Accident Investigation and Reporting

Introduction:

Course Objectives:

Participants attending the programmer will:

•  Define the accident / incident event
• Understand modern accident causation theories
• Define all accident investigation and analysis stages
• Carry out Initial actions in response to accident and incidents
• Gather evidence and data relevant to the accident investigation
• Interview witnesses
• Analyze the role of human factors involvement in accident investigation
• Compile accident reports and remedial action plans
• Gain familiarity with modern accident analytical techniques for root-cause analysis
• The use of accident investigations as a management audit tool
• To locate and define active human error, preconditions and root causes
• Report writing and compilation 

Who Should Attend?

• All Supervisors and line management responsible for initial actions following an incident on site
• All HSE personnel
• Technical personnel who will be involved in forensic investigations
• Independent personnel with the role of analyzing incidents to identify root causes

Course Outlines:

Participants will learn by active participation during the programmer through the use of exercises, syndicate and group discussion, training videos and discussions on relevant types of accidents and "real life" issues in their organizations.

The programmer aims to provide hands-on experience in the application of modern incident investigation techniques, including gathering evidence, witness interviews through the initial actions following an incident. Advanced incident analytical techniques are introduced, together with their application to major accidents in order to identify root-causes. The programmer will introduce structured methods for forensic investigation and fact-findings

Human Contribution to Incidents

• Course Introduction and Structure
• Accident investigation and the blame culture
• The Relationship between 'Accidents' and 'Incidents'
• Human error and contribution to accidents
• Framework for Accident Investigation and Analysis
• Management systems (latent) failures and root causes for accidents

Incident Investigation Framework

• Why and who should investigate?
• The role of the 'Organization' in Accident Causation and effects.
• Reason's accident causation model
• Development of the 'no blame' culture
• Human error and accident causation
• Framework for accident investigation process
• Witnesses interview techniques
• Introduction to Cause Tree Analysis (CTA)
• Applications for CTA

Incident Investigation and Analysis Techniques

• The principle stages of an Accident Investigation
• Planning the investigation
• How to counteract investigator bias and mindset
• Introduction of advanced accident investigation tools (Fault Tree Analysis)
• FTA as an accident investigation tool
• FTA as an accident analysis tool to identify root-cause

Events and Causal Factors Analysis ‘E&CFA’

• Introduction to E&CFA
• Applications for E&CFA
• Major Case Study for application of analytical techniques (Group work)
• Case study Report back
• When to use CTA, FTA and E&CFA

Reports Preparation, Planning and Implementing

• The role of a lead accident investigators
• Analysis of the consequences- Forensic evidence
• Modeling fire, explosion and toxic releases
• Preparation of reports, conclusions and recommendations
• The use of accident investigation as a Audit tool
• Discussion and course review