rules u Phone numbers: injured employee home (current) , EMS, police, sheriff, county disaster services, OSHA, BWC.

Witnesses u Keep Witnesses Apart u. Interview in a nonthreatening location u. Put witness at ease (not to point blame) u. Ask open ended questions u Document

Analysis & Conclusions u. Accident u. Bad Investigation Forms Report u. Better Report u. Accident BWC Tree Accident Investigation Pages #43 - 53