Tips and Tricks to a Proper Accident Investigation
Zach Pucillo
CSP, E&S Engineer
Moderator
Becky Ross
Marketing Manager
Office: (303) 228-8753
bross@kpaonline.com
Presenter
Zach Pucillo
Engineer III
KPA
(317) 201-2335
zpucillo@kpaonline.com
Questions
• If you have questions
during the presentation,
please submit them using
the “Questions” feature
• Questions wi...
Overview
-Initial Notification
-Investigating the Scene
-Initial Documentation
-Accident Analysis
-Prioritize Risk
-Preven...
Scenario
An employee has just come to your office
stating that Technician Joe has just slipped
and fell in the detail depa...
INITIAL NOTIFICATION
Initial Notification
Accidents must be reported as soon as they
happen, so how can you work to make this
happen?
-Make sur...
Initial Notification
-First aid vs 911
-Inform the accident investigator
-Grab a camera, notebook, and pen
-Head out to th...
INVESTIGATING THE SCENE
Investigating the Scene
Once You Get There
-Do not start any cleanup of the scene
-Determine the witnesses
-Separate them
...
Investigating the Scene
-Make documented observations on:
– Pre-accident conditions
– Accident sequence
– Post-accident co...
Investigating the Scene
-Use an accident/incident investigation form
-The first half will be the facts
-The middle will in...
Investigating the Scene
Conduct the Employee Interviews
-Interview one at a time
-Have the employee tell you a story
-Matc...
ACCIDENT ANALYSIS
Accident Analysis
Analysis Must be Done in a Safety Committee
-Group of employees representing each level
of employment
-E...
Accident Analysis
Root Cause Analysis
-Fishbone Diagram
-Fault Tree Analysis
-FMEA (Failure Mode and Effect Analysis)
-Wha...
Accident Analysis
Root Cause Analysis
-First determine the main causes that contribute
to accidents
-This is done using th...
Accident Analysis
Accident Analysis
Find the Root Cause of the two main causes by
using the fishbone diagram
-Employees cannot be the main c...
Accident Analysis
Accident Analysis
Accident Analysis
5 Whys?
The vehicle will not start. (the problem)
Why? - The battery is dead. (first why)
Why? - The alt...
Accident Analysis
Joe slipped and fell in the detail department
Why? –Because he was not wearing slip resistant
shoes
Why?...
Accident Analysis
Fault Tree Analysis
-Deductive reasoning or top down event
structure
-Helps to identify all possible cau...
Accident Analysis
Accident Analysis
Prioritize Risk
Hazard Control Priorities
-Eliminate the Hazard
-Reduce the Hazard Level
-Provide Safety Devices
-Provide ...
Prioritize Risk
Risk Management
-Risk Identification
-Risk Analysis
-Eliminating or Reducing the Risk
-Financing the Risk
...
Prioritize Risk
Risk Assesment Matrix
Prioritize Risk
-Complacency
-Doing the same job over and over
-Driving example
-Rushing to get a job done
-5:00pm is appr...
Prevention Implementation
-Positive incentive programs are not good
-Peer pressure
-Employee demotivation
-Signage
-Orange...
Prevention Implementation
-Department walk throughs
-Let employees pick the PPE
-Personal Signage
Prevention Implementation
Prevention Implementation
Anti Fog Bifocal Safety Glasses Goggle Type Glasses
Prescription Safety Glasses Glasses that fit...
Prevention Implementation
Auto Darkening Welding Helmet
Operation ProtectorsTypical Lens Shade
Electric ArcWelding Helmet ...
Prevention Implementation
Electric Tire Lifting
Machines
Prevention Implementation
Improvements in Hand Protection
Prevention Implementation
Good Better Best
Prevention Implementation
Slip Resistance
Prevention Implementation
Hearing Protection Noise Reduction Ratings
= 91dB
dB 120
+ = 64dB
Final Documentation
Complete the accident investigation form
-Prevention Method
-Assigned Action Items
-Method to Measure ...
Final Documentation
OSHA 300 Forms
Notice of Proposed Rulemaking
New North American Industry Classification
System (NAICS)...
Final Documentation
OSHA 300 Log
Final Documentation
What is recordable?
Final Documentation
This Summary Must be Posted from 2/1 to 4/30 Each Year
Final Documentation
The following examples are not recordable:
-Present as a member of the general public
-Symptoms arisin...
Final Documentation
-Personal tasks outside assigned working hours
-Personal grooming, self medication for non-
work-relat...
Final Documentation
Common OSHA 300 Questions Answered
-Do not include the day of injury/illness
-Count the number of cale...
Summary
Investigating an Accident is a Procedure
Document
Put in the Time to Investigate
Analyze for Remedies
Prioritize R...
Got a Question? Ask our Expert!
Contact Information
www.kpaonline.com
Becky Ross
bross@kpaonline.com
866-356-1735
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Tips and Tricks to a Proper Accident Investigation

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  • Well that’s all folks. Now time for some Q & A. Eliana, do we have any questions I can answer?
  • Tips and Tricks to a Proper Accident Investigation

    1. 1. Tips and Tricks to a Proper Accident Investigation Zach Pucillo CSP, E&S Engineer
    2. 2. Moderator Becky Ross Marketing Manager Office: (303) 228-8753 bross@kpaonline.com
    3. 3. Presenter Zach Pucillo Engineer III KPA (317) 201-2335 zpucillo@kpaonline.com
    4. 4. Questions • If you have questions during the presentation, please submit them using the “Questions” feature • Questions will be answered at the end of the webinar
    5. 5. Overview -Initial Notification -Investigating the Scene -Initial Documentation -Accident Analysis -Prioritize Risk -Prevention Implementation -Final Documentation
    6. 6. Scenario An employee has just come to your office stating that Technician Joe has just slipped and fell in the detail department. He landed square on his back and is unable to get up.
    7. 7. INITIAL NOTIFICATION
    8. 8. Initial Notification Accidents must be reported as soon as they happen, so how can you work to make this happen? -Make sure that employees understand the potential consequences of not reporting accidents -Work with your insurance company -Workers comp claims can be a lengthy process due to suspicions
    9. 9. Initial Notification -First aid vs 911 -Inform the accident investigator -Grab a camera, notebook, and pen -Head out to the accident scene -Eliminate dangerous conditions in the area
    10. 10. INVESTIGATING THE SCENE
    11. 11. Investigating the Scene Once You Get There -Do not start any cleanup of the scene -Determine the witnesses -Separate them -Instruct them to write down their account -Take pictures of the area where the accident happened -Take note of any equipment used, the condition of the floor, PPE in use, was the employee in a hurry…
    12. 12. Investigating the Scene -Make documented observations on: – Pre-accident conditions – Accident sequence – Post-accident conditions -Document the facts (i.e.: location, witness remarks, and contributing factors). -Determine sequence of events leading to accident
    13. 13. Investigating the Scene -Use an accident/incident investigation form -The first half will be the facts -The middle will involve investigation analysis -The end will state the prevention method to be implemented and follow up
    14. 14. Investigating the Scene Conduct the Employee Interviews -Interview one at a time -Have the employee tell you a story -Match their written notes with their story -Establishes credibility
    15. 15. ACCIDENT ANALYSIS
    16. 16. Accident Analysis Analysis Must be Done in a Safety Committee -Group of employees representing each level of employment -Eliminates Bias -Ensures that Corrective Actions are Assigned -Establishes Accountability -Accountability is imperative for follow up
    17. 17. Accident Analysis Root Cause Analysis -Fishbone Diagram -Fault Tree Analysis -FMEA (Failure Mode and Effect Analysis) -What-If -HAZOP -MORT (Management Oversight and Risk Tree) -Job Safety Analysis
    18. 18. Accident Analysis Root Cause Analysis -First determine the main causes that contribute to accidents -This is done using the Pareto Theory -Vilfredo Pareto and the land in Italy -Pareto theory is 80% of the accidents are caused by 20% of the possible causes
    19. 19. Accident Analysis
    20. 20. Accident Analysis Find the Root Cause of the two main causes by using the fishbone diagram -Employees cannot be the main cause -Root causes are always contributed back to management oversight
    21. 21. Accident Analysis
    22. 22. Accident Analysis
    23. 23. Accident Analysis 5 Whys? The vehicle will not start. (the problem) Why? - The battery is dead. (first why) Why? - The alternator is not functioning. (second why) Why? - The alternator belt has broken. (third why) Why? - The alternator belt was well beyond its useful service life and not replaced. (fourth why) Why? - The vehicle was not maintained according to the recommended service schedule. (fifth why, a root cause) Why? - Replacement parts are not available because of the extreme age of the vehicle. (sixth why, optional footnote)
    24. 24. Accident Analysis Joe slipped and fell in the detail department Why? –Because he was not wearing slip resistant shoes Why? –Because he does not have any slip resistant shoes Why?-Because he is not required to wear them in detail Why? –Because management does not have a policy on slip resistant shoes in detail Why? –Because management has not identified slipping as a hazard in the detail department
    25. 25. Accident Analysis Fault Tree Analysis -Deductive reasoning or top down event structure -Helps to identify all possible causes in a system or procedure -Can be used with boolean algebra to determine the probabilities of an event occurring -Best used in the new design of equipment of procedure
    26. 26. Accident Analysis
    27. 27. Accident Analysis
    28. 28. Prioritize Risk Hazard Control Priorities -Eliminate the Hazard -Reduce the Hazard Level -Provide Safety Devices -Provide Warnings -Provide Safety Procedures and PPE
    29. 29. Prioritize Risk Risk Management -Risk Identification -Risk Analysis -Eliminating or Reducing the Risk -Financing the Risk -Administering the Risk Management Process WHAT IS AN ACCEPTABLE LEVEL OF RISK?
    30. 30. Prioritize Risk Risk Assesment Matrix
    31. 31. Prioritize Risk -Complacency -Doing the same job over and over -Driving example -Rushing to get a job done -5:00pm is approaching -Cutting corners to be more productive
    32. 32. Prevention Implementation -Positive incentive programs are not good -Peer pressure -Employee demotivation -Signage -Orange dot program -Safety committee involvement -Invest money saved into the facility -Stay away from “If you go…then you get”
    33. 33. Prevention Implementation -Department walk throughs -Let employees pick the PPE -Personal Signage
    34. 34. Prevention Implementation
    35. 35. Prevention Implementation Anti Fog Bifocal Safety Glasses Goggle Type Glasses Prescription Safety Glasses Glasses that fit over Prescripts
    36. 36. Prevention Implementation Auto Darkening Welding Helmet Operation ProtectorsTypical Lens Shade Electric ArcWelding Helmet 10 to 14 GasWelding Goggle, Faceshield, Helmet 4 to 8 CuttingWelding Goggle, Faceshield, Helmet 3 to 6 Torch BrazingWelding Goggle, Faceshield, Helmet 3 to 4 Torch Soldering Welding Spectacles, Faceshield 1.5 to 3
    37. 37. Prevention Implementation Electric Tire Lifting Machines
    38. 38. Prevention Implementation Improvements in Hand Protection
    39. 39. Prevention Implementation Good Better Best
    40. 40. Prevention Implementation Slip Resistance
    41. 41. Prevention Implementation Hearing Protection Noise Reduction Ratings = 91dB dB 120 + = 64dB
    42. 42. Final Documentation Complete the accident investigation form -Prevention Method -Assigned Action Items -Method to Measure the Effectiveness -Evaluate
    43. 43. Final Documentation OSHA 300 Forms Notice of Proposed Rulemaking New North American Industry Classification System (NAICS) Codes 4411 Automobile Dealers 4413 Automotive Parts, Accessories, and Tire Stores Employers to report to OSHA, within eight hours, all work-related in-patient hospitalizations
    44. 44. Final Documentation OSHA 300 Log
    45. 45. Final Documentation What is recordable?
    46. 46. Final Documentation This Summary Must be Posted from 2/1 to 4/30 Each Year
    47. 47. Final Documentation The following examples are not recordable: -Present as a member of the general public -Symptoms arising in work environment that are solely due to non-work-related event -Voluntary participation in wellness program -Eating, drinking or preparing food or drink for personal consumption
    48. 48. Final Documentation -Personal tasks outside assigned working hours -Personal grooming, self medication for non- work-related condition, or intentionally self- inflicted -Motor vehicle accident in parking lot/access road during commute -Common cold or flu -Mental illness, unless employee voluntarily provides a medical opinion from a physician or licensed health care professional (PLHCP) having appropriate qualifications and experience that affirms work-relatedness
    49. 49. Final Documentation Common OSHA 300 Questions Answered -Do not include the day of injury/illness -Count the number of calendar days the employee was unable to work (include weekend days, holidays, vacation days, etc.) -Cap day count at 180 days away and/or days restricted -May stop day count if employee leaves company for a reason unrelated to the injury or illness -If a medical opinion exists, employer must follow that opinion -Privacy cases do not require name
    50. 50. Summary Investigating an Accident is a Procedure Document Put in the Time to Investigate Analyze for Remedies Prioritize Risk Implement Document Evaluate
    51. 51. Got a Question? Ask our Expert!
    52. 52. Contact Information www.kpaonline.com Becky Ross bross@kpaonline.com 866-356-1735
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