Incident Investigation communicating

Incident Investigation Major incidents Near-miss reporting Follow-up and resolution Communication Incident recording Third-party participation as needed... 

Incident Investigation—In assessing this element, consideration must be given to major incidents, near-miss reporting, follow-up and resolution, communications, incident recording, and third-party participation as needed. 

VII Recovery Procedures Procedures that explain the necessary actions following the response to the emergency. These include Incident investigation, employee support, community coordination, critiques, decontamination and recovery operations. 

Making initial notification in a timely manner can present serious challenges immediately following an incident. The incident investigation management system should address how to handle these communications and how to coordinate with facility emergency response plans. A checklist with prearranged names, titles, and phone numbers should be developed and kept up to date for this use. 

This hook focuses on learning lessons from incidents to lower the risk of future major incidents. It is important to use a structured approach to incident investigation that huilds on proven and recognized techniques this makes it easier to develop consistent understanding from incidents and to communicate insights and results from investigations effectively. 

A team leader should be objective, independent, and competent in both administrative and managerial skills as well as technical incident investigation skills. Many of the leader s activities involve coordination and communication with both the team and others, including site management. 

Other participants can be involved in a full time or in a limited consulting role depending on the nature of the incident, ft is important to include people who know what actually happens in the field—not just what is supposed to happen. The team selection should be able to withstand third party scrutiny such as that of employees, departments, union representatives, community groups, and legal. Some companies include trade union safety representatives in the incident investigation. Positions to consider include ... 

The incident investigation team is responsible for developing practical recommendations and submitting them to management. It is then the responsibility of management to approve, modify, reject, communicate, implement, and follow-up on the recommendations, including ... 

The decision authority and responsibility for restart rests with site and corporate management. Depending upon the scope of the investigation, the incident investigation team may be requested to assist by identifying any recommendations that should be implemented before resumption of operations. If so, then the team should clearly specify the minimum acceptable criteria recommended for safe resumption of operations. This list should be in writing and may contain a special checklist of items to be verified and completed before attempted restart. If a specific authorization or waiver of constraint is needed, this fact should be clearly indicated and communicated. 

Information sought and shared openly can be the most useful. Umec-ognized latent properties of materials can and do receive publicity in technical journals. Information found in research is more easily communicated than that foimd through serious incident investigation. Previously... 

If incident case studies are periodically communicated to executives, they can help to reenforce the importance of doing things correctly. This typically translates into critical tasks that must he performed hy skilled workers and accoimtahility for those activities at an executive stewardship level. Such a commitment will carry over into incident investigation follow-up. 

The incident report is designed to communicate the investigation results to a wide audience. The goal of the investigation is to prevent a similar incident. The AIChEs incident investigation book [11] states ... 

Although not stressed by the regulations, the objective of the incident investigation should be the development and implementation of recommendations to ensure the incident is not repeated. This objective should apply not only to the process involved, but also to all similar situations having the same potential. In major incidents, the Chemical Safety Board s investigation of reports serves as a vehicle to communicate to a much broader audience than the organizations that had the incident. 

Contents include base techniques for incident Investigation, practical investigation considerations, multiple cause determination, recommendations and follow-through, format reports and communications issues, and development and implementation. 

Number of safety communications and safety meetings Percentage of incidents investigated Number of near miss responses Number of positive rewards and recognition given Number of safe behaviors observed. 

The bow tie technique is being used increasingly within the process industries not only to analyze risk but also to communicate hazard and risk findings to a broad audience. It can be used not only in hazards analysis but also in incident investigations. 

Far greater use is being made of incident investigation teams. Safety professionals say that the time expended by those teams is a worthwhile investment since the activity communicates management s intent to avoid hazards-related incidents. Over time, large numbers of personnel are involved. 

In the guidelines to be published and in training programs to be conducted, the purposes and objectives of incident investigation should be established and communicated in a language understood in the organization, particularly in relation to its established safety policies and procedures. Some such statements of purpose, taken from issued publications, follow. Choose and adopt from those that are helpful ... 

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