COURSE DURATION: 1 day

This module will provide learners with the necessary competence to investigate incidents as well as to analyse the causes of incidents.  Learners will come to comprehend incident investigation, interpret investigator team organisation, gather information, examine investigation reports and corrective actions, and lastly to interpret the role of the site’s leadership/management in investigations.

COURSE CONTENT:

Causes and consequences of incidents

• Achieving incident control
• Consequences of incidents
• Incident Ratio studies
• Causation model
• Immediate causes of incidents
• Root causes of incidents
• Inadequate systems control
• Inadequate risk assessment

Incident investigation

• Introduction
• Effective investigation programme
• Key goals for incident investigations
• Reporting of incidents
• Importance of reporting
• When an incident occurs
• Investigation pre-planning

 Investigator team organisation

• Introduction
• Investigator selection
• Qualities of investigators
• The investigation team
• Specialist investigators
• When the investigation begins
• Investigation policy

 Gathering information

• Introduction
• Diagrams, maps, and sketches (position)
• Witness interviews and statements (people)
• Parts preservation and examination (parts)
• Records collection and examination of evidence (paper)
• Process information
• Incident reconstruction

 Investigation reports and corrective actions

• Introduction
• Preliminary report
• Corrective actions
• Full report
• Report reviews and assessments
• Assessment of quality of site investigations

  Role of the site’s leadership/management in investigations

• Introduction
• Role of higher levels of management
• Incident response and investigation procedure