near miss reporting
TRANSCRIPT
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DYNAMIC INSTITUTION OF SKILL
DEVELOPMENT
NEAR MISS REPORTING
Prepared by Mohammad NaushadContact- www.dynamicskilldev.comEmail- [email protected]
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Program Goals Provide an opportunity for site management
team to share near miss cause and experiences, which can help prevent injuries and protect the lives of others.
Collect information which can assist in formulating strategies to reducethe number of worker injuriesand fatalities.
Foster a safety-focused culture that recognizes errors as aninherent part of human behavior.
Topics3
Definition of a Near Miss
Conditions/Act
Reporting
Near miss- Management Stages
Near miss examples
Definition4
A “near miss” is an unplanned event or situation that did not result in injury, illness or damage - but had the potential to do so.
Sometimes called a “near hit” or “close call” – signals a system weakness that if not corrected could lead to significant consequences in the future.
Another “Near Miss” Definition5
Opportunity to improve safety practice based on Condition or Act with potential for serious consequence
In this definition, “act” or “condition” is anything a witness views worthy of addressing to eliminate potential to cause harm.
Using Condition/Act6
A wide variety of occurrences can be near misses:
Unsafe conditions Unsafe Act/behavior Events where injury could
have occurred but did not
What Happens?7
Human error is commonly an initiating event.
However, a faulty process or system allows or compounds the situation and should be the focus of improvement.
Incident Ratio Model – Heinrich’s Theory8
Serious Injury or Death
Minor Injury
1
29
300
3,000
Most Accident Investigations Conducted
Few InvestigationsConducted
Biggest percentage
of injurycausing
potential!
Near Miss
Unsafe Acts, Behaviors or Conditions
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Why Report?
Reporting a near miss helps to establish and continue safe practices within the workplace.
Information provided enables an employer to communicate facts, causes and corrective actions to all employees regarding near misses.
Provides valuable information to employees about how to avoid/prevent future accidents and injuries.
Provides opportunity to improve safety, health, environment and security of operation.
Why Report?10
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Who can submit a report and does it need to be a recent experience?
Any member of the site is encouraged tosubmit a report when he/she is involved in, witnesses, or is told of a near-miss event.
Regardless of when the near-miss experience occurred, all reports contain valuable information.
Near-Miss Management Stages 12
Identification Disclosure Root-cause
analysis Solution
identification Dissemination Almost!
Identification13
First stage of process
Sometimes issue is not obvious
May not be recognized as near miss
Need consistency in definition and perception
When in doubt, consider as near miss
Disclosure14
Employees need to feel comfortable reporting near misses.
Employees should not fear disciplinary action or peer pressure by reporting.
Organization’s safety culture is such that reporting a near miss is important and necessary.
Direct & Root-Cause Analysis15
• When analyzing near miss, it is necessary to: Assess the direct and underlying root
causes that contributed to an incident. Determine corrective actions or solutions
to rectify the root cause so that recurrence is less likely.
• Root-cause analysis techniques can be used during near-miss investigations.
Solution Identification16
Corrective actions need to be determined for each cause.
Ideally, corrective actions should eliminate potential for recurrence but may not always be feasible.
Desirable that solutions reduce likelihood of recurrence, or at least reduce potential impact in case of recurrence.
All solutions should be scrutinized to assess whether there are other detracting factors (e.g., expense, employee acceptance, etc.)
Broadcasting to Implementers17
Corrective actions should be sent to all persons who can benefit from information.
Should include individuals implementing corrective actions at location where near miss occurred.
May also be appropriate to provide information regarding near miss to larger audience.
Summary18
Near-miss identification and reporting is an integral part of any good safety program.
A near-miss reporting and tracking system should be developed and implemented.
Employees should be encouraged to report near misses without fear of discipline or loss of job.
Reporting and tracking near misses can provide valuable information as to where weaknesses in the safety program exist.
Thanks19
Registered Office Add:Shop No.-5, Majid Market, Beside SBI ATM,Opp: Shahganj Gali, Mahendru, Patna-6, Bihar, India.
Contaact No.- 7481978997, 9693989933mail: [email protected],Web site: www.dynamicskilldev.com