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IOSH Managing Safely · Module 6

Investigating Accidents

Why incidents and near misses are investigated, how immediate, underlying and root causes fit together, and a structured way to carry out an investigation and learn from it.

5 pages, about 10 minutes to read

Pages in this chapter (1 of 5)
1Immediate causesUnsafe acts and unsafe conditions that were there at the time2Underlying causesThe factors that allowed those acts and conditions to exist3Root causesHow the organisation manages safety: supervision, pressure, habit
Figure 6.1 Three levels of cause behind an incident

6.1 Why Investigate Incidents?

Most of this course has been about managing safety to lower the chance that things go wrong. But you can lower the chance of injury and ill health without removing every risk. So you need to know what to do when things do go wrong, and how to learn from them.

Three terms matter:

TermMeaning
IncidentAn undesired event that has caused, or could have caused, damage, death, injury or ill health. It is either a near miss or an accident.
Near missAn incident that causes no injury or damage but could have done so.
AccidentAn incident that results in injury to someone or damage to property.

There are many reasons to investigate:

Investigate with an open mind. An investigation gives a snapshot of how work is really done, which may not be how you think it is done, and it shows weaknesses in controls and chances to improve. The wider benefits are a safer workplace, better morale, fewer losses from disruption and down time, and useful skills and knowledge that you can use across the organisation.

Investigations into major incidents often show that a similar event had happened before without serious results. Near misses are often easier to investigate, because people speak more freely when no one was hurt, and there are usually more of them, so you can spot trends and repeats.

Page 1 of 5 in this chapter · page 29 of 36 in the book

A study aid, not published or endorsed by IOSH or OSHA. Laws and limits differ between countries.

Written by Imran Qureshi (NEBOSH)