RootCauseAnalysis©TerryapHywel20181ACCIDENTANDINCIDENTROOTCAUSEANALYSIS"Ontheoccasionofeveryaccidentthatbefallsyou,remembertoturntoyourselfandinquirewhatpoweryouhavetoturnittouse."-Epictetusd.135ADRootCauseAnalysis©TerryapHywel20182TableofContentsCOURSEAIMS&OBJECTIVES..............................................................................................................................................3ACCIDENTSandINCIDENTS.................................................................................................................................................4BasicAccidentorIncidentCausation.........................................................................................................................................................5AccidentPrevention...........................................................................................................................................................................................6ACCIDENTINVESTIGATION.................................................................................................................................................8GuidelinesforInvestigatingAccidents...................................................................................................................................................10Recommendingeffectivecontrolmeasures.........................................................................................................................................10HUMANFACTORSINACCIDENTS.....................................................................................................................................15WhatareHumanFactors?............................................................................................................................................................................15HumanFailure....................................................................................................................................................................................................15INFLUENCESONBEHAVIOUR............................................................................................................................................17TheOrganisation...............................................................................................................................................................................................17TheJob....................................................................................................................................................................................................................18TheIndividual.....................................................................................................................................................................................................19ADVANCEDTECHNIQUES...................................................................................................................................................21SequenceofEvents...........................................................................................................................................................................................21CriticalEvents....................................................................................