DEFINE | Management Consultancy & Training

INCIDENT INVESTIGATION AND ROOT CAUSE ANALYSIS

Location

Dubai, UAE.

Date

From Date: 05-Feb-2024
To Date: 09-Feb-2024

Duration

5 Days

Language

English

Discipline

HEALTH, SAFETY & ENVIRONMENT

Introduction

This Root Cause Analysis training course will enable delegates to remain abreast of the latest researched trends, techniques and strategies to improve the condition and performance of their operational process. This hands-on intervention will equip you with the necessary basic knowledge and skills to optimize the function, daily running, and maintenance of the five main aspects of the process.

Delegates will be exposed to and learn the core competencies required for successful problem solving and solution implementation of an effective operations process against the background of the current global economic downturn. They will complete several in-course assignments, which will enhance their problem-solving skills and which will serve as an action plan for improvement. Setting the correct priorities and doing the right thing, makes all the difference to your performance.

in this course, you will apply a process for root cause analysis, establish a culture of continuous improvement, and create a proactive environment. Learn to ask the right questions, establish triggers that drive you to the RCA process, and perform cost-benefit analysis. When you learn to practice true root cause analysis you are able to eliminate the latent roots and stop recurring failures once and for all. After this three-day course, you will be able to develop and implement an RCA program, thus leading your organization to reduced downtime, increased production and a more proactive culture.

Objective

By the end of this training course, participants will:

Gain a broad understanding and appreciation of the core functional aspects of how to perform an effective Root Cause and Failure Analysis.
Be able to review the six standard maintenance improvement tactics and their selection technique to ensure reliable process plant & equipment.
Learn how to develop a comprehensive operational process resource and support system analysis.
Understand the principles of an operational audit, develop your own process standard.
Gain insight and understanding into the unique leadership and motivation principles required for technical process operation and management.

The objective of this course is to provide learners with knowledge and skill to manage incidents, with specific emphasis on the identification of the root causes and applying the RCAM (root cause analysis method), taking corrective action and implementing control measures to prevent the reoccurrence of incidents.

Audience

All employees.
Managers – Operations, Safety, and Executive
Production Supervisors
Training Managers
Engineers – Process, Safety, and Mechanical
Coordinators and Managers
(Hazard review) Leaders and Incident Investigators

Content

Day 1

MODULE 1: FUNDAMENTAL CONCEPTS

Incidents, Accidents and Near Misses
Occupational Injury and Illness
Incident Pyramid
On-work and off-work incidents
Observer, Local Area Supervisor, Witness
Company HSE professional
Company medical practitioner
How small incidents turn into major incidents?
Some major incidents in the industry
Difference between Incident reporting and Incident Investigation report
Other miscellaneous common refreshing discussions and Q&A to kick off.

MODULE 2: INCIDENT REPORTING

What is Incident reporting? (i.e., notification of occurrence of an incident)
Incident Reporting procedure (informal and formal)
Incident Reporting formats
Categorization of HSE incidents and assessment of risk categories
Reportable and Recordable Occupational Injury/ Illness
Fatality (FAT), Permanent Total Disability (PTD), Permanent Partial Disability (PPD), Lost Time Injury/Illness (LTI) Lost Time Incident (LTI)/ Lost Workday Case (LWC)/Lost Time Case (LTC)
Medical Treatment Case (MTC) and Restricted Work Case (RWC)
Incident Frequency and Severity Rates
Preparation of Incident Statistics. Presentation in the Management Information System (MIS)
Internal and External Incident Reports (notifications)

Day 2

MODULE 3: CONCEPTS OF INCIDENT INVESTIGATION

Types of Investigations (Mini, Formal)
Criteria to decide types of investigation
Composition of investigation teams
Ethics, code of conduct, qualities and responsibilities of investigation members
Preparation for investigation
Investigation tools (manual, software-based) and methodologies (RCA, fault tree, failure analysis etc)
Investigation Plan

MODULE 4: EXECUTION OF INVESTIGATION (DATA COLLECTION)

Briefing by Investigation team leader on scope, limitations and logistics
Meeting with the affected area supervisor and stakeholders where incident took place
Site Evidence Collection (photographs, documents etc)
Witness Interviews
Consolidation of evidence and statements
Site discussion/feedback with the affected parties on conclusion of data collection.

MODULE 5: EXECUTION OF ROOT CAUSE ANALYSIS (RCA)

Preparation of the snap-chart /storyline of the whole incident chronologically
Use of the data collected to brainstorm within team using RCA methodology
Identification of those items which require further confirmations/data collection from site
Review of documents, evidence, interview statements etc as RCA progresses
Roles of Procedures, Training, Quality Control, Communications, Management systems, Human engineering, Work direction
Carrying out the RCA and saving the work daily/regularly with different file names
Conclusion of RCA

Day 3

MODULE 6: PREPARATION OF DRAFT INVESTIGATION REPORT

Shortlisting/finalizing the information from the site data collection and the RCA
Importance of a comprehensive Investigation Report
Finalization of structure of the Investigation Report
Allocation of responsibilities among team members as to who covers which section
Generation of Draft Investigation Report within the timeline planned
Review and approval of Draft Investigation Report by Investigation Team Leader
Generation of a mini draft investigation report in parallel if client management requires it.

MODULE 7: CIRCULATION OF DRAFT INVESTIGATION REPORT

Decision on whom to circulate the Draft Investigation Report within the organization
Circulation with a request to send comments within the stipulated time
Receipt of comments and initial screening
Seeking clarification on comments, if any
Emphasis on no-suppression of information by interested stakeholders
Escalation to area management if someone is interfering to hide sensitive disclosures.

Day 4

MODULE 8: FINALIZATION OF INVESTIGATION REPORT

Decision on finalization of received comments
No compromise with integrity of investigation report
Incorporation of comments
Recommendation Section must focus on clarification of actions with regards to CAP & PAP
The final report must bear names and signatures of Team leader and members
Production of soft and hard copies of final investigation report as per agreement
Presentation of the report to the client to highlight summary and CAP & PAP
Answering questions during the presentation.

MODULE 9: IMPLEMENTATION OF RECOMMENDATIONS OF INVESTIGATION REPORT

Review of the report by client area supervisor and management in detail
Cost benefit analysis for implementation of recommendations
Development of the plan for implementation of recommendations
Allocation of resources to implement recommended actions as per HSE risks associated for not implementing them.

MODULE 10: FOLLOW UP AND CLOSE-OUT

Ways to verify effectiveness of implementation of recommendations
Observations, Interviews, and reviews of subsequent HSE reports of the affected area
Insurance, Legal and Statutory Implications
Archive and close-out of the incidents

Day 5

MODULE 11: CASE STUDIES AND EXERCISES TO DO INCIDENT INVESTIGATION USING RCA

Course Facilitator runs the above investigation methodology with respect to one incident case study to refresh understanding of the participants
Course Facilitator presents a few other case studies and asks course participants to work them out with RCA and Investigation Reports
Course Facilitator observes progress and provides support.

MODULE 12: VARIATIONS TO THE ABOVE INVESTIGATION METHODOLOGY AND EXTRAS

Small organizations
Low risk organizations
Any other constraints/assumptions
Discussions on exceptions/ clarifications on special Injury/Illness cases
Question and answers

NOTE:

Pre & Post Tests will be conducted.

Case Studies, Group Exercises, Group Discussions, Last Day Review & Assessments will be carried out.

Certificate

Define Management Consultancy & Training Certificate of course completion will be issued to all attendees.

Methodology

Delegates will learn by active participation through inspiring presentation tools and interactive program and role-playing activities, presented in a lively, enthusiastic and interesting style. Delegates will take part in topic exercises, case studies during this inclusive training program.

A highly interactive combination of lectures and discussion sessions will be managed to maximize the amount and quality of information and knowledge transfer. The sessions will start by raising the most relevant questions and motivate everybody to find the right answers. You will also be encouraged to raise your own questions and to share in the development of the right answers using your own analysis and experiences. Tests of the multiple-choice type will be made available on a daily basis to examine the effectiveness of delivering the course.

Very useful Course Materials will be given.

30% Lectures
30% Workshops and work presentation
20% Group Work& Practical Exercises
20% Videos& General Discussions

Course Details