Work Hazard-Incident Investigation Report Checklist-Medicine

Work Hazard-Incident Investigation Report Checklist-Medicine

Incident Investigation Report Checklist
Recommendations
It’s extremely important to include recommendations designed to prevent recurrences of
similar incidents. Recommendations should:
• be specific
• be constructive
• be implementable
Do not make only general recommendations to save time and effort.
For example, you have determined that a blind corner contributed to an incident. Rather
than just recommending “eliminate blind corners” it would be better to suggest:
• install mirrors at the northwest corner of building X (specific to this incident)
• install mirrors at blind corners where required throughout the worksite (general)
Do not recommend disciplining anyone who may have been at fault.
If you were not able to determine the causes of an incident with complete certainty, you
probably still identified weaknesses within the process, or management system. Make
appropriate recommendations to correct those deficiencies.
Follow-up
Management is responsible for acting upon the recommendations in the investigation
report. Include who is responsible for implementing the action and procedures to monitor
implementation of the recommendations
Follow-up actions include:
• Responding to the recommendations in the report by explaining what can and
cannot be done (and why or why not).
• Monitor that the scheduled actions have been completed.
Ensure that the lead investigator and team members are identified in the report
Ensure that the incident description will be understood by someone not familiar
with the task, process, or operation
Ensure that the direct cause identified is not a description of what happened
Ensure that contributing causes are identified and are not the same as the
direct cause
Each Organisational Factor and Absent/Failed Defence must be addressed in the
action plan
Ensure that a Root Cause(s) is identified
Identify which type of control (from the Hierarchy of Controls) is provided by
each corrective action.
Check that the corrective actions addresses the Root Cause and Contributing
Factors
Check the corrective actions are aimed at improving the safety of the workplace
and do not focus on individuals.
Include appropriate attachments required for the report and include a list
DM# 3603528
• Evaluating effectiveness of corrective actions and making changes as necessary.
DM# 3603528

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