Incident Documentation

Availability of information Very well-documented incidents (e.g., Flixbor-ough) as well as poorly documented incidents (e.g., Ufa) are described. 

This documented briefing offers a structured assessment of the threat of NBC weapons proliferation and examines each of its key components. It examines the countries and individuals that seek to illicitly acquire expertise and sensitive knowledge as well as the institutions and types of individuals who have them. Despite fears that such diversion might occur, the empirical record of documented incidents is comparatively small. Nevertheless, the diversion of even a small number of people or a limited amount of critical information can create a significant security concern for the international community. 

Since the 1950s there have been many well-documented incidents of damage to human health and wildlife associated with the release of chemicals into our environment. A few examples, both old and new, with selective references, serve to illustrate these environmental concerns ... 

Incident management Agency notification and mobilization Mobilization of facilities and equipment Internal direction and control External coordination Public information Administrative and logistical support Documentation (incident data collection and after-action analysis) Incident recovery (resource assessment and replacement) Demobilization Agency notification and mobilization Mobilization of facilities and equipment Internal direction and control External coordination Public information Administrative and logistical support Documentation (incident data collection and after-action analysis) Incident recovery (resource assessment and replacement) Demobilization... 

Where "NEVER EXCEED" limits are applicable, any deviation outside these limits will require a document incident investigation. ... 

Surprisingly, there have been only 222 bioterrorism-related incidents in a 100-year period and in only 24 cases have there been confirmed attacks—an average of 1 every 4 years worldwide. Most were abortive. Fourteen of the 24 confirmed cases of bioterrorism or biocrimes are food or agriculture-related of these cases, 11 involved food poisoning and only 3 targeted commercial animals or plants. Of the 222 documented incidents, only 6 appear to be clearly linked to attacks on commercial plants and animals. 

Absolutely, there has to be a documented incident reporting and investigation procedure. But, that s not enough. It s recognized in the model companies that specialized training is necessary to achieve sophistication... 

Incident Investigation PSM must include investigation of aU incidents that resulted in or could have resulted in a catastrophic release of a highly hazardous chemical in the workplace. The standard requires documented incident reports. 

The process is based on the assnmption that nnsafe actions are a significant cause of accidents. The first step is to identify critical behaviors. These are behaviors that are aitical to safety. Kianse (1997) lists four ways to identify these behaviors (1) behavioral analysis of injury reports, (2) worker interviews, (3) observation of the work process, and (4) review of woik rules, job safety analysis, procedures, and so on. Krause feels that 1 is most important but is not simple. Documenting incident reports is usually not specific to behavior patterns. The analysis usually requires getting additional information from operators familiar with the actual work practices. 

We will later apply the accident-analysis framework in a review of different types of methods used in the collection and analysis of data of accident risks. We will start at the output side of the model by reviewing the different types of classification systems used to document the consequences of accidents and different measures of loss. We will then continue by looking into the classification systems used to document incidents and deviations. Finally, we will review the different classification systems for contributing factors and root causes. Our aims will be twofold first, to be complete, i.e. by presenting all alternative means of measuring and classification, and second, to give specific advice on the preferred method. The reader will find recommended alternatives in shaded tables and checklists. 

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