Accident Investigation

“What we see depends mainly on what we look for.” - John Lubbock

Incident Analysis

An incident analysis is an important tool to determine possible causes of the incident in order to prevent a recurrence of a similar incident or injury.

The information on First Report of Injury form is used to track incident trends, to determine if equipment or facilities need repairs, and identify the safety training need for university employees.

Step 1: Notification

Employee:

  • Notify your supervisor immediately if incident or near-miss incident occurred.

Supervisor:

  • Fill-in and submit First Report of Injury during 24 hour period.

Step 2: Response

Supervisor:

  • Ensure medical treatment for injured employee. 
  • Provide transportation for injured employee if needed.  
  • Eliminate obvious hazard. 
  • Determine if area needs to be secured (unsafe conditions exist or critical evidence needs to be preserved)

Step 3: Fact-Finding

Supervisor and REM Representative:

  • Use simple approaches – Who, What, Where, When, How, Why?
  • Keep probing for more information – “What else can you tell me that might have been a factor?”
  • Don’t jump to conclusion and recommendations too quickly

Step 4: Analysis

Supervisor and REM Representative:

Step 5: Corrective Actions

Supervisor and REM Representative:

  • Identify and address all root causes of incident.
  • Identify those persons who are responsible for corrective/preventative actions.
  • Set corrective/preventative action target dates

Step 6: Follow-Up

Supervisor and REM Representative:

  • Follow up to ensure that corrective/preventative actions are completed and effective.
  • Document incident analysis results.
  • Share results with similar operations within the university

Notification

Employee:

  • Notify your supervisor immediately if incident or near-miss incident occurred.

Supervisor:

  • Fill-in and submit First Report of Injury during 24 hour period.

Response

Supervisor:

  • Ensure medical treatment for injured employee. 
  • Provide transportation for injured employee if needed.  
  • Eliminate obvious hazard. 
  • Determine if area needs to be secured (unsafe conditions exist or critical evidence needs to be preserved)

Fact-Finding

Supervisor and REM Representative:

  • Use simple approaches – Who, What, Where, When, How, Why?
  • Keep probing for more information – “What else can you tell me that might have been a factor?”
  • Don’t jump to conclusion and recommendations too quickly

Analysis

Supervisor and REM Representative:

  • Analyze root cause(s) of the incident
Incident Root Cause Analysis
MethodsEnvironmentEquipment/ToolsManagement SystemsPersonnel
Written Procedures Appropriate Location Proper Equipment Hazard Analysis to Detect and Correct Selection and Placement
Shortcuts Lighting Safe Design Methods of supervision (Identify and reinforce safe behaviors; Identify and eliminate at risk behaviors) Knowledge and Skills
Common Practices (Actual way that people do the job) Floor Conditions Used as Designed Training Physical and Emotional Condition
Distractions Contaminants Working Properly Systems for Inspection and Maintenance Communications
Unusual Conditions or Requirements Chemicals Inspected   Appropriate PPE
  Ventilation Maintained    

(Return to List Above)


Corrective Actions

Supervisor and REM Representative:

  • Identify and address all root causes of incident.
  • Identify those persons who are responsible for corrective/preventative actions.
  • Set corrective/preventative action target dates

Follow-Up

Supervisor and REM Representative:

  • Follow up to ensure that corrective/preventative actions are completed and effective.
  • Document incident analysis results.
  • Share results with similar operations within the university.