
Explore the internal safety investigation process, from assigning an investigator to communicating results, and learn terminology, timing, and tools to strengthen safety management systems.
Clarify the differences between accident, serious incident, and incident under Annex 13; outline state and service provider investigations and how safety management supports hazard identification and risk assessment.
Learn how internal safety investigations fit into the safety management system, outlining objectives to determine what happened and why, prevent recurrence, apply triggers, and conduct risk assessments for proactive actions.
Assign an independent, trained investigation team to determine what happened, how, and why, and initiate immediate data collection, prioritizing fragile sources - people, physical, paper, electronic - for root-cause analysis.
Learn how to conduct a concise personal interview within internal safety investigations by preparing objectives, applying psychological insights to witness types, using strategic question types, and detecting false information.
This lecture covers steps four to eight of the investigation, including scenario reconstruction, data analysis, root-cause analysis with the five whys, and cross-functional team-based corrective actions.
Elaborate the final report to reveal what happened, why it happened, and how to prevent recurrence by addressing identified hazards and risks, ensuring impartial, clear, and consistent recommendations.
“If you always do what you’ve always done, you always get what you’ve always gotten.”
Jessie Potter (c.1981, “The Milwaukee Sentinel”
Based on ICAO Safety Management System requirements, a service provider must conduct Internal Safety Investigations. In addition, everyone involved in internal safety investigations must have a valid training in investigation techniques.
We've created this video-course to solve the problem for both: for companies and for individuals, as they could perform investigations in a competent, and independent and objective manner.
What you will learn
We've covered all necessary requirements here and even more: we've added some useful tips & tricks as you could learn how to perform the investigation in an easy way.
Assigning an investigator
Data collection
Interview of personnel (witness)
Scenario reconstruction
Data analysis
Root cause analysis
Hazard identification and risk assessment (basic overview)
Determination of risk control options
Elaboration of final report
Communication of results
This video-course has been developed as a part of a complex Safety Management System Course, approved by Moldovan CAA. It's a comprehensive course, which contains guidance materials and tips on how to conduct it correctly.
The following documentation were used:
ICAO Doc 9756
ICAO Doc 9859
ICAO Annex 13
ICAO Cir 216-AN/131
ICAO Cir.253-AN/151
Guidelines on Accident Investigation and Root Cause Analysis ACI Asia Pacific First Edition May 2019