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Introduction: Conducting Serious Incident Investigations Antone Aboud March 2016 © 2016, Labor Relations Alternatives, Inc. © 2014-2016, Antone Aboud Associates, Inc.

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Page 1: Introduction: Conducting Serious Incident Investigations · Introduction: Conducting Serious Incident Investigations ... To better protect people from ... Systematic collection of

Introduction: Conducting Serious Incident Investigations

Antone Aboud

March 2016

© 2016, Labor Relations Alternatives, Inc.© 2014-2016, Antone Aboud Associates, Inc.

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Incident Management* Collection* Classification* Use of Data

To better protect people from harm, and the organization from liability.

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Relationship to InvestigationsAn investigation is one tool available to the incident management function.

Other Tools?* Root cause analysis* Database development

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InvestigationSystematic collection offacts for the purpose ofdescribing and explainingwhat occurred.

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Relevant FactsFacts that have the potential to help describe and explain what occurred.

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Forms of Evidence• Testimonial• Documentary• Physical• Demonstrative

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Testimonial EvidenceWhat people:• Communicate• About their memories• Of observations they

made

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Documentary EvidenceThe manner in which organizations preserve testimonial evidence: e.g., written witness statements; attendance records; work schedules; medical records.

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Physical EvidenceThings and the spatial relationship between and among things…themselves.

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Demonstrative EvidenceThe manner in which we preserve physical evidence: e.g., a photograph; diagram; x-ray.

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Forms of Evidence (continued)

So what?

Who cares?

Honestly, who cares?

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Forms of Evidence (continued)

We must SYSTEMATICALLY collect facts:Rules for how we collect testimonial evidence, etc.

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Questions

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Investigatory Values

Speed Thoroughness Objectivity

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Speed

Begin and continue without unnecessary delay.

What would be a “necessary delay”?

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Speed

Common problems: Inadequate assignment

processConflict with other work

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Throughness

Collect all relevant facts & collect them properly.

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ThroughnessCommon problems: Failure to interview

individuals/residents Collect facts using improper

methods Failure to require medical exam

when no apparent injury

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Objectivity

Avoid making a conclusion of fact before collecting and considering all evidence.

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ObjectivityCommon problems:Conflicts of interest Personal relationships Preconceived beliefs based

on personal experience

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Questions

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Contact

Lana [email protected]://www.lraconsultants.com