Professional Documents
Culture Documents
AND
REPORTING
LECTURED BY:
MOHD HADRI MOHAMED NOR
IR. MOHAMAD NORANI MANSOR
INTRODUCTION
An accident has been defined as
any unplanned event that causes injury, illness,
property damage or harmful disruption of work
process.
ACCIDENT
Event A + Event B + Event
Negative Outcome
(Fatal/Injuries/Damage to Property/Dangerous
Occurrence or Any Combination
INTRODUCTION
Accident
Near miss
WHEN TO INVESTIGATE
All accidents, no matter how small, should be investigated,
and a near-miss should be treated like an accident.
As soon as all emergency procedures have been accomplished,
accident investigation should begin.
WHAT TO INVESTIGATE
The purpose of an accident investigation is to collect
factsnot to find fault.
Causes of the accident should be the primary focus.
WHAT TO INVESTIGATE
Some questions to be asked:
Exactly what was the injured person doing or trying
to do at the time of the accident?
Had the worker received proper training?
Was the injured person authorized to use the equipment
or perform the process involved in the accident?
Was the task in question being performed according to
properly approved procedures?
Was the proper equipment being used, including personal
protective equipment?
Was the employee new, or was the process, equipment,
or system involved new?
Were any safety/procedures not being followed?
Basic Causes
Unsafe
Condition
Unsafe Act
Immediate causes
Unplanned Incidence
Direct Causes
ACCIDENT/ INCIDENT
Job Factors
Physical environment,
sub-standard equipment,
abnormal usage, wear &
tear, inadequate
standards, design &
maintenance, purchasing
standards
Supervisory
Performance
Inadequate instructions,
failure of SOPs, rules
not, enforced, hazards
not corrected, devices
not provided
Human behaviour
Design of equipment and plant
Systems & procedures including use of materials
Environmental surroundings
Defective equipment.
Failure to provide/maintain/personal protective equipment.
Failure to train employees.
Overly complicated/confusing controls.
Poorly laid out work area.
Mechanical lifting equipment inadequate for jobs required.
Uncontrolled hazards that might lead to slips and falls.
Excessive reaching/bending/stooping/twisting.
Excessive contact pressure/vibration/force.
Awkward postures from poor workstation or tool design.
Temperature extremes; insufficient lighting/ventilation.
GATHERING INFORMATION
Time is of the essence
Take samples, photos, measurements and sketch
diagrams,
Preserve and protect data, Information and evidence
Collect in order of fragility
People, Positions, Parts and Papers; (4Ps)
FINDING
Isolate essential contributory factors
REPORTING ACCIDENTS
An accident investigation should culminate in a
comprehensive accident report
1.
2.
3.
4.
5.
Recommended procedures:
Never discipline an employee because of an accident.
Always discipline employees for noncompliance with safety
regulations.
REFERENCE