The document discusses the principles of accident causation, emphasizing that incidents are typically the result of multiple interconnected causes rather than a single factor. It highlights the importance of addressing various elements such as people, processes, and systems to enhance safety management. Additionally, it notes the significance of identifying accepted and unrecognized risks in the workplace for effective accident prevention.

1. A new Mindset...
The Risks and the
Causes & Effects of
Accidents or
“The Filtering Tower”

2. Principle of Multiple Causes
”Problems and undesired events
are seldom, if ever, the
result of a single cause "
Risks and the Causes of Accidents

3. Principle of sequence
" Problems and undesired
events are caused by many
causes, many of them linked
in causal or temporal
sequence"
Risks and the Causes of Accidents

4. HAZARD
VULNERABLE
OBJECT
B
A
R
R
I
E
R
• PEOPLE - Unsafe Behavior
• PROCESS
• LOCATION
• MACHINES / TOOLS
• AGENTS
ENERGY CONTROLS TO PROTECT
• PEOPLE - Safe Behavior
• MANAGEMENT SYSTEMS
• PROGRAMMES, PRACTICES &
PROCEDURES
• FACILITIES & TOOLS (Ergonomics)
• PEOPLE
• PROPERTY
• ENVIRONMENT
Near Miss
Accident
Incident Causation & Prevention Model (Bill Johnson - MORT)

5. People are key, reason for our focus !
PEOPLE,
PROCESS,
LOCATION ETC.
ENERGY
TO PROTECT
PEOPLE
FACILITIES & EQUIPMENT
PRACTICES / PROCEDURES (HOW?)
MANAGEMENT SYSTEMS (WHAT?)
VULNERABLE
OBJECTS
HAZARD
PEOPLE
ARE KEY
Also emphasize
“more
energy=>severity

6. Accepted Risks Not Identified Risks
Safety Management System (MOT)
©Loss Control Centre
Hazards

7. Accepted Risks Not Identified Risks
Safety Management System (MOT)
Reality of the Workplace
Behavior / Procedures / Conditions
Events
©Loss Control Centre
Hazards

8. Accepted Risks Not Identified Risks
Safety Management System (MOT)
Reality of the Workplace
Behavior / Procedures / Conditions
Events
Lo$$es
Treatment of the Events
©Loss Control Centre
Hazards
P
D
C
A

9. Safety Management System
Reality of the Workplace
Treatment of the Events
©Loss Control Centre

10. Safety Management System
Reality of the Workplace
“Let’s by-pass the System”
Treatment of the Events
©Loss Control Centre