Transcription of 1 2 3 4 Determine Implement Root Corrective Causes Actions
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1 Preserve/ Document Scene2 Collect Information3 Determine Root Causes4 Implement Corrective ActionsUnited States Department of Labor Occupational Safety and Health Administration December 2015 i TABLE OF CONTENTS PURPOSE OF THE GUIDE WHY INVESTIGATE? .. 1 PRINCIPLES OF INCIDENT INVESTIGATIONS .. 1 The Language of Incident Investigations .. 1 Investigate All Incidents, Including Close Calls .. 2 Investigate Programs, Not Behaviors .. 3 Focus on the Root Causes , Not Blame or Fault .. 4 ESTABLISH AN INCIDENT INVESTIGATION PROGRAM .. 4 CONDUCT INCIDENT INVESTIGATIONS A FOUR STEP SYSTEMS APPROACH.
This is typically done by implementing adequate barriers and safeguards against the factors that cause unsafe conditions or actions. ... Addressing underlying or root causes is necessary to truly understand ... retaliation and management will be concerned about recognizing system flaws because of potential legal and financial liabilities. ...
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