Accident investigation and Reporting Procedure：事故调查和报告程序.doc

Accident and Incident Investigation PAGE 2 CAYA ISSUE 1 Date: December 2011 Health Safety Guidance Children Younger Adults Department ACCIDENT INCIDENT INVESTIGATION Review Date Changes Required Name Position Health Safety Section Children Younger Adults Department Block C Chatsworth Hall Chesterfield Road Matlock Derbyshire DE4 3FW Telephone: 01629 536525 Fax: 01629 536435 CAYA ISSUE 1 Date: December 2011 Accident and Incident Investigation Introduction Health and Safety legislation requires employers to adopt a pro-active approach to managing health and safety, principally through assessing risks and then putting in place suitable risk control measures with adequate supervision, training, monitoring and effective management. This forms the risk management system to ensure work activities are safe. Health and Safety investigations should be an important part of this overall system as if conducted properly they should determine exactly what went wrong, why it did so and then allow the safety management system to be developed and refined to ensure that a similar incident doesn’t happen. Accident investigation therefore should be intrinsically linked to improving risk assessment and other control measures. Prevention of a reoccurrence of a similar type of incident should be the aim of any investigation; they should never be carried out purely to apportion blame. Terminology When investigating accidents and incidents it is important to be clear and consistent as to what we are talking about. The following definitions can be used to establish this. Accident : An unplanned or uncontrolled event that leads to injury, loss, damage or ill health Incident : Incidents can be split in to 2 categories as follows; Near Miss An event that while not causing harm, has the potential to cause injury or ill health (this includ