Investigation attempts to determine liability... Fault...this is what OSHA does
The company must through analyze go to the next level...to determine cause...system failure...to fix the system not the blame.
Investigation may not analyze for system weaknesses to the extent that true accident analysis does. Each event will not be examined quite as thoroughly…especially after “fault” can be determined.
Common sense.
Webster defines common sense as, “the unreflective opinions of ordinary people.” Common sense is very individual. When someone asks, “Why didn’t you use your common sense?” he or she is really asking, “Why didn’t you do what I would have done?” Using common sense is always doing what makes sense to you…and only you. Common sense accepts the obvious…it always says, “of course.” Common sense offers vague, often invalid, solutions. Common sense can not be counted on to produce consistent results. We sometimes base conclusions on a one-time occurrence. Common sense is based upon uncontrolled experience…what is..is.
The sign: If is wasn’t for the lack of common sense in our employees, we wouldn’t have any accidents around here. It’s all their fault. It’s not management’s responsibility. Employees are under control of all factors that come together to cause an accident.
1. This is ok…one actor and one action
2. Not ok because it is describing two actions
3. Not ok because management is a group…what individual received the readings?
Phil gave the meter readings to Bob in quality control.
Direct surface cause – also called producing cause or primary proximate cause in engineering, legal literature
Producing cause – a cause which, in a natural and continuous sequence of events of preceding and subsequent causes, produces an event, and without which the event would not have occurred.
Proximate cause - The condition or behavior is sufficiently connected in time and proximity to the injury to justify a finding of liability. Typically, proximate causation is illustrated by reference to circumstances when the possibility of some kind of harm was unforeseeable at the time of the employee’s conduct or when the damage occurred after unexpected, independent causes intervened.