incident reporting and investigation presented by jessica urquhart version 1.0 issue date september...

Incident Reporting and Investigation

Presented by

Jessica Urquhart

Version 1.0Issue date September 2013

School Safety ConferenceSafety Systems: Safety Doesn’t Happen By Accident!

9-10 September 2013

Proactive WHSand

Reactive WHS

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3

INC

IDE

NT

/ A

CC

IDE

NT

/ N

EA

R M

ISS

(la

g)

PROACTIVE (lead)

Hazard Reporting

Workplace Inspections

Task Observations

Effectiveness Audits

REACTIVE

Initial Response

IncidentInvestigation

Learning

Action Management

CommunicationRisk Assessment

WHS Rep /WHS Committee

Meetings

Reporting

Evaluation

OP

PO

RT

UN

ITIE

S F

OR

IM

PR

OV

EM

EN

T

Initial Response

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Incidents require varied responses i.e. injury, fire, environmental

Incident Responses Need to Be; Documented Practiced Competent Personnel Capable Personnel Serviceable Equipment Adequate Facilities

Reporting Requirements

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Reporting Requirements

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Reporting Requirements

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Obligations of Duty Holders

Obligations

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Obligations

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Investigation Process

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Incident Investigation

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OrganisationalFactors

Task / Environmental

Factors

Individual / Team Actions

Absent / Failed Defences

Root Cause

Investigation Process

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Fact FindingWhat Actually Happened?

Compile Evidence- Photographs

- Witness Statements- Records

- Training Files- Procedures

- Risk Assessments

Establish Causal FactorsWhat was the Direct Cause of the Incident?

What Else Contributed to the Incident?

What’s Next?

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Put Actions Into Place to Prevent Recurrence

Communicate Incident Findings to Workgroups

Monitor and Evaluate the Effectiveness of Actions

Some Documentation You Will Need

Incident Reporting and Investigation Procedure Incident Register Incident Notification and Report Form WHSQ Incident Report Form (notifiable incidents) Incident Investigation Tool Witness Statement Form PowerPoint Presentation e.g. Present Learnings Acknowledgement of Communication Form Change Management Procedures;

Are changes required to documentation, forms, training, PPE, induction, procedures, checklists, registers?

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More Information

• DRA Safety Specialists – drasafety.com.au

• WorkSafe QLD - worksafe.qld.gov.au

• Workplace Health and Safety Infoline – 1300 369 915

• Safe Work Australia - www.safeworkaustralia.gov.au

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Questions?

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