Near miss reporting system

As mentioned earlier, this SRK model will form the basis for the Eindhoven classification model of system failure in process control tasks (see Chapter 5), which in turn is the analytical heart of the framework to design near miss reporting systems proposed in Chapter 4. 

A general framework for near miss reporting systems... 

In this chapter we will rephrase, summarise and extend the set of practical aspects related to designing and implementing near miss reporting systems. First five general factors will be listed, followed by a more detailed discussion of two of these data collection, and acceptability. Also the overall important factor of training will be briefly outlined, Finally the relationship between an organisation s prevailing view of human error and its safety culture will be discussed. 

CHIRP (Confidential Human Factors Incident Reporting Programme) is a clear example of a successful voluntary near miss reporting system, run by the UK s RAF s Institute of Aviation Medicine. Each year about 200 pilots and air traffic controllers report to CHIRP, not anonymously but in complete confidence, about mistakes they have made in the air and why they believe they made them (Greene, 1990). 

Case studies from a variety of accident and near miss reporting systems were presented from the industrial sectors of transportation and the process industries ... 

If an organisation for one or more of the above reasons decides to introduce or improve a near miss reporting system it will face two types of problems- Firstly, how to (re)design such a reporting system to become an effective and efficient safety management tool, and secondly, how to introduce and maintain it, with an emphasis on user acceptance and system support. 

Barach P, Small S D 2000 Reporting and preventing medical mishaps lessons from non-medical near miss reporting systems. British Medical Journal 320 759-763. 

Lessons-learned programs are not the only way of capturing deviant conditions and potential solutions. Accident and incident reports are useful in themselves even though many form the basis for lessons learned. They alert people to potential safety issues so that the same adverse event is not repeated inadvertently. Near-miss reporting systems can be even more proactive as they allow personnel to avoid potential events as well as actual events. 

As with any new or different safety innovation, the introduction of a near miss reporting system needs to be well structured and become an integral part of the culture of an organization. It must be an ongoing program and not just a nonsupported safety gimmick or flash in the pan. 

By getting employees to buy into the near miss reporting system, we immediately obtain involvement, inspiration, and we impel people to greater safety achievements. 

Often safety snggestions or recommendations find their way into the near miss reporting system, which is another bonus of the system. These should be reviewed... 

Our near miss reporting system will ereate employee involvement in identifying all forms of risk and help us recognize potential losses. It will help us to get to zero injuries and zero citations, and we will appoint, involve, and encourage 750 Safety Observers (our entire workforce) in the workplace putting us into world s best practice and a leader in the ranks. 

National Fire Fighter Near-Miss Reporting System. Onhne at http //www.firefightemearmiss. com/index.php/home... 

Development of a road transport incident or near-miss reporting system ... 

Incident/Accident and Near-Miss Reporting System... 

---