What you'll learn

How to get to the root cause of an accident
The ritual of an accident investigation
Accident analysis techniques
How to document an investigation and accident analysis

Course content

11 sections • 12 lectures • 50m total length

Introduction4:07
This is an approach to the importance of conducting an investigation of acccidents in a procedural way so that the outcome of the investigation is in fact a way of preventing recurrence which means, in other words, learning from the acccidents.
The Course consists of 12 Lectures with the following approach:
Lecture 1 - Introduction
Lecture 2 - Concepts and Terminology
Lecture 3 - Unsafe Act, Human Error, Motivation & Behavior
Lecture 4 - Accident report & communication
Lecture 5 - Immediate actions to be adopted
Lecture 6 - Investigation team definition
Lecture 7 - The investigation planning
Lecture 8 - Collecting accident data
Lecture 9 - Organization and analysis of the data collected
Lecture 10 - Draw conclusions and propose actions to prevent the occurrence
Lecture 11 - Document the investigation ritual
Lecture 12 - Monitor the proposed actions

In each lecture of the course you will have a video that guides you about the content of the lecture and a text that describes and illustrates the content of each one of the lectures.
At the end of each lecture you will have access to a file with the illustrative and explanatory slides of the lectures. In the lecture related to Organization and analyzis of the data collected, you will practice the use of data analysis and organization techniques through exercises. There will be 5 exercises covering 5 techniques: Chronogram of Events, the Timeline, the 5 Why technique, the Barrier Analysis technique and the Change Analysis technique. After completing the exercises you will have access to their solution to leverage your learning
The content of this course is based on the text in portuguese "Investigação e Análise de Incidentes - Conhecendo o incidente para prevenir", translated as: "Investigation and Analysis of Incidents - Knowing the incident to prevent it", published in 2011 by Reginaldo Pedreira Lapa, a Mining & Safety Engineer with 40 year experience.
Learning Assessment Lecture 1 - Introduction

Concepts and Terminology3:24
In this lecture you will be introduced to the main concepts and terminology used and adopted that involve an accident investigation.
Learning Assessment Lecture 2 - Concepts & Terminology
Unsafe Act, Human Error, Motivation & Behavior13:09
Understand that the unsafe act cannot and should not be indicated as the cause of an accident. Show that making mistakes is human and that mistakes result from behavior and this is leveraged by people's reasons.
Learning Assessment Lecture 3 - Unsafe Act, Human Error, Motivation & Behavior

Immediate actions to be adopted2:24
Taking immediate action on the occurrence of an accident is helping to mitigate the consequences. You will learn in this lecture that the investigation of the accident begins at this very moment, even if the accident investigation group has not yet been formed. You will learn how and when to start investigating the accident.
Learning assessment Lecture 5 - Immediate actions to be adopted

Investigation team definition3:02
In this lecture you will understand the importance of forming an investigation group, who are the people indicated and what skills should be considered when choosing people who will have the mission to identify what happened, how it happened and why the accident happened and, define what actions are necessary to avoid recurrence.
Learning assessment Lecture 6 - Investigation team definition

Collecting accident data4:37
In this lecture you will learn how to select the types and classes of data that need to be collected in order to understand what happened, how it happened and why the accident happened. More than understanding these facts, the data collected will serve to highlight the hypotheses built to elucidate the facts that occurred and the conclusions that the group reached in the data analysis phase. You will find that data collection is a crucial step in the ritual of an accident investigation.
Learning Assessment Lecture 8 - Collecting Accident Data

Organization and analysis of the data collected2:55
In this lecture you will learn techniques for organizing data on the investigation of the accident that is the stage that precedes the analysis. Thus, you will be presented with the Chronogram of Events, the Timeline, the 5 Why technique, the Barrier Analysis technique and the Change Analysis technique. In addition to knowing the data organization techniques, you will be able to practice them in this lecture through the proposed exercises.
Learning Assessment Lecture 9 - Data Organization & Analysis
Exercise 1 – Chronogram Event or Accident Timeline
Exercise 2 - Barrier Analysis
Exercise 3 - Change Analysis
Exercise 4 - 5 WHY's Analysis
Exercise 5 - Cause-Effect Analyis or Fishbone Analysis

Draw conclusions and propose actions to prevent the occurrence3:31
In this lecture you will learn the criteria to be adopted to select the actions that can prevent the accident from recurring, based on the conclusions obtained in the accident analysis stage. At this stage, the action plan is built. You will also learn to prioritize the proposed actions in order to guide the allocation of resources, reconcile the ease or difficulty of carrying out the action in addition to the effectiveness of the control in preventing the recurrence of the accident.
Learning Assessment Lecture 10 - Draw Conclusions and propose action plan

Requirements

Description

Incidents in companies, although undesirable, do happen. Therefore, it is important to learn from them in order to prevent future similar occurrences, regardless of their real consequence and, especially with those whose real consequence was insignificant, but which had the potential to cause a greater loss. To learn from incidents it is necessary to investigate their occurrence by identifying what happened, how it happened and why it happened. In other words, it is necessary to identify the causes. Increasingly, companies involve supervisors, managers and other roles in incident investigation teams. Therefore, it is essential to develop this skill so that the results of investigations are assertive and convergent, regardless of the group investigating the incident. This course prepares you to conduct an incident investigation. Obtaining homogeneous and uniform results requires the adoption of a process. The incident investigation process was called Ritual. The course presents the process or ritual of an incident investigation, from the event reporting stage, through the definition of the investigation group, planning the investigation, data collection, organization and analysis of data, to the preparation of the action plan. action, from the investigation report, to the follow-up of the action plan. It presents several data organization and analysis techniques such as Event Schedule, Timeline, Change Analysis, Barrier Analysis, Cause-Effect Diagram, 5 Why Analysis and adds a simple behavior analysis tool, based on ABC theory - Antecendents, Behavior & Consequence.

Who this course is for:

Occupational Safety Professionals
Environmental Professionals
Coordinators
Managers
Supervisors

What you'll learn

Explore related topics

Course content

Introduction1 lecture • 4min

Concepts and Terminology2 lectures • 17min

Accident report & communication1 lecture • 4min

Immediate actions to be adopted1 lecture • 2min

Investigation team definition1 lecture • 3min

The investigation planning1 lecture • 3min

Collecting accident data1 lecture • 5min

Accident data organization and analysis1 lecture • 3min

Draw conclusions and propose actions to prevent the occurrence1 lecture • 4min

Document the accident investigation process1 lecture • 2min

Requirements

Description

Who this course is for: