- Identify the root causes of an accident or incident
- Take measures to prevent it from happening again
- Learn from experience
Morning
- Welcome, objectives, round table, expectations
- The place of feedback and accident investigation/analysis in a safety management system
- Accident analysis using the "cause tree" method: collection of facts, prioritization of facts, formalization, etc.
- Exercises carried out on simplified scenarios (work in sub-groups)
- Application on a developed accident case
Afternoon
- The importance of the survey: interview method (who does the interview, the preparation phase, the questioning method, the "5 whys", the search for the root causes (Organization, Behavior, Material)
- Repeat of the previous exercise with implementation of this phase, on the basis of interviews:
– Scenarios
- Role-plays
- The search for a solution or, when the root causes lead to lasting solutions
- The Selection of solutions from a decision-making tool
- Assessment, exchanges and conclusions
