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09 Memory Aid Management Information

This document provides guidance for investigating incidents by gathering historical and management information. It advises investigators to check if similar issues were previously raised and review past investigation findings, while not assuming the same causation. Investigators should collect evidence of any prior discussions of potential problems and check with management if relevant issues were previously raised. The document lists 24 types of records to review for information related to causation, such as procedures, safety regulations, meeting minutes, and training records. It cautions investigators to only report issues directly linked to the incident's causation.

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83 views

09 Memory Aid Management Information

This document provides guidance for investigating incidents by gathering historical and management information. It advises investigators to check if similar issues were previously raised and review past investigation findings, while not assuming the same causation. Investigators should collect evidence of any prior discussions of potential problems and check with management if relevant issues were previously raised. The document lists 24 types of records to review for information related to causation, such as procedures, safety regulations, meeting minutes, and training records. It cautions investigators to only report issues directly linked to the incident's causation.

Uploaded by

rwerwerw
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Investigation aid: Historic and management information:

Incident FIM No:..................................

Ask people if concerns regarding the risk had been raised historically. You may find that this is not the first
incident of this kind and reviewing the findings of the previous investigation can add value. Do not though
assume the causation is precisely the same. It may also be that discussions have been ongoing relating to a
potential problem. Review any minutes etc from these discussions. Check with management if issues relevant to
the incident have been raised before. Collect any evidence of such issues; follow the evidence trail of the issues
raised in relation to who was involved, how were they involved, what actions were taken (or not), and identify if
any lack of action could have been causational in this incident. If a procedure was not followed try to establish
why it was not followed: was it not known; not fit for purpose or was there some other reason like custom and
practice where the official controls are ignored habitually.
Check
1. Departmental instructions,
2. Safety regulations,
3. Minutes of meetings
4. STOP cards
5. Previous similar incident investigation findings
6. Relevant emails, letters and memos
7. Complaints made or escalated
8. Relevant procedures or work instructions
9. Relevant standards or policies
10. Permit to work records
11.Job planning records
12. Site/location maps,
13. Organisational charts,
14. Roles and responsibilities documents,
15. Contingency or emergency response procedures
16. Training records
17. Medical records
18. Hazard management controls
19. Contract HSE plan,
20. Applicable Safety Case(s),
21. Hazard control or data sheets
22. Job safety plans.
23. As built' drawings, instrument records, computer printouts, log books,
24. Transport documentation and time sheets
25. Results of previous audits
Important note
Only raise issues in the report if they are directly linked to the causation of the particular incident you are
investigating. Do not increase the scope of the investigation to failures which are not relevant, they should be
dealt with separately.

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