Designer incident investigation

It would be folly to suggest that an incident investigation system could be drafted that could be applied universally in organizations of all sizes and complexity. This chapter is to serve as a reference for those who are to design, or redesign and improve, an incident investigation system, taking into consideration  

More specihcally, this chapter will assist a safety professional in originally crafting or updating  

On the Practice of Safety, Fourth Edition. Fred A. Manuele. 

A refresher guide for causal factor and corrective action determination A training program 

Understandably, the safety-related texts that include principles and practices to be applied in incident investigation treat the subject conceptually and ideally without considering the reality of what may be attainable in a given organization. Consider these two real-world 

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The items in this list are essential to maintaining a well-designed incident investigation program. A high priority should be to promote reporting to learn from near miss incidents before a substantial loss occurs. 

The team leader s responsibilities need to be explicit. Normally a team leader chosen for more serious or more complex incident investigations will be independent from the operation or facility where the incident occurred. Actual team composition may vary significantly based on the nature of the process and the degree of technical sophistication. This flexibility of team composition is an important feature of a well-designed incident investigation management system. 

DESIGNER INCIDENT INVESTIGATION REPORTS, AND A REFERENCE FOR CAUSAL FACTORS AND CORRECTIVE ACTIONS... 

Designer Incident Investigation is to help safety personnel craft practical and realistic incident investigation systems, after considering the resources available and organizational sophistication. 

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