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1 2 3 4 Determine Implement Root Corrective Causes Actions

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 .. 6 Step 1. Preserve/Document the Scene .. 7 Step 2. COLLECT INFORMATION .. 8 Step 3. Determine ROOT Causes .. 9 Step 4. Implement Corrective Actions .

This process is supported by an Incident Investigation Form, found in Appendix A, which employers can use to be sure all details of the incident investigation are covered. ... December 2015 2 ... Incident investigations that focus on identifying and correcting root causes, not on finding fault or blame, also improve workplace morale and ...

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