How to use the guide to learn from accidents at work
Accidents should be a one-off incident. Therefore the Danish Working Environment Authority has developed a method, companies can use to analyse what went wrong to prevent recurrences. The method is based on years of experience with investigating accidents.
Often there is not just a single reason for an accident. Rather it's a question of interaction between several reasons all of which are equally significant. Knowing the different reasons makes it easier to take preventive steps.
Use the guide to:
- identify the chain of events occurring prior to the accident
- identify the interaction between physical problems, personal carelessness and oversights in planning
- investigate whether similar accidents could occur, including at other places in the enterprise
- identify where safety could be improved.
This method can also be used to analyse dangerous incidents which could have resulted in personal injury.
How to use the guide
The guide includes six steps which can be adapted to the situation, as well as the personal preferences of the person analysing the accident.
|1. The person investigating the accident must ensure that the relevant persons are present, otherwise it may not be possible to complete the analysis. The relevant persons could be the injured party, witnesses to the accident, management and employee representatives as well as persons with a technical insight into the work process in which the accident has occurred.|
|2. Start by creating a common understanding of what happened. Use the first three questions in the guide as your point of departure. Also use, for example, a reconstruction of the accident, make a drawing or take a look at the accident site or machinery. This is the start of the analysis.|
3. Use the tools actively - distribute the Guide to learn from accidents and the Dialogue Tool to the participants and get them to consider the reasons for the accident.
The guide includes clarifying questions for each cause, which can then be ticked off. Furthermore, it is possible to note comments and other information on the lines under each question.
4. The person investigating the accident may, depending on the situation, participants and method, choose to use the guide as a tool in the dialogue or as a checklist.
The guide as a tool:
The guide as a checklist:
|5. Get the participants to consider whether the same accidents may happen again at the same place or other places in the enterprise. This could be similar tasks and work sites, or work with similar technical equipment or machinery.|
|6. Finally, discuss how the analysis shows that safety must or should be improved. Discuss and investigate options. Also consider whether there are areas in the enterprise where you feel safety is good and from where you may be able to transfer the same measures and experiences.|