In attendance of H. E. General Rashid bin Abdulla Al Khalifa, Minister of Interior, Kingdom of Bahrain

Root Cause Analysis

Introduction

One of the biggest failings in the safety profession is effective accident and high potential near miss incident investigation. Generally, accident investigations are carried out poorly and are mostly fault finding exercises. This sends a negative message to the workforce, and constantly reinforces the fallacy that management is always almost perfect, and never do anything wrong. It is always the injured employee who is at fault. Effective investigations get to the root causes of the system breakdown that caused the accident, or near miss incident. Sometimes this opens a can of worms!

Objective

  • The objectives of this workshop are to:
  • Explain the importance of accident and near miss incident investigation.
  • Clarify the difference between a near miss incident and an accident.
  • Teach how to investigate accidents and undesired events.
  • Clarify how to identify the immediate and root causes of an accident.
  • Explain what remedial measures are.
  • Show how to get to the accident facts.
  • Explain what happens after an accident.
  • Teach attendees how to score a completed accident investigation form.
  • Revisit the rules and golden rules of accident and near miss incident investigation.
  • Teach how to interview accident victims.
  • Show how a thorough investigation sometimes opens a can of worms.

The workshop includes:

  • A comprehensive workshop book
  • Attendee participation exercises
  • The hands-on “Impala Platinum” case study (Students investigate the accident)
  • Ranking of accuracy of completed accident investigation forms
  • How to identify high risk acts and conditions
  • Risk assessment exercises
  • Round table discussions
  • Witness interviews (Role play)

Target Audience

Supervisors and front line management often have to investigate accidents in their own divisions and this workshop will equip them with the tools and knowledge to enable them to do so effectively. Safety professionals will also benefit from this “out of the box” approach to investigations.

Workshop Description

This workshop teaches the revised accident causation model which includes the 3 Luck Factors. Once the loss causation sequence is understood, accidents and high near miss incident investigation is explained by means of a root causal analysis of each of the 15 phases of an accident. The safety management principles applicable to investigations are discussed. Immediate and root cause analysis is taught and practiced during the case study. Risk assessment is demonstrated by means of a simple risk matrix. Attendees participate in the case study and have an opportunity to rank completed accident investigation forms and to interview accident witnesses.

Certification

Upon successful completion of the course and assessment, candidates will be awarded Root Cause Analysis certificate from ASSP.

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Workshop Details

Workshop Number: 05
Starting: 26 January, 2025
Ending: 26 January, 2025
Starting Time: 8:00 AM
Ending Time: 3:00 PM
Venue: