Category: Incident Investigation

  • Management Statement – Accident Investigation

    Management Statement – Accident Investigation

    As part of every incident investigation, the employee’s supervisor or manager should provide a statement. This is important for the validity of every claim.

    When taking the statement, ensure to have the manager to include anything relevant from before the accident, a knowledge of near misses, past incidents with this employee, any behavior by the employee before the incident(example: they came into work limping then file a claim for hurting leg at work that day), and anything else relevant. Don’t allow the statement to be just a dead-end statement such as: “I didn’t see it and know nothing.” Have the manager include in their statement any training on relevant safety processes, procedures, or even just on operational processes. All of this can be factored into the investigation of the incident and considered in the root cause.

    The management statement should attempt to answer the 5W1H’s with any relevant facts;

    • Who? – Who was involved in the accident / incident?
    • What? – What was being undertaken at the time?
    • Where? – Where, precisely did the event take place?
    • When? – When did it take place?
    • Why? – Why did it happen?
    • How? How can it be prevented from happening again?

    This management statement is a small component of a comprehensive incident investigation program.

    If you need more components of an incident investigation program, we have them here.

    As to the role of the supervisor in an investigation, this statement will address all issues of in-depth employee and job process knowledge, while removing the supervisor from the direct investigation. This is an important consideration because:

    • The immediate supervisor/manager of the injured may be part of the reason why the accident happened. The supervision may, therefore, be unwilling to identify deficiencies in training, supervision, discipline, etc., for which he or she is responsible.
    • Due to lack of training, a supervisor may not have the necessary knowledge to do a good in-depth accident analysis.
    • Even if training is provided, supervisors may not do investigations frequently enough to develop the necessary skills to do good investigations.
    • Supervisors may not be sufficiently discreet with potentially sensitive information.

    Don’t overlook my book on Root Cause Analysis available for sale on Amazon

    Download & view the Accident Investigation Management Statement below

  • 7 Problems Interviewing Witnesses to Workplace Accidents and Incidents

    7 Problems Interviewing Witnesses to Workplace Accidents and Incidents

    There are many problems associated with investigating accidents in the workplace.

    Seven common problems that you may encounter while investigating accidents:

    • Accuracy. Accuracy is a real problem when you are trying to get to the bottom of an incident or an accident. The people that you interview have not been trained to be observant or to be a witness. This means that they are often unprepared to answer questions that require them to be accurate in their recollection. Because their memories will fade with time, its important to interview them as soon as possible after the event..
    • What did they actually see? Many people claim to be witnesses to accidents when they have only seen the results but not the events leading up to the accident itself. For example, if there is a collision between two forklifts, the witness will claim to have seen the accident and then make an assumption regarding the cause when they have seen the result. If they are a witness to an impact accident, ask them where they were standing at the time of the impact. This will reveal whether or not they saw the events leading up to the incident.
    • Protecting a workmate. Regrettably, in tight knit working communities, a witness will often try and minimize the actions of a workmate. They do this with the best of intentions but provide a considerable barrier to discovering the root cause of the accident. Their loyalty is misplaced but understandable. Often, with shrewd questioning you will be able to get to the truth of the matter.
    Need more components for your incident investigation program? Check out what else I have to offer here
    • Conflicting statements. When you go over your notes, you will notice that some of the statements are in direct conflict with each other. At this stage you have to remember that they are relying on their memory and interpretation of the events. This is not deliberate misinformation but the way we humans perceive events. Your only recourse is to go back and re-interview those people who have given you conflicting information.
    • Interpretation of questions and answers. This can be a difficult situation which occurs when your questioning is a little bit too open. Sometimes it’s necessary to make sure that your witness understands your question clearly. By the same token, it is very easy to misinterpret their answers. With practice, your questioning technique and your listening technique will improve and become much more accurate.
    Learn 9 tricks for interviewing witnesses to workplace accidents
    • Changing their story. Some witnesses will answer a question and then immediately change their answer because they are thinking about the consequences of that particular answer. This is irritating because it prolongs the questioning process. These witnesses have to be treated gently so that they have sufficient confidence in their answers. You may have to encourage them and give them positive reinforcement when they stick to their original answer.
    • Vague on details. Many people have speech patterns that are vague. As witnesses they are of limited value because they are so hard to pin down on any usable fact. My advice is to be patient, help them to become more accurate and factual until you have information which is usable.
  • Incident Investigation: Top 10 Mistakes

    Incident Investigation: Top 10 Mistakes

    Any professional in the safety & security industry, is probably familiar with writing reports. Writing reports isn’t just a one and done occurrence. Report writing is absolutely essential to successful investigations and case management. This post will explore the purposes and importance of reports as well as provide tips for beginning report writers to refine their skills. There are negative implications to unskilled report writing and may end up halting a person’s career to a standstill. Although many of today’s investigative reports can be completed in preformatted forms, even in an online/mobile format, there are still many scenarios in which one will not have this luxury. It is important to gain a thorough understanding of the purpose of report writing and the uses behind it.

    Let’s examine a few of the ways in which reports are utilized in the workplace:

     

    1.Accidents in the Workplace

    Incident reports are crucial for corporations and businesses, especially those that are open to the public. Retailers, for example, must be keenly aware of the safety risks that are involved. With high traffic volumes, shelves and displays, potentially dangerous merchandise, escalators, etc., an accident is bound to happen, whether it is a customer or an employee. Filling out a thorough accident report immediately after an accident takes place will save the employer a lot of hassle in the future should any medical or legal issues ensue from the incident. The report can clear the employer of any liability in civil proceedings against the business. These reports are to be written by the individual responding to the scene of the incident.

    Worker’s compensation and insurance fraud is a rapidly growing area of crime with the advancement of technology and the depressed economy. Some employees will jump at the chance to exploit and abuse the system. Writing a report immediately after a workplace incident will lower the risk of worker’s compensation or insurance fraud significantly. It can also alleviate the risk of civil liability should the employee decide to sue the employer afterwards. Employers who maintain an unsafe workplace riddled with safety hazards will find themselves embroiled in administrative fines and civil litigation.

    2.Preliminary Reports

    Preliminary reports are commonly written by uniformed officers when responding to a complaint or a crime. When writing a preliminary report, it should include any all information pertinent to the investigation. This includes information on the individual making the report or the victim, a thorough description or identification of the person making the complaint, details of the incident that transpired, and any other relevant information that can be collected. As Dempsey writes, the preliminary report is like a birth certificate in a case because it begins the investigation (2002, 86). A follow up report is later written to keep tabs on the progress of the investigation and include any new or relevant information gained.

    3.Administrative and Managerial Entities

    The reports one writes throughout his or her career are almost always going to be viewed by third parties. In almost all cases, administrative agencies and supervisors will require that subordinates submit regular reports for the purpose of reviewing progress of an investigation and keeping track of employee productivity. These are sometimes called supervisory review reports (Dempsey, 2002, 84) These reports, when done on a regular basis, help supervisors to keep track of subordinate productivity and the progress being made on all cases.

    4.Chain of Custody and Lab Reports

    Evidence will change hands throughout the course of an investigation. In this case, anyone who claims custody of the evidence must complete a chain of custody report. The report should include a detailed, chronological history of the evidence and should contain a detailed description of when and to whom it changed hands. If there are any discrepancies about the chain of custody, it will be hard to prove in court that the evidence shown at trial is the same that was collected at the crime scene. In this case, it is best to limit the transfer of evidence to as little as possible.

    Lab reports are written regarding any form of evidence that requires a laboratory examination. A request for a laboratory analysis is sent to the lab by the investigator. The forensic analyst who conducted the analysis will then submit a report detailing the results of that analysis. The United States Environmental Protection Agency (EPA) provides instructional courses on sampling procedures, data acquisition, chain of custody, what it is used for, and how the forms are properly used to pass testing samples from one link of the chain of custody to another.

    5.Observations

    When assigned to conduct surveillance, a report written by the investigator conducting the surveillance is called an observation report. The report details all actions that the investigator witnesses during the course of the investigation.

     

    These are just a few of the many kinds of reports the investigator may come into contact with throughout the course of his or her career!

     Need more components of an incident reporting program? Check out what else I have to help you out here

    Tips on Investigative Report Writing

    1. Follow the Principle of Expansible Significance

    Minor crimes and inconsistencies often turn out to be major crimes or loss events. “Minor is major”! Get all the facts. This includes even the smallest of details. Even if it may seem irrelevant at the time, little pieces of information may manifest themselves as much more significant throughout the course of the investigation.

    2. Write Professionally, but Not Pompously

    The report you are writing won’t just be read by people within your department or your field. Don’t assume that everyone will understand certain things you write in the report, because it will only serve to confuse the readers and will damage your credibility. Keep the high-level vocabulary to a minimum and refrain from use of

    any lingo or vernacular language. “Police talk” may work on the beat between two partners, but it will not work in a formal report.

    3. Write Neatly and Concisely

    The more one writes reports, the easier it will become to spill the words out and get it right after a few tries. A good report will consist of thorough, detailed information but will also be fairly brief and to the point. This may be difficult to do at first, but revising and rewriting the report will aid in honing one’s writing skills. Although many of today’s police and investigation departments are driven by technology and many officers can file reports from their computers, there are instances where they will need to be hand written, especially in times of emergency. Write legibly and make sure others will be able to read the writing.

    4. Keep Reports Organized

    All reports, documents and any audio/visual information should be stored and preserved. Many choose to compile a case folder that keeps everything intact and preserved should it be referred to in the future. This is especially important because it will serve as an easy method of reference and will help to jog the investigator’s memory. Some cases don’t go to court for months or even years, and it is impossible to remember every single detail of the investigation. Having a secure and effective method of storage for cases is extremely beneficial. Always have a hard copy of the report even if it is saved on a computer in case of a power surge or a scenario in which the file couldn’t be accessed or is deleted.

    5. No Notes Equals No Report

    The accuracy and quality of investigative reports is contingent upon the field notes. Constantly writing things down during one’s day-to-day routines will help to establish a solid foundation for a report should an incident arise. During an investigation it is also crucial to follow this strategy. The notes should be factual and accurate. These notes may include but are not limited to:

    • Names of witnesses
    • Notes from interviews of witnesses
    • Vehicle descriptions
    • List of items stolen/broken
    • Names/contact information of victims
    • Time the incident occurred
    • Arrival times of emergency personnel
    • Security or safety hazards such as nonworking lights, broken floor tiles, leaking pipes, etc.
    Check Out: How to Investigate an Accident Or Incident in 9 Easy Steps

    Other Interesting Suggestions that Will Make One a Better Report Writer

    Many people often use the word “did” right before the verb. It is annoying for supervisors and judges to constantly read things such as “I did move the box, I did observe Joe walk through the door”, and “I did enter the facility” and should be avoided. It’s certainly okay to use “did not” to indicate an omission of action, however.

    Try to keep words in the report to less than three syllables.

    Keep the report properly punctuated so that readers can quickly decipher where one idea ends and another begins.

    Jack Dempsey’s NEOTWY format should always be used (2002, 87). The word is an acronym derived from the last letters of When, Where, Who, What, How, and Why. It may sound silly, but it is easy to remember.

    Does the report make sense? Try reading it aloud. If it doesn’t make much sense to the officer or investigator, it won’t make sense to a judge or supervisor.

     

    What Case Folders May Contain

    • Index sheet
    • Incident report
    • Follow-up or investigatory action reports
    • Interview/Interrogation reports
    • Record checks
    • Photographs, sketches, visual evidence
    • Evidence reports
    • Chain of custody reports
    • Computer printouts
    • Audio/video material
    • Medical examiner reports

    View & Download the Top 10 Incident Investigation Mistakes below:

     

  • How to Investigate an Accident Or Incident in 9 Easy Steps

    How to Investigate an Accident Or Incident in 9 Easy Steps

    When an accident happens in the workplace, it is critical to conduct an accident investigation to determine the root cause of the events that led to the accident or injury. The point of the investigation should never be to assign blame, but rather to uncover the factors that led to accident so you can take corrective action to prevent it from happening again.

     

    Get the overall picture by interviewing the people who know most about the accident or incident. This will enable you to carry out a thorough accident investigation.

    The 9 steps to conducting an effective accident investigation interview are:

    1) Create the “right” environment. Create an atmosphere of co-operation. Explain reason for the interview- prevention. Ask for person’s help. Ask your questions and listen carefully to the answers. Make notes and draw diagrams.

    2) Interview as close as possible to the site of the accident/incident. This helps the accuracy of the witnesses because they are able to point and sometimes demonstrate what actually happened. At this stage, make absolutely certain you know where the witness was standing when the accident or the incident took place. This is because sometimes witnesses could not have seen what actually happened from where they were standing. There is a tendency for witnesses to assume what actually happened, even when they didn’t see it.

    Check Out: 7 Problems Interviewing Witnesses to Workplace Accidents and Incidents

    3) Discussions should be private. When you interview the witnesses, interview them one at a time. This will give you better information and there is no conflict with witnesses arguing about what happened. If descriptions don’t match there is only one option. Re-interview

    4) Get the person’s perception of the accident/incident. Make sure that there is no outside influence or bias and as you listen remember to try not to interrupt. At this stage you are gathering information only. There is no need to evaluate the accident or the incident until you have collected all the information possible.

    5) Listen more than you talk. Encourage the person to talk, listen to the answers and help the person not to become defensive or accept any blame for the accident or incident. Remember, the more they talk, the more you will learn.

    Need more components of an Incident investigation program

    6) Repeat the story back once you have heard it. Once you have heard the witness’s account firstly check your understanding by repeating the account back to the witness. This gives the person a chance to hear what they’ve said and correct or confirm it. The repetition allows the words and meanings to be matched.

    7) End the discussion by thanking the person for their help. Thank the person for their help and cooperation and repeat that you are gathering information so that this sort of incident can be prevented in the future.

    8) Note vital information at once. Make notes rather than try to write down the complete dialogue unless the person gave you some really critical information.

    Check the Root Cause Book I have published on Amazon

    9) Keep open the opportunity for further communication. Give the person the opportunity to get back to you in case they remember something at a later date. It always pays to go back to the person the following day or so, and have a casual conversation about the incident. Often vital information is a gathered at this point.

  • How Accurate is Your Company’s Incident Reporting?

    How Accurate is Your Company’s Incident Reporting?

    In any organization with a system for reporting accidents and incidents, there is always the risk of underreporting or overreporting. This discrepancy can significantly reduce the effectiveness and reliability of the reporting process. Accurate reporting is crucial because you can’t address issues that you aren’t aware of, and often, “near misses” serve as early warnings for potential serious injuries or accidents.

    When there is a suspicion of underreporting, it’s essential to ask several critical questions to ensure that all relevant information about accidents and no-harm incidents is captured. This is necessary so that appropriate preventive measures can be implemented. To address the issue, it is important to take a step back and examine the organization’s culture. Understanding what behaviors and actions are being rewarded or punished is key to identifying the root causes of underreporting.

    According to a basic principle of human behavior, “Things that get rewarded or recognized, get done.” In the context of accident and incident reporting, this means that employees are more likely to report incidents if they are positively acknowledged for doing so, and less likely if they fear negative consequences. Therefore, two fundamental questions must be asked: “Are employees being punished or blamed for reporting incidents?” and “Are employees being rewarded, either implicitly or explicitly, for not reporting?”

    If the answer to either question is yes, it becomes clear how these conditions can influence human behavior and lead to underreporting. For example, if employees feel that reporting an incident will result in punishment or blame, they may choose not to report it. Conversely, if they believe that not reporting incidents will help them avoid trouble or gain rewards, they may be incentivized to keep issues under wraps. In both scenarios, the organization’s culture and policies play a significant role in shaping reporting behaviors.

    To address these issues, organizations must foster a culture that encourages open and honest reporting without fear of repercussions. This involves creating a safe and supportive environment where employees feel comfortable sharing information about incidents and near misses. Recognizing and rewarding accurate and timely reporting can also help promote a culture of transparency and continuous improvement. By doing so, organizations can ensure that they have a complete understanding of workplace hazards and can take proactive steps to prevent accidents and injuries, ultimately creating a safer work environment for everyone.

    Does your company need more components of an incident reporting program? I have many posts to help you here

    Human behavior is often shaped by the outcomes that individuals and groups experience as a result of their actions. If employees are rewarded for not reporting accidents, they are likely to continue withholding this information because the consequences reinforce that behavior. Conversely, if reporting accidents leads to punishment or blame, employees will naturally try to avoid these negative outcomes by not reporting incidents. In both scenarios, underreporting becomes a common practice, which can create a false sense of security within the organization. Management may mistakenly believe that their workplaces are becoming safer when, in reality, crucial information about potential hazards is being suppressed.

    Unfortunately, many organizations implement incentive programs aimed at improving safety, but these initiatives often have the unintended consequence of merely altering the reported statistics rather than enhancing actual safety. In these cases, safety statistics can become highly unreliable, as they may not accurately reflect the true state of workplace safety. It is entirely possible for unsafe practices to occur without being captured in the statistics, thereby weakening the connection between reported data and the actual level of safe behavior within the organization.

    In some organizations, particularly those with multiple sites or divisions, a competitive element is introduced into safety reporting. This approach often exacerbates the problem of underreporting. When safety performance is turned into a competition, managers may feel pressured to avoid appearing at the bottom of safety rankings. The fear of being scrutinized or criticized for poor safety records can lead to deliberate underreporting of incidents. Managers may choose not to report accidents or near misses to avoid raising questions about their leadership or facing demands to “get your people to work safely.”

    This competitive atmosphere creates an environment where the focus shifts from genuinely improving safety to simply maintaining appearances. As a result, the organization may continue to operate under the illusion that safety is improving when, in fact, serious risks are being overlooked. This can have dangerous consequences, as the true state of safety within the workplace remains hidden, and opportunities to address and mitigate hazards are missed.

    To cultivate a truly safe working environment, organizations must prioritize accurate and honest reporting over superficial improvements in safety statistics. This requires a cultural shift away from punitive or reward-based systems that inadvertently encourage underreporting. Instead, organizations should foster an environment where reporting is seen as a positive and essential component of workplace safety. By doing so, they can gain a realistic understanding of safety conditions and take meaningful steps to protect their employees, rather than relying on misleading data that only serves to mask underlying problems.

     

    The solution to this issue is 2 fold:

    The first step in addressing the issue of accurate incident and accident reporting is to foster a deeper understanding of human behavior among managers and executives. Far too often, organizations invest substantial time, money, and effort in training leaders on the financial and operational aspects of the business, yet they overlook the importance of equipping these individuals with knowledge about the science of human behavior. This oversight leads to the implementation of initiatives that fail to address the underlying reasons behind why people act the way they do, especially in the context of safety reporting.

    When managers and executives lack an understanding of human behavior, they may inadvertently create environments that discourage honest reporting. For instance, if leaders are not aware of how fear of punishment or desire for rewards can influence employees’ decisions to report—or not report—incidents, they might unintentionally reinforce behaviors that lead to underreporting. Without this foundational knowledge, even well-intentioned safety programs can miss the mark, resulting in a false sense of security and a failure to address real safety issues.

    To effectively promote a culture of safety, it is crucial that those in leadership positions understand the psychological factors that drive human behavior. This understanding allows them to create policies and practices that encourage transparency and honesty in reporting, rather than fostering environments where employees feel pressured to hide incidents to avoid negative consequences.

    The second solution to improving incident and accident reporting is to ensure that employees are thoroughly trained in incident reporting, incident investigations, and root cause analysis. It’s not enough to simply track the number of incidents that are reported; organizations must also delve deeper into understanding the root causes of these incidents and take corrective actions to address them. Many companies fall short by focusing solely on the incidents that are reported, without considering the underlying hazards that may have contributed to them. This narrow focus can lead to a reactive approach to safety, where issues are only addressed after an incident has occurred, rather than proactively identifying and mitigating risks before they result in harm.

    Proper training in incident reporting and investigation empowers employees to identify and report potential hazards, even if an incident hasn’t yet occurred. Root cause analysis, in particular, is a critical tool for uncovering the fundamental reasons behind accidents and near misses. By identifying these root causes, organizations can implement corrective measures that address the source of the problem, rather than just treating the symptoms. This approach not only helps to prevent future incidents but also contributes to the overall safety culture within the organization.

    In summary, the key to resolving the challenges of incident and accident reporting lies in two main strategies: first, educating managers and executives on the intricacies of human behavior, and second, providing employees with comprehensive training on incident reporting, investigations, and root cause analysis. By integrating these elements into the organizational culture, companies can create a more transparent, proactive, and effective approach to workplace safety. This not only protects employees but also strengthens the organization’s ability to maintain a safe and productive work environment.

    Download & View the Accident Investigation for Leaders Training below:

  • Action Plan Template

    Action Plan Template

    It is important that action items are tracked and assigned or delegated to responsible parties. Unassigned action items are useless as they will most likely never be completed.

    This form will help you track, delegate, and follow-up on all corrective actions that result from an investigation.

    Steps to a quality corrective action plan


    State the Problem

    Stating the problem is the first step to be considered when writing an action plan to correct problems. Unless the problem is stated appropriately, finding the root cause and in turn, identifying the solution is not feasible.

    For stating the problem, ask yourself a couple of questions:

    1. What is the current situation?
    2. What should be the right situation?
    3. What is the reason behind the current situation?
    4. What is the impact of the current situation?
    5. How can the current situation be rectified or resolved?

    The answers to the above questions will help you to state or define the problem statement.


    Define the Plan

    Once you’ve stated the problem, what is the next step? Move on to define the action plan.

    Once the problem statement is prepared, now it is time to define the action plan. The action plan helps to design the implementation phases of the processes. Assessing the current problems and evaluating the root causes are the key elements highly used in defining the action plan.

    The following criteria must be included in the action plan:

    • Change in the policies, processes and procedures
    • Training for resources
    • Changes in management system and tools
    • Product redesigning or re-engineering
    • Resource analysis
    • Implementation processes

    Create Ownership

    Once the action plan is strategized, assigning tasks to the team is the third important step. Create ownership to take care of each step in the corrective action plan. Many times, the process implementation from the corrective action plan requires collaboration from various departments, practices and functions.


    Establish Deadlines

    As already articulated, creating ownership or resource allocation is a vital step when writing the corrective action plan. Establishing deadlines is the next step to be considered in your plan. A plan without a defined schedule will definitely fail. Ensure the deadline defined to complete each step is appropriate and adequate to comply with all the processes.

    Unfair deadlines also create chaotic situations during the implementation phase. Inadequate deadlines lead to quality issues and delays in the final deliverables.

    Check Out: SMART Goals Guide

    Track and Monitor the Progress

    Once the processes, resources and deadlines are defined, it is imperative to develop ways to manage the progress. You need to create procedures to track and monitor the progress when writing the plan, this form is ideal for simple action plan tracking.

    Tracking and monitoring the progress while implementing processes from the action plan is critical to business growth and success. Doing it right at the first time always helps to save quality time and energy.

    Check out my Project Management Planner on Amazon

    An additional tip for getting buy-in to your corrective actions:

    Link to Compliance Record

    Corrective actions don’t exist in a vacuum. Rather, they should connect to relevant areas of the compliance record to communicate the full context of the problem. Each corrective action should be linked to the appropriate source, such as:

    • Audit results.
    • Nonconforming Materials.
    • Safety incidents.
    • Customer complaints.

     

    Members view the corrective action plan template below

  • Employee Statement Accident Investigation

    Employee Statement Accident Investigation

    In the course of an investigation, it may be necessary to collect statements from employees that witnessed the accident. These forms are also helpful for any other investigation.

    This form is a small piece of a total program and proper investigation.

    The witness statement is a powerful piece of an investigation, as it can reveal facts in an accident that others might not have seen or are trying to be covered up. Remember though, eyewitness accounts are not always 100% reliable, as people can subconsciously place a bias onto a situation or worse create a false memory.

    Check out this video for a quick understanding of how unreliable eyewitness testimony can be sometimes.

    So, how do you get past this issue with eyewitness statements?

    Simple: investigative processes, and train your team on these basics.

    These 2 steps will increase the usefulness of your eyewitness statements.

    First and most important: After an incident, after any medical is taken care of, gather all eyewitnesses, put them in separate areas and have them write out the details, as they remember them. The longer you wait, the more unreliable their memory is.

    Second: Before letting them leave, talk through their written statement, have them walk through it verbally, without their written statement. Look for inconsistencies, look for more details, have them run through forward and backward on the timeline of events. Take notes.

     

    From there, it comes down to using every statement, to create a timeline of events and to compare to statements of those involved.

     

    What else is useful as part of a quality accident investigation program?

    check out what else I have to help your facility’s incident investigation program

    It is also helpful to the investigation to conduct a root cause.

    Don’t overlook my book on Root Cause Analysis available for sale on Amazon

     

    Download & view the employee witness statement below:

  • 5 Why Training – Root Cause

    5 Why Training – Root Cause

    One of the key business success factors that I have followed throughout the years is that of always trying to determine the root cause of any business problem. I focus on the root cause because anything less than that will not allow you to solve the problem completely.

    The reason that this is important is because most people only look as far as the symptoms that are causing the problem, not the root cause.

    There is an easy way to determine the root cause of a problem and it is called “The 5 Whys.”

    Many years ago the founder of Toyota Corporation, Sakichi Toyota, developed “The “5 Why” technique that was and is used within the corporation’s manufacturing methodologies. It is still considered a critical component of problem-solving at Toyota today.

    “The 5 Why” process is simply asking the question “Why” 5 times. Let me give you an example of only getting to the symptoms of a problem.

    -My car won’t start (the problem)

    WHY?

    -The battery is dead (the symptom)

    So the solution to the problem in this case is to recharge the battery. But the following week, you have the same dead battery problem. So you go to the auto parts store and purchase a new battery because the old battery apparently will not take a charge.

    However, the following week the new battery is also dead.

    So while you addressed the symptom of the problem, you really did not solve the entire problem because the battery continues to go dead.

    Check Out: The 5 Why Method of Root Cause Analysis
    If you are looking for assistance with completing a root cause investigation, I made a book to help you out, check it out on Amazon here

    Now. let’s take the same problem and apply “The 5 Whys” process.

    -My car won’t start (the problem)

    1. Why

    -The battery is dead

    2. Why

    -The alternator doesn’t work

    3. Why

    -The alternator belt is broken

    4. Why

    -It was worn and I didn’t replace it

    5. Why

    I was too lazy

    So the root cause as to why the car won’t start is the person’s laziness, not the dead battery. The dead battery is a symptom. The key is to urge yourself not to assume anything and to avoid logic traps. Instead, the solution is to follow the symptoms through “The 5 Whys” until you find the root cause of the problem.

    Often times, you will see that the root cause of the problem is not identified because you have a flawed process in place or no process at all. In this case you should be asking the question, what is the process that is in place, if there is one, and if so, is it the right process.

    In addition, a key phrase to keep in mind in any “5 Why” exercise is that people do not always fail. Sometimes process do.

    Identifying the root cause of any problem is critical to your success. Most people only identify the symptoms of a problem and then, after addressing the symptoms, wonder why the problem continues to reoccur.

    To facilitate better root cause analysis in the workplace, I published a Root Cause Analysis workbook available on Amazon.

    Download the 5 Why Method Training below:

    View the 5 Why Method Training below:

  • Sample Accident Investigation Policy

    Sample Accident Investigation Policy

    Workplace accidents cost companies approx $1 billion weekly in direct worker’s compensation costs, with an estimated $3 billion weekly in indirect costs! A quality accident investigation program can reduce workplace injuries by properly identifying hazards that have caused an injury, and taking appropriate actions to eliminate those workplace hazards.

     

     

    So what does OSHA say about accident investigations:

    “OSHA strongly encourages employers to investigate all incidents in which a worker was hurt, as well as close calls (sometimes called “near misses”), in which a worker might have been hurt if the circumstances had been slightly different.”

    So what does this mean for employers? While an investigation is not required by OSHA, and not having a policy or procedure will not result in an OSHA fine, an injury can identify a known workplace hazard. Known workplace hazards that are not abated can expose a company to a fine under OSHA’s General Duty Clause:

    a) Each employer —

    1) shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees;

    Not conducting an investigation after an accident, might not identify the hazard, which OSHA would expect you to abate if it causes an injury to an employee.

    Sound like a catch-22? It can be for employers.

    Which is why implementing a policy for properly investigating workplace safety incidents can be so important.

    Below is an excerpt from the Sample Accident Investigation Program, read and download the entire policy below:

    The Power of Accident Investigation Programs

    Accidents don’t happen in a vacuum. They are stories waiting to be told, revealing hidden vulnerabilities and missed opportunities for improvement. Enter the Accident Investigation Program, a powerful tool that transforms mishaps into stepping stones for progress. This management system isn’t about pointing fingers; it’s about dissecting incidents with a microscope, uncovering the “why” behind the “what.”

    Think of an accident investigation program as a safety detective agency. Its skilled investigators meticulously analyze accidents and injuries, identifying contributing factors like dominoes in a chain reaction. By eliminating these factors, we prevent the dominoes from toppling again, creating a safer environment for everyone.

    But the benefits of an accident investigation program go beyond the immediate incident. It’s a catalyst for broader progress:

    • Sharper Focus: Like a lighthouse in the fog, an accident investigation process shines a light on underlying inefficiencies and quality gaps. By understanding how accidents happen, we can address systemic issues and improve overall operations.
    • Foresight with Hindsight: Trends in accident data become whispers of future risks. A good policy listens carefully, analyzing patterns and emerging threats to proactively prevent similar incidents before they occur.
    • Empowered Supervision: An accident investigation process equips supervisors with the knowledge and tools to become champions of safety. By understanding accident causes, they can tailor their approach, implement preventive measures, and foster a culture of safety-first awareness.
    • Accountability and Transparency: An quality accident investigation doesn’t shy away from hard truths. It serves as an independent eye, monitoring the effectiveness of safety programs and ensuring compliance with regulations.
    • Informed Decisions: Accidents shouldn’t be swept under the rug. An accident investigation program provides valuable data for handling worker’s compensation claims, reporting to regulatory bodies, and maintaining accurate records – all crucial for informed decision-making.

    An Accident Investigation Program isn’t just a box to tick; it’s a journey towards a safer, more efficient future. By embracing its power, we unlock the potential to learn from our past and build a brighter, safer tomorrow.

     

    So check out the following:

     

    Download the Sample Accident Investigation Policy below

    View the Sample Accident Investigation Policy below

  • Incident Investigation Training – Beginners

    Incident Investigation Training – Beginners

    Part of a quality incident investigation program is properly training for those tasked with investigating after an accident.

    This training is geared for beginners, to get a foundation in incident investigation techniques. As skills grow I have  more advanced  investigation trainings available.

    properly investigate all accidents and incidentsThis training covers fundamentals of incident investigation such as:

    • the importance of root cause analysis in an investigation;
    • the hierarchy of controls to minimize risk exposure;
    • how to identify “Red Flags” in an investigation.
    Check Out: Incident Report Writing Guide

    Benefits of Incident Investigations

    When properly conducted, incident investigations:

    • help prevent future accidents,
    • help you identify and eliminate hazards,
    • expose deficiencies in your processes or equipment,
    • reduce injury and workers compensation costs, and
    • maintain and improve employee morale.

    This training can be given to those in your company tasked with conducting an incident investigation, either in a class room environment or as part of a self learning exercise.

    Learning Outcomes from Incident Investigation training

    • Broad understanding of incident investigation
    • Robust understanding of incident investigation
    • Readily applicable incident investigation procedures
    • Be able to collect, analyze and communicate data
    • Understanding of strategies to ensure the organization learns from safety failure
    Check Out: The Challenge of Employees to Report All Safety Incidents

    Who can benefit from this incident investigation training?

    Managers and supervisors who are responsible for conducting incident investigations will most benefit from this course. The content is also beneficial to workers who have health & safety responsibilities, such as Health & Safety Representatives and First Responders.

    Check out the following related program components available for free:

    Download the Incident Investigation Training for Beginners

    View the Incident Investigation Training for Beginners