Translate

Friday, August 25, 2006

What is Incident Investigation?


What exactly is an "incident" investigation and why should I really care?

It is a systematic approach to:
  • identify casual factors of incidents including near misses
  • identify corrective actions
  • implementing corrective actions to prevent re-occurrence
Investigation process identifies “Root Cause”
An Effective incident investigation process is essential to a successful Health & Safety assessment improvement management


Is it an accident or just an incident?
Does it really matter?  One resulted in an injury and one did not but only due to pure luck
 

 



Accidents are usually complex
An accident is any unplanned event that results in personal injury or property damage
The failure of people, equipment, supplies, or surroundings to behave or react as expected causes most accidents
Accident investigations determine HOW and WHY these failures occur
Conduct accident investigations with accident prevention in mind--investigations are NOT to place blame
•An accident may have 10 or more events that can be causes

•A detailed analysis of an accident will normally reveal three cause levels:

–Basic

–Indirect

–Direct
 
 

Attempting to assign BLAME is not productive and does not
prevent recurrence !
 

Thursday, November 17, 2005

Worksite Analysis

WORKSITE ANALYSIS 
is just one piece of the puzzle


SH Mgt. System Elements

  • Management Leadership and Employee Involvement
  • Worksite Analysis
  • Hazard Prevention and Control
  • Safety and Health Training


SH Elements Interrelated
·         All elements of a safety and health system are interrelated.
·         All pieces are related to all other pieces.
·        A flaw in one piece will probably impact all the other pieces, and therefore the system as a whole.

The Bigger Picture of the Safety & Health Management System
·         Now let's talk about the safety and health management system and its components:
o   A system is an established arrangement of components that work together to attain a certain objective, in this case to prevent injuries and illnesses in the workplace. 
o   Within a system, all parts are interconnected and affect each other.

Overview of System Components
  • Management must provide the resources and authority so all personnel can find the hazards in the worksite and, once found, to eliminate or to control those hazards.
  • Training is the backbone of this system. For management to lead, for personnel to analyze the worksite for hazards, and for hazards to be eliminated or controlled, everyone involved must be trained.
  • No parts of this system exist independently. An effective and functioning program is the sum of all the parts.

Worksite Analysis and Inspections/Observations is Just ONE piece of the puzzle!

Worksite Analysis
·   Worksite analysis involves a variety of worksite examinations to identify not only existing hazards, but also conditions and operations in which changes might create hazards.
  • Effective management actively analyzes the work and the worksite, to anticipate and prevent harmful occurrences.

Comprehensive surveys
·      For small businesses, OSHA-funded, state-run consultation services can conduct a comprehensive survey at no cost. Many workers’ compensation carriers and other insurance companies offer expert services to help their clients evaluate safety and health hazards. Numerous private consultants provide a variety of safety and health expert services. Larger businesses may find the needed expertise at the company or corporate level.
·    For the industrial hygiene survey, at a minimum, all chemicals and hazardous materials in the plant should be inventoried, the hazard communication program should be reviewed, and air samples analyzed. For many industries, a survey of noise levels, a review of the respirator program, and a review of ergonomic risk factors are needed.

Here’s a suggested plan to identify all worksite hazards:
  • Conduct a comprehensive, baseline survey for safety and health and periodic, comprehensive update surveys.
  • Conduct periodic and daily safety and health inspections of the workplace.
  • Perform routine job safety hazard analyses. (JSA or JHA)
  • Change analysis of planned and new facilities, processes, materials, and equipment.

·        Conduct Self Assessments/Bench Marking
·         In order to get where you want to go, it is essential to know where you are starting from.
·         You can use a variety of self-audit mechanisms to compare your site processes with other recognized models of excellence such as SHARP sites or Star VPP sites.
·         Visiting other sites to gain first hand information is also invaluable.
·         You can use perception surveys to measure the strengths and weaknesses of your site safety culture.
·         These surveys can give you data from various viewpoints within the organization. For instance, you can measure differences in employees' and managers' perceptions on various issues.
·         This is an excellent way to determine whether alignment issues exist and, if so, what they are. One example is the Safety and Health Program Check Up.
·         At this stage, it is important to look at issues that surface as symptoms of larger system failures. For example, ask what major system failed to detect the unguarded machine, or why the system failed to notice that incident investigations are not being performed on time, or if workers are being blamed for the failures. Your greatest level of success will come when these larger system failures are recognized and addressed.

Develop an Inspection Program
  • To identify hazardous conditions and employee behavior and determine what actions are required to reduce or eliminate accident potential. 
  • Additionally, inspections can help determine the extent to which employees adhere to the company's safety program, operating procedures, rules and regulations.
  • Developing a self-inspection program and associated checklists can help to protect company assets from fire, employee injury and injury to the public.  
  • Their development will require the attention of someone who has a sound knowledge of the company's operations and as well as knowledge of relevant safety standards and local codes.
  • The self-inspection program should be a process of fact finding with an emphasis on identifying potential hazards and developing the necessary corrective actions necessary to eliminate them.
  • Routine site safety and health inspections are designed to catch hazards missed at other stages. This type of inspection should be done at regular intervals, generally on a weekly basis. In addition, procedures should be established that provide a daily inspection of the work area
  • You can use a checklist already developed or make your own, based on:
    • Past problems.
    • Standards that apply to your industry.
    • Input from everyone involved.
    • Your company's safety practices or rules.
  • Important things to remember about inspections are:
    • Inspections should cover every part of the worksite.
    • They should be done at regular intervals.
    • In-house inspectors should be trained to recognize and control hazards.
    • Identified hazards should be tracked to correction.
    • Information from inspections should be used to improve the hazard prevention and control program.

Perform routine job safety hazard analyses (JSA, JHA, or JSHA)
·         Hazard analysis techniques can be quite complex. While this is necessary in some cases, frequently a basic, step-by-step review of the operation is sufficient. One of the most commonly used techniques is the Job Hazard Analysis (JHA). Jobs that were initially designed with safety in mind may now include hazards or improper operations. When done for every job, this analysis periodically puts processes back on the safety track.
·         Other, more sophisticated techniques are called for when there are complex risks involved. These techniques include: WHAT-IF Checklist, Hazard and Operability Study, Failure Mode and Effect Analysis, and Fault Tree Analysis. 

Change Analysis
  • Anytime something new is brought into the workplace, whether it be a piece of equipment, different materials, a new process, or an entirely new building, new hazards may unintentionally be introduced. Before considering a change for a worksite, it should be analyzed thoroughly beforehand. Change analysis helps in heading off a problem before it develops.
  • You may find change analysis useful when:
    • Building or leasing a new facility.
    • Installing new equipment.
    • Using new materials.
    • Starting up new processes.
    • Staffing changes occur.

For more information visit OSHA's e-tools


Author:  Deborah Grow, Safety Specialist
Kansas Department of Labor-Industrial Safety and Health
(21d) OSHA Consultation Program


Saturday, December 11, 2004

Safety Management


Safety Management Process

Safety Program Elements
The Safety Management Process (SMP) contains four basic program elements and sub-elements within each of the four main elements to support the main element:
  1. Management Commitment and Employee Involvement
  2. Worksite Analysis
  3. Hazard Prevention/Control
  4. S&H Training
Management Commitment and Leadership and Employee Involvement
Management Commitment and Employee Involvement contains several sub elements: S&H Policy & Statement, Responsibility/Accountability, Goals/Objectives, Action Plan, S&H Team/Committee and employee involvement

Worksite Analysis
Worksite Analysis contains several sub elements: Baseline S&H Survey; hazard corrections, New or Changed Equipment/Process Evaluation Process, Job Safety-Hazard Analysis, Hazard Recognition, Employee Report of Hazards, Self Inspections, Accident-Near Miss-Close Call Investigations & Trend Analysis

Hazard Prevention and Control
Hazard Prevention/Control contains several sub elements: Engineering Controls, Basic Safety Rules, PPE, Positive Reinforcement Program, Discipline Policy, Return to work and Medical Management, Preventative Maintenance (PM), Emergency Drills, OSHA Compliance, and Visitor/Contractor Program, Near Miss investigations

Safety and Health Training and Education
S&H Training contains several sub elements: New Employee orientation and on the job training, Safety Ambassador training, Supervisor and Management training, Annual Training Schedule, Training records.
Develop annual Goals & Objectives to support your Safety Management Process based on an annual review with both management and employees.  Maintain an action plan to measure progress and hold everyone accountable. Remember that SMART safety goals are Specific, Measurable, Attainable, Realistic, and Time Targeted!



Author:  Deborah Grow, Safety Specialist
(21d) OSHA Consultation
Kansas Department of Labor Industrial Safety and Health

Tuesday, September 30, 2003

6 Rules to Get Employees Motivated


Six Rules for Motivating Employees to Participate
Focus on the POSITIVE first and let the negatives will slowly disappear!
You must have Enthusiasm to Motivate employees to follow you!


  1. The Annual Goals, Objectives & Action Plan
If you include the employees in developing SMART goals and objectives, they will be more inclined to follow you because it was partly their idea

  1. People will go above and beyond expectations to be recognized for their efforts
People like to be recognized for what they do!  Don't you?  Link the recognition to what you are doing (safety activities like inspections, observations, toolbox safety talks, stepping up and taking initiative without being told to do something), not to what isn't happening.

  1. Participation + Recognition=Motivation to Excel
Managers and Supervisor must motivate everyone to participate in safety activities! Enthusiasm is contagious! Leadership is the ability of a single individual, through their actions to motivate others to a higher level of achievement! Recognition motivates people to do better and to exceed your expectation.  If your Managers or Supervisors can't motivate their employees, then maybe they aren't good Leaders.

  1. People don’t do what you EXPECT, they do what you INSPECT
Inspections should be done in EVERY area at least EVERY month-Identifying and correcting hazards will reduce or eliminate potential for an employee to have an injury.  If you are not finding hazards, you aren't looking very hard because they are there every single day!

  1. What gets measured gets done. What gets' recognized gets done well!
If you do not measure what you are doing to meet your goals, you have no idea if what you are doing even works!  Immediate recognition gets immediate results!!

  1. Don’t discipline for reporting”
Employees must be able to report hazards and close call/near miss without fear of reprisal.  If you discipline them for reporting, they will not tell you the next time and hazards will exist that could cause a more serious accident the next time.  Eventually, there will be a next time! If you Employees are encouraged to report hazards or near miss incidents, then you can investigate and reduce potential for more serious injuries But with a twist-"REPORT".

 

Author:  Deborah Grow, Safety Specialist
(21d) OSHA Consultation
Kansas Department of Labor Industrial Safety and Health