Supplemental Information for completing the Accident Investigation Report Note: Each accident will involve at one of the following conditions as a contributing factor. Environmental Factors (Unsafe Conditions) Conditions Definition of Condition Suggested Corrective Action Unsafe procedures Hazardous Process. Management A. Formulation of safe working failed to make adequate plans for procedures safety. Improperly guarded Work areas, machines, or equipment A. Inspection that are unguarded or inadequately B. Checking plans, blueprints, guarded. purchase orders, contracts, and materials for safety C. Include guards in original design, order, and contract D. Provide guards for existing hazards Defective through use Buildings, machines, or equipment that A. Inspection have become rough, slippery, sharp B. Proper Maintenance edged, worn, cracked, broken, or otherwise defective through use or abuse. Defective through design Failure to provide for safety in the A. Source of supply must be reliable Checking blueprints, purchase design, construction, and installation of B. buildings, machinery, and equipment. orders, contracts, and materials for safety Too large, too small, not strong enough. C. Correction of defects Unsafe clothing or personal protective Provide safe apparel or personal Management’s failure to provide or A. equipment specify the use of goggles, respirators, protective equipment. safety shoes, hard hats, and other B. Specify the use or non-use of articles of safe dress or apparel. certain apparel or protective equipment on certain jobs. Unsafe housekeeping facilities Unsuitable layout or lack of equipment A. Provide suitable layout and necessary for good housekeeping (i.e. equipment necessary for good shelves, boxes, bins, aisle markers, housekeeping. etc.) Improper ventilation Poorly or not ventilated area A. Improve ventilation Improper illumination Improve illumination Poorly or not illuminated area A. Behavioral Factors (Unsafe Acts) Factor Definition of Factor Suggested Corrective Action Lack of knowledge or skill Unaware of safe practice; Unskilled. A. Job training Not properly instructed or trained. B. Improved hiring practices Improper attitude A. Supervision B. Discipline C. Improved hiring practices Physical Deficiencies Worker has impaired eyesight or A. Pre-employment physicals hearing, heart trouble, hernia, previous B. Periodic physicals injuries, etc. C. Proper placement of workers D. Identification of workers with temporary physical deficiencies Substance Abuse Worker was under the influence of A. Drug-Free Workplace Policy with (illegal or prescribed) drugs or alcohol drug/alcohol testing while completing task B. Discipline Rehabilitation C.
Supplemental Information for completing the Accident Investigation Report Note: Each accident will involve at one of the following conditions as a contributing factor. Environmental Factors (Unsafe Conditions) Conditions Definition of Condition Suggested Corrective Action Unsafe procedures Hazardous Process. Management failed to make adequate plans for safety. A. Formulation of safe working procedures Improperly guarded Work areas, machines, or equipment that are unguarded or inadequately guarded. A. Inspection B. Checking plans, blueprints, purchase orders, contracts, and materials for safety C. Include guards in original design, order, and contract D. Provide guards for existing hazards Defective through use Buildings, machines, or equipment that have become rough, slippery, sharp edged, worn, cracked, broken, or otherwise defective through use or abuse. A. Inspection B. Proper Maintenance Defective through design Failure to provide for safety in the design, construction, and installation of buildings, machinery, and equipment. Too large, too small, not strong enough. A. Source of supply must be reliable B. Checking blueprints, purchase orders, contracts, and materials for safety C. Correction of defects Unsafe clothing or personal protective equipment Management’s failure to provide or specify the use of goggles, respirators, safety shoes, hard hats, and other articles of safe dress or apparel. A. Provide safe apparel or personal protective equipment. B. Specify the use or non-use of certain apparel or protective equipment on certain jobs. Unsafe housekeeping facilities Unsuitable layout or lack of equipment necessary for good housekeeping (i.e. shelves, boxes, bins, aisle markers, etc.) A. Provide suitable layout and equipment necessary for good housekeeping. Improper ventilation Poorly or not ventilated area A. Improve ventilation Improper illumination Poorly or not illuminated area A. Improve illumination Behavioral Factors (Unsafe Acts) Factor Definition of Factor Suggested Corrective Action Lack of knowledge or skill Unaware of safe practice; Unskilled. Not properly instructed or trained. A. Job training B. Improved hiring practices Improper attitude A. Supervision B. Discipline C. Improved hiring practices Physical Deficiencies Worker has impaired eyesight or hearing, heart trouble, hernia, previous injuries, etc. A. Pre-employment physicals B. Periodic physicals C. Proper placement of workers D. Identification of workers with temporary physical deficiencies Substance Abuse Worker was under the influence of (illegal or prescribed) drugs or alcohol while completing task A. Drug-Free Workplace Policy with drug/alcohol testing B. Discipline C. Rehabilitation