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“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.
(Click on each step to reveal the process.)
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.
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)
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
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
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
| Methods |
Environment |
Equipment/Tools |
Management Systems |
Personnel |
| 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 |
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Appropriate PPE |
| |
Ventilation |
Maintained |
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(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.
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