What supervision was in place? What training was given? How were hazards identified? How were unsafe conditions corrected? Were regular safety inspections carried out?(date of last inspection) Other comments Data Analysis What were the that did ‘last minute measures’ not prevent the incident or mitigate/reduce its consequences What were the actions or inactions that lead directly to the incident? What where the environmental conditions that may have contributed? What organisational aspects have allowed the incident or accident to happen (leadership, supervision, training, procedures)? Preventative Actions For each above Contributing Factor, list an action that will prevent reoccurrence Hierarchy of Control Responsible Ref No. Action Description Due Date Type Person 1.Elimination 4.Engineering 2.Substitution 5.Administration 3.Isolation 6.PPE 1.Elimination 4.Engineering 2.Substitution 5.Administration 3.Isolation 6.PPE 1.Elimination 4.Engineering 2.Substitution 5.Administration 3.Isolation 6.PPE 1.Elimination 4.Engineering 2.Substitution 5.Administration 3.Isolation 6.PPE 1.Elimination 4.Engineering 2.Substitution 5.Administration 3.Isolation 6.PPE Consultation of investigation outcome? Have key stakeholders’ been updated Name: Select when Position: consultation is
What supervision was in place? What training was given? How were hazards identified? How were unsafe conditions corrected? Were regular safety inspections carried out?(date of last inspection) Other comments Data Analysis What were the ‘last minute measures’ that did not prevent the incident or mitigate/reduce its consequences What were the actions or inactions that lead directly to the incident? What where the environmental conditions that may have contributed? What organisational aspects have allowed the incident or accident to happen (leadership, supervision, training, procedures)? Preventative Actions For each above Contributing Factor, list an action that will prevent reoccurrence Ref No. Action Description Hierarchy of Control Type Responsible Person Due Date 1.Elimination 2.Substitution 3.Isolation 4.Engineering 5.Administration 6.PPE 1.Elimination 2.Substitution 3.Isolation 4.Engineering 5.Administration 6.PPE 1.Elimination 2.Substitution 3.Isolation 4.Engineering 5.Administration 6.PPE 1.Elimination 2.Substitution 3.Isolation 4.Engineering 5.Administration 6.PPE 1.Elimination 2.Substitution 3.Isolation 4.Engineering 5.Administration 6.PPE Consultation Have key stakeholders’ been updated of investigation outcome? Name: Select when consultation is Position:
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