Incident Investigation

Incident investigations are systematic processes conducted to understand the root cause of an unexpected event, near miss, or equipment failure. The goal is to prevent similar incidents from happening again and improve overall safety and efficiency. SME provide services of the key activities involved in incident investigation:

Data Collection and Analysis:
• Witness Interviews: Gather information from everyone who witnessed the incident or has relevant knowledge.
• Document Review: Collect and analyze any paperwork related to the incident, such as maintenance records, operating procedures, and training logs.
• Equipment Examination: Inspect the equipment involved in the incident to identify any malfunctions or signs of failure.
• Data Analysis: Compile and analyze all collected information to identify patterns, contributing factors, and potential root causes.

Root Cause Analysis:
• There are various root cause analysis (RCA) techniques used to determine the underlying reasons for the incident.
Some common methods include:

•5 Whys.
•Fishbone Diagram (Ishikawa Diagram).
•Event Tree Analysis.

Corrective Actions and Reporting:
• Develop Recommendations: Based on the identified root cause(s), propose corrective actions to prevent similar incidents. This could involve changes to procedures, improved training, equipment modifications, or implementing new safety measures.
• Prepare an Incident Report: Document the investigation findings, including the root cause analysis, corrective actions, and lessons learned. This report serves as a reference for future incident prevention efforts.

SME guarantee:
• Confidentiality.
• Timeliness.
• Transparency.