Is the quality of your incident investigations poor? Do you fail to learn valuable lessons from investigations? Do you regularly see “operator take more care” as the root cause of your investigation?
THE GOOD NEWS IS THAT YOU ARE NOT ALONE.
Poor incident investigation is probably the most common fault across businesses today. Due to a lack of understanding of simple investigation techniques, leaders will commonly push investigations onto overworked safety staff. Instead of learning valuable information we slip into ‘blame mode’ and tell our operators to ‘take more care in future’.
Poor investigation techniques, generate less than useful outcomes and we do not get to the causes of the incident and the corrective actions RARELY FIX THE PROBLEM. Does this sound like your workplace?
THERE IS A BETTER WAY.
There is a simple process that will take your leaders ‘from zeros to heroes’ when it comes to investigating incidents. It will also help them demonstrate genuine care and leadership in their sphere of influence.
HERE IS A RECIPE TO GET YOU STARTED – AFTER THE INCIDENT, HERE IS WHAT YOU MUST DO:
- Respond and Notify (this is the law)
- Make sure;
- The injured person is looked after
- Any “second victims” are looked after
- Any damage is isolated and repaired
- Assemble a Post-Event Learning Team
- Determine contributing factors (there will be many)
- Look deeper than “operator error”
- Document the findings and communicate the report
- Recommend corrective actions
- Management review and implement the findings
- Use Normal Work Learning Teams – find the problems before an incident
Most businesses need help to get started
We have developed short, practical training courses that will help your staff to understand the investigation process. Beyond the training, we regularly provide coaching in real life incident investigations as a stand-alone process or part of a larger organisational culture process.
Learning teams can help, with the aim of creating safety and quality systems that allow the human to fail safely (meaning, without resulting in unacceptable consequences). Build better workplaces, do not try and build a perfect human.
Good quality investigations allow your organisation to learn and adapt. It is one of the key drivers for improving organisational culture.