Chapter 12: Incident Investigation Flashcards
1
Q
RAC program
A
a hazard recognition, assessment, and control program; a key element in most health and safety programs Benefits of incident investigation 1. Determines direct causes 2. Identifies contributing causes 3. Prevents similar incidents 4. Creates a permeant record 5. Determines cost 6. Promotes safety awareness among employees
2
Q
Critical Factors in the Investigative Process
A
- Timing
- Severity
- Legal requirements
- Human factors
- Situational factors
- Environmental factors
- Who investigates?
3
Q
Investigative Methods
A
- Observations or walkthroughs – inspection of the incident scene to get a picture of the total environment
- Interviews
- Re-enactment – a stimulation designed to recreate the circumstances leading up to an incident
4
Q
Investigative Tools
A
- Photographs
- Drawings
- Computers
- Other tools
- Record check
5
Q
Domino Theory
A
the theory that every incident result from a series of events
6
Q
The Swiss Cheese Model
A
- Incident causation model specifies four levels of defense
1. Organizational influences
2. Local working conditions
3. Unsafe acts
4. Defences, barriers, and safeguards
7
Q
Normal incidents
A
the theory that incidents are expected outcomes of interactive complexities
8
Q
High-reliability organizations
A
organizations in hazardous industries that maintain a high safety record over time
9
Q
Cognitive failure
A
a mistake or failure in the performance of an action that an individual is normally capable of making
