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How to Conduct an Incident Investigation

 

Incidents occur every day in a workplace. The failure of people, equipment, the environment and management systems to behave as expected cause most of these incidents. Incidents and injuries are always undesirable. Investigating incidents is important to learn what went wrong so repeat occurrences can be prevented.

 

In this workshop Participants will learn why to conduct incident investigations and how to conduct investigations that get to the root cause and help prevent further incidents.


The Apollo Root Cause Analysis method is used to solve problems in this incident investigation class.

 

Course Objectives: At the completion of this Investigation course participants will be able to:

  • Respond to a request to lead an incident investigation
  • Preparing to Respond
  • Perform incident investigation management on site
  • Complete Incident Investigation Closure
  • Explain the common pitfalls of investigating incidents and know the common strategies to avoid pitfalls

Workshop Contents

 

1. Introduction
• Incident Investigation
• Importance to learn from incidents/Near Miss
• Role of Incident Investigator
• Professional, confidence, independence, thorough.
• Analysis, facts, evidence, conclusions
• Prevent Recurrence
• Exercise 1: Understanding Causes
2. Preparation
• Receive The Initial Call
- Gather initial info re client, incident, protocol, sensitivities,
organize folders, evidence handling protocol.
• Prepare To Respond
- To Go Kit.
- Determine info gathering plan, meeting agenda and logistics, communication plan, media handling.
3. On-Site
• Kick off meeting
• Identify Info sources
• Set Ground Rules
• Assign roles for data collection
• Build the Event timeline
• Conduct Interviews
- Exercise 2: “Interview Exercise”
4. Perform RCA
• Define Problem
• Identify Causes
• Find Best Solution
• Implement
- Exercise 3: Facilitate an
Investigation.
5. Investigation Closure
• Conduct Critical Review
• Report Findings
• Wrap up
6. Pitfalls and Strategies