Incident & Accident Investigation And Root Cause Analysis
COURSE OBJECTIVE
On completion of this course, participants will understand:
- Define the purpose of incident investigation.
- Explain the importance of incident reporting.
- Describe evidence preservation techniques.
- Describe the investigation flow path.
- Define key terms used in incident investigation.
- Correctly complete incident reporting and investigation data.
- Analyze the causes of incidents.
- Make recommendations to prevent incident recurrence.
- Explain the importance of determining root cause.
COURSE OUTLINE
- Incident Investigation Flow Path
- Why Investigate Incidents?
- Team Exercise
- Why Investigate Incidents?
- Incident Recurrence
- Incident
- Questions That Need To Be Asked
- Recommendations
- Incident Video – ‘Nobody’s Fault’
- Preservation Of Evidence
- Segment Objectives
- There Are Four Types Of Evidence
- Position Evidence Photographs
- Position Maps
- People Evidence
- Interviewing Techniques
- Parts Evidence
- Paper Evidence
- Interviewing Exercise
- Incident Reporting
- Segment Objectives
- Incident Investigation Flow Path
- Team Exercise : Why Report Incidents
- Why Report Incidents
- Importance Of Quality Data
- Case Study :Bhopal
- Analyzing To Root Cause
- Root Cause Analysis :Case Study Physical Roots
- “Nobody’s Fault” Latent Root Cause
- Team Exercise : Root Cause Analysis
- Principles Of Accident Prevention
- Benefits Of Accident Prevention
- Basic Concepts Of Human Factors
PARTICIPANTS
This course is designed to introduce delegates to the importance of learning from health and safety failures and is suitable for people with responsibility for investigating at supervisory level – including line managers, supervisors, and safety representatives.
INSTRUCT0R & CV
Ir. Setyawan Hardan, M.Sc & Team
Education
S1: Mechanical Engineering Department Bandung Institute of Technology, 1977
TRAINING METHOD
Presentation
Discussion
Case Study
Evaluation
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