Hawaii's Premier Safety Consultancy

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Incident Investigation &
Root Cause Analysis Basics

July 16, 2016 8:30 to 12 noon
At the Hawaii Innovation Center at Hilo (The old Bank of Hawaii Building in Hilo)

Participants will utilize the Incident Investigation workbook designed to meet the legislative requirements for incident reporting and investigation outlined in the OSH Act and HIOSH Regulations.

This course teaches how to lead investigations and root cause analyses using various techniques such as Causal Factor Charting, cause mapping and Root Cause Charts. This is a “How To” course designed to teach skills.

Course Outcomes: Upon successful completion of the course, participants will be able to recognize and mitigate incidents through a methodic process which leads to a Root Cause to include the following:

  • Basics of incidents and investigations
  • Workshop: Identifying near misses (near hits)
  • Initiating the investigation
  • Gathering data
  • Basics of a root cause analysis

Cost:   $95.00/person summer Series special
           $37.50 Hawaii Island Contractors Association Members Price


How much does an Incident Cost?- $$$$

The term "accident" can be defined as an unplanned event that interrupts the completion of an activity, and that may (or may not) include injury or property damage. An incident usually refers to an unexpected event that did not cause injury or damage this time but had the potential. "Near miss" or "dangerous occurrences” are also terms for an event that could have caused harm but did not.

The term incident is used in some situations and jurisdictions to cover both an "accident" and "incident". It is argued that the word "accident" implies that the event was related to fate or chance. When the root cause is determined, it is usually found that many events were predictable and could have been prevented if the right actions were taken -- making the event not one of fate or chance (thus, the word incident is used). For simplicity, we will use the term accident to mean all of the above events. When accidents are investigated, the emphasis should be concentrated on finding the root cause of the accident rather than the investigation procedure itself so you can prevent it from happening again. The purpose is to find facts that can lead to actions, not to find fault. Always look for deeper causes. Do not simply record the steps of the event.

An investigator who believes that accidents are caused by unsafe conditions will likely try to uncover conditions as causes. On the other hand, one who believes they are caused by unsafe acts will attempt to find the human errors that are causes. Therefore, it is necessary to examine some underlying factors in a chain of events that ends in an accident. The important point is that even in the most seemingly straightforward accidents, seldom, if ever, is there only a single cause. For example, an "investigation" which concludes that an accident was due to worker carelessness, and goes no further, fails to seek answers to several important questions such as:

Was the worker distracted? If yes, why was the worker distracted?
Was a safe work procedure being followed? If not, why not?
Were safety devices in order? If not, why not?
Was the worker trained? If not, why not?

An inquiry that answers these and related questions will probably reveal conditions that are more open to correction than attempts to prevent "carelessness".

It is easy to point fingers and focus on employee behavior ot performance as a root cause, however, this begs the uestion: as a manager or supervisor, why did I allow this incident to happen? Only then will you get to the root of the problem.  For more information or courses we offer relating to Incident Investigation and Root cause Analysis please call or email at info@jmdeckergroup.com.

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