Final Exam - Chp 9

Question 1

what is incident investigation

Answer 1

intended to uncover all of the key facts about how and why an incident occurred so that action can be taken to prevent it happening again

Question 2

what are the steps involved in incident investigation

Answer 2

1. attend to any injured workers, control hazard, restrict scene
2. Gather evidence, walk through, recording scene, interview witnesses, reenactment , inspecting machinery and tools, policies, checking logs
3. Analyze - keep digging for root cause , keep asking why
4. Formal report - who, details on incident, outline of factors, root cause & recommendations

Question 3

what is the domino theroy

Answer 3

an accident analysis model premised on five factors (background, personal defects, unsafe acts, incident and injury), the elimination of any one resulting in the prevention of an incident

Question 4

recent revision of the domino theory is Swiss Cheese Model - what is this?

Answer 4

identifies 4 subfactors (org influences,local working conditions, unsafe acts, defences, barriers and safeguards) that influence whether an incident occurs or not , still linked to worker behaviour