1: Intro to Incident Investigation
This is the primary reason we investigate incidents.
What is to prevent similar incidents from happening again?
This should be done first after an incident, before helping others.
What is ensuring personal safety?
If interviews cannot be conducted immediately, investigators should collect these from witnesses before they leave work.
What are written witness statements?
These three types of factors influence human behaviour and safety performance.
What are individual, job/work environment, and organizational factors?
One major reason to secure an incident scene is to preserve this.
What is evidence?
These records can reveal whether workers had the required skills and competencies before an incident occurred.
What are training records?
Examples include leadership, communication, staffing, training, and workplace culture.
What are organizational factors?
These incidents should be investigated even if nobody was injured, because they had the potential for serious injury or fatality.
What are high-potential near misses (HiPos)?
This five-letter interview model stands for Planning & Preparation, Engage & Explain, Account, Closure, and Evaluation.
What is PEACE?
This model shows how hazards, barriers, human actions, performance-influencing factors, and organizational causes combine to produce incidents.
What is the Incident Causation Model (Bowtie model)?
This risk assessment factor asks how often a person, asset, or operation is exposed to a hazard
What is frequency?
This stage of the PEACE model involves introducing yourself, building rapport, and explaining the purpose of the interview.
What is Engage and Explain?
According to the incident causation model, these are the deep organizational or management failures that create conditions for incidents
What are root causes (system causes)?
Name two factors that commonly discourage workers from reporting incidents or near misses.
What are fear of consequences, unclear reporting processes, complicated reporting systems, not knowing what to report, or believing nothing will change?
This bias occurs when an investigator selectively focuses on evidence that supports a preferred conclusion while ignoring evidence that points elsewhere.
What is cherry-picking bias?