Course Description

 Many organizations fail to learn from their mistakes and near misses, some organizations even fail to learn from their accidents. Often, one can see the same accidents happening over and over again. There are many reasons why organizations do not learn to prevent the recurrence of accidents. When an accident occurs, it is important that it be investigated thoroughly. The results of a comprehensive accident report can help organizations pinpoint the cause of the accident. This information can then be used to prevent future accidents, which is the primary purpose of accident investigation.

This course teaches how to lead investigations and root cause analyses using various techniques such as Fault Tree Analysis and Root Cause Charts. This is a "How To" course designed to teach skills.

 

Course Objective

 After completing this course you will be able to:

·        How to meet regulatory requirements for incident investigations.

·        How to develop and implement a structured program.
- Designed for learning from incidents.
- Why and how to define misses.
- How to train others to recognize and report incidents.
- Includes planning for trending of data.

·         How to initiate and conduct an investigation.
- Establishing an effective team quickly.
- Methods for collecting different types of data, including effective interviewing skills.

·         How and when to apply causal factor and root cause analysis for investigating process and non-process incidents.

·         How to develop appropriate recommendations to address root causes at various levels to avoid future incidents .

·         How to structure reports .

·         Via actual industry examples and workshops, learn key points and practice your new skills .

Who Should attend?

·         This course is appropriate for everyone involved in the incident investigation – root cause analysis.

·          Manager.

·         Technician.

·         Supervisor .

·         Engineer.

·         Operator.

·         Safety professional.

Course Outline

1. Traditional approach to accident prevention

·        Why we prevent accidents?

·         Major accident history.

2. ACCIDENT theories

·        Single factor theory

·        Energy theory

·        Multiple factor theory

·        Domino theory

·        Modern causation model

3. ACCIDENT CAUSATION

·        Unsafe Acts

·        Unsafe Conditions (Environmental)

·        Unsafe Personal Factors

4. ACCIDENT PREVENTION PROGRAMME

·        Principles of the accident prevention process success. 

·        Key elements of an accident prevention program.

·        Principles of risk management for accident prevention program.

5. ACCIDENT / INCIDENT INVESTIGATION

·        Why investigate?

·        What to investigate?

·        Who investigates?

·        When to investigate?

·         Phases in the investigation process

6. ROOT CAUSES ANALYSIS

·        What is RCA?

·        Why do an RCA

·        Where did it come from?

·        RCA model

·        When is an RCA done?

·        Why is an RCA important?

·        When not to do an RCA?

 

7. How RCA's Work

·        Key RCA roles

·        NORMS-based analysis of information

·        Development of corrective and preventive actions

·        Review findings, assess, and implement actions

·        Writing a Good Report and lessons to be learned

·        Action plan and follow up