Professional Documents
Culture Documents
Accident Investigation Reporting and Analysis
Accident Investigation Reporting and Analysis
Zuñiga
State the objective of Accident
Investigation, Analysis and
Reporting.
Describe the step-by-step
procedure involved in the
accident investigation process.
Assess an accident by properly
evaluating the underlying
factors that contribute to the
accident.
Properly investigate a workplace
accident.
Comply with the requirement of
the Occupational Safety and
Health Standards.
“People become injured,
disabled and sometimes killed
due to industrial accidents.
What can be done to prevent
these accidents from
recurring?”
ADVANTAGES OF EFFECTIVE
INVESTIGATIONS:
They-
Described What Happened
Determined the Real Cause
Described the Risks
Developed Controls
Defined Trends
Demonstrated Concern
THE CONDUCT OF ACCIDENT
INVESTIGATION
Unsafe
Incident
Behaviour
Clearances Resources
Induction Procedures
ORGANISATIONAL YOUR
RESPONSIBILITIES RESPONSIBILITIES
SOME COMMON EXCUSES ON
CAUSES OF ACCIDENTS:
Carelessness
Accident-prone
Inattention (distraction)
Negligence
Not wearing safety equipment
SOME COMMON EXCUSES ON CAUSES
OF ACCIDENTS:
Bad luck
Act of God
Not thinking
Laziness
Taking short cut
“Unsafe Act-Unsafe Condition”
vs. forces effect outside the workplace”
…”accidents occur within the system
and the worker is a part of the system.”
…”it must be understood and accepted
that the individual imports into a sterile
world of machines and work schedules,
influences, which occur outside of work
environment.”
…”while it is difficult to find solution to
what is perfectly natural occurrence (eg.
Bringing our problem to work) we can
not ignore the effect, forces outside the
workplace have on accident.”
THE WORK SYSTEM
PEOPLE
PLANT AND EQUIPMENT
PROCEDURES
MANAGEMENT
MATERIALS
ENVIRONMENT
THE WORK SYSTEM
2 Types of Witnesses
Eye Witness
Hearing Witness
INTERVIEW TECHNIQUES
Basic approach to “investigation
interviewing”:
Conduct the interview in private at
workplace
Put the interviewee at ease, don’t
hurry things
Ask for the interviewee’s story of
what version of what has
happened
Only ask necessary questions
Repeat the interviewee’s story as
you understand it
Close the interview on a positive
note and thank the witness
CONDUCTING AN INVESTIGATION
Conducting the Interview at the Scene
of the Accident
“Usually the main advantage in
interviewing at the scene is that it
usually assists the memory of the
person being interviewed if he/she
can refer or point to physical
conditions at the scene of the
accident”
CONDUCTING AN INVESTIGATION
FORKLIFT INCIDENT
1. SUMMARY
+/- P 10,000.00
1.11 OCCUPATION:
Driver
1.8 CAUSE OF DAMAGE: 1.12 TRUCK NUMBER:
Equipment fall TJL 651
1.9 NATURE OF DAMAGE:
Fork chain Wheel Assembly
broken
- Slight scratches on body
paint
The immediate cause of the incident was apparently the sudden braking of the
truck while climbing uphill in order to avoiding collision with a descending
speeding vehicle. On the other hand, the underlying causes for the equipment to
fall was improper anchoring of the forklift and undersize sling, which attributed
further to having no standard procedure on anchoring forklift to the truck during
transport.
2. EVALUATION
Serious - There could have been a major damage to equipment and should
there was a vehicle following the truck, it might also inflict serious damage to
the other vehicle and likewise serious injury to the driver and /or its passenger
/s.
3. PREVENTIVE ACTION
Format:
Description of the accident (Basic
information, WHO, WHEN, WHERE, WHAT,
HOW)
Accident analysis; causation - root causes
Recommendation to prevent recurrence;
(RECOMMENDED ACTIONS, BY WHO, BY
WHEN)
Case #1
• The Accident:
Driver J. Cruz and J. Reyes were unloading bulk feed
from their truck into the feed bin of house #5. The truck’s
feed compartment was on a dumping tilted position. The
truck was directly under the electrical high-tension wires,
with 1.2kva, supplying power to the poultry houses. While
unloading, J. Cruz noticed the feed was not flowing
smoothly inside the compartment. He climbed above and
looked into the manhole. When he raised his hand, he
momentarily forgotten the electric wire above him. His
nape got in contact with the wire and shock threw him into
the manhole. Helper J. Reyes, who was standing at the
tail of the truck was also thrown against the compartment.
Continuation of accident case #1
J. Cruz suffered burns on the nape and buttocks.
While J. Roxas suffered cut on the forehead.
The high tension wire diagonally crossed the road
fronting house #5. Because of the terrain and the sag,
the wires has a clearance of 18 feet from the ground
level at the point in front of house #5 or where the truck
was parked. The truck has a clearance height of about
12 feet, untitled, from the ground. If the bulk feed inside
the truck compartment gets stucked, the driver dislodge
by means of using poles through the manhole.
According to Mr. Rodriguez, Farm Superintendent,
this is the second time incident of this nature happened
on the same spot.
Case #2
• The Accident:
In a ship repair company, a welder was working on
the side of a barge. The platform on which he was
standing was almost touching the water. The platform
was supported by rope on each end. While he was
operating the electric welding machine, a motorboat
passed by creating waves that caused the welder to off-
balanced. He held on to the electric cable of the welding
machine, still, fell into the water and got drowned. His
body was recovered only the following day. Investigation
revealed that the victim was an assistant to the regular
welder, who was absent. When asked for written
procedure, the company could not present one.
Injury Frequency and Severity Rates