The incident investigation training emphasized understanding root causes to prevent future incidents

Wednesday, February 19, 2025

The incident investigation training emphasized understanding root causes to prevent future incidents. Key focus areas included securing the scene, collecting physical evidence, and conducting separate, prompt interviews using open-ended questions. The session highlighted the importance of identifying immediate, root, and underlying causes—shifting focus from individual blame to systemic issues. Real-life examples, like a tank overfill and a slip incident, illustrated failures in maintenance and housekeeping. The training also covered the hierarchy of controls, human error, and the need for unbiased data analysis. Conclusions should be peer-reviewed, logically linked, and lead to systemic improvements. The session concluded by stressing clear documentation and the availability of support resources.