ACCIDENT

INVESTIGATION

Q1-2015 Work Accident in All

Industry
First Quarter of 2015 Accident
15%

16%
manufacturing

construction

69%

services

Investigations are conducted to :

Prevent recurrence
Comply with policies and regulatory
requirements
Improve Supervisors Management
Approach
Maintain employee awareness - HSE

All accidents must be

investigated:
LTA
Non-LTA
Near Misses / Property damage
Unsafe Acts / Conditions

Accident
Pyramid

10

LTA

Non-LTA

30

Property
Damage

600

Near
Misses

Near-Miss is an accident that:

Did not happen
Could happen
it is still investigated

Page 66

Republic of the Philippines

DEPARTMENT OF LANOR AND EMPLOYMENT
Regional Office No. ______
!
GOVERNMENT SAFETY ENGINEERS ACCIDENT
INVESTIGATION REPORT
(This form shall be submitted to the Bureau of Working Conditions not later than the 30th day of the month following the date of
occurrence)

ORIGINAL
(NOTICE)

1.
2.

!
!

Establishment
Telephone

!!! Police
!!! Telegram

!!! Others (Name)

!!! Messenger

Others : ______________
3. Establishment:_______________________________________________________
Nature of Business:___________________________________________________
EMPLOYER 4. Address:____________________________________________________________
5. Manager:____________________________________________________________
6. Employees & Workers:
M
F
Tot al
7.
INJURED 8.
9.
10.

Name:___________________________
Age:___ Sex: __ Civil Status: _____
Address:________________________________________________
No. of Dependents :_____
Occupation: __________________________
Average Weekly Wages: _________
Length of Service prior to Accident : _______________ Accident Record: ______________

11. Date of Accident: ___________________

Time: _______________

! Personal Injury
!
12. This Accident Involved :
Property
Damage
13. Description of Accident: (Give full details on how accident occurred): ___________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

DOLE/BWC/OHSD/IP-6b

Republic of the Philippines

Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Manila
______________________________
Date

ANNUAL WORK ACCIDENT/ILLNESS EXPOSURE DATA REPORT

Name of Establishment : ________________________________________________________________________
Nature of Business

: ________________________________________________________________________

Address
: ________________________________________________________________________
========================================================================================
EXPOSURE DATA
January to December 19_________
========================================================================================
Number of Employees: ________________________________________________________________________
Total Hours Worked by All Employees During the Year: ____________________________________________
========================================================================================
INJURY SUMMARY
========================================================================================
Total-All Disabling Injuries/Illnesses: ____________________________________________________________
Total-Non-Disabling Injuries: ___________________________________________________________________
Frequency Rate: ______________________________________________________________________________
Severity Rate: ________________________________________________________________________________
========================================================================================
_____________________________
General Manager
1.

This report shall be accomplished whether or not there were accident/illness occurrences during the period covered and
submitted to the Regional Labor Office or local government having jurisdiction not later than 30th day of the month
following the end of each calendar year.

2.

Frequency Rate is the total number of disabling injuries per million-employee hours of exposure.

Team Effort

Safety officer
Occupational Health Physician
Nurse
Industrial Hygienist

Management
Union Representative

Managing the Accident Scene

Two Priorities:
Care & Treatment of the Injured
Elimination or control of
Remaining Hazards

Isolate the site

To protect people from further
injury
To preserve evidence and
valuable clues

Investigate immediately,
because:
Operations are disrupted
Memories fade
Employees are at risk

Conducting the Investigation

1. Gather information
2. Analyze the facts
3. Make recommendations

Gathering Information
Preliminary Facts
NOI, POI, DOI, TOI
personnel involved
property damage
environmental harm

Sources of Information
Witnesses
Physical evidence at the scene
Existing records

Witnesses

Victim
Those who heard what happened
Those who saw area prior to incident
Others with info about involved
individuals, equipment or
circumstances

Physical Evidence
Provides information about an
accident that witnesses may
overlook or take for granted

Sketches

To record important details at the

accident site for later study

Electrocution victim

Generator Room

Comfort
Room

Include everything that

could be important:
Floor plan from overhead view
Location of involved man,
machine, tool
Size and location of transient
evidences (spills, dust,
footprints, skid marks)

4
2

AHU

Photographs
detail
color differences
complex shapes difficult to recall

Photographs

General area
Detailed shots
Show scale on small objects
Indicate reference point
Better to take too many than too few

When photographing
show the scale of objects,
idea to indicate distances,
depth or height

If items have to be
removed from the scene
for detailed examination:

Log and Label

Secure storage & transport
Avoid contamination
Guard against tampering and loss
Appropriate HSE warnings

Environment (Work)

Temperature conditions
Illumination
Noise
Housekeeping

Existing Records

Employee records
Equipment records
Job or Task records
Previous Accident Investigation
reports

Analyzing the Facts

Fault trees
Process safety review
Change analysis

Change Analysis
Compares how a job was actually
performed with the way it should
have been performed

Change Analysis
How it was
done
(Action)

1.
2.
3.
4.

4.

How it should Prevailing

be done
conditions
(SOP)
(Compliance)

Recommending Corrective
Actions
Specific
Measurable
Attainable
Realistic
Time-bound

When you have determined the

contributing factors, dig deeper!

Follow-up Its the best way to ensure that

recommendations are carried out

Report forms require four

basic types of information

General information
A Summary
An Analysis
Recommendations