09 Memory Aid Management Information

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  • 7/23/2019 09 Memory Aid Management Information

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    Investigation aid: Historic and management information: Incident FIM No:..................................

    Ask people if concerns regarding the risk had been raised historically. You may find that this is not the firstincident of this kind and reviewing the findings of the previous investigation can add value. Do not thoughassume the causation is precisely the same. It may also be that discussions have been ongoing relating to a

    potential problem. Review any minutes etc from these discussions. Check with management if issues relevant tothe incident have been raised before. Collect any evidence of such issues; follow the evidence trail of the issuesraised in relation to who was involved how were they involved what actions were taken !or not" and identify ifany lack of action could have been causational in this incident. If a procedure was not followed try to establishwhy it was not followed# was it not known; not fit for purpose or was there some other reason like $custom andpractice% where the official controls are ignored habitually.

    Check

    &. Departmental instructions

    '. (afety regulations

    ). *inutes of meetings

    +. (,- cards

    /. revious similar incident investigation findings

    0. Relevant emails letters and memos

    1. Complaints made or escalated

    2. Relevant procedures or work instructions

    3. Relevant standards or policies

    &4. ermit to work records

    &&.5ob planning records

    &'. (ite6location maps

    &). -rganisational charts&+. Roles and responsibilities documents

    &/. Contingency or emergency response procedures

    &0. ,raining records

    &1. *edical records

    &2. 7a8ard management controls

    &3. Contract 7(9 plan

    '4. Applicable (afety Case!s"

    '&. 7a8ard control or data sheets

    ''. 5ob safety plans.

    '). $As built: drawings instrument records computer printouts log books

    '+. ,ransport documentation and time sheets

    '/. Results of previous audits

    Important note

    -nly raise issues in the report if they are directly linked to the causation of the particular incident you areinvestigating. Do not increase the scope of the investigation to failures which are not relevant they should bedealt with separately.