128 pages | 5 B/W Illus.
This innovative book aims to bring the science of safety into a simple and practical approach to investigating workplace incidents. As a basis, it uses the ideas of some of the great safety science thinkers of our time. These include Sidney Dekker, Todd Conklin, Erik Hollnagel, Daniel Kahneman, James Reason and Dylan Evans, alongside others and the author’s own extensive industry experience.
Simplicity in Safety Investigations: A Practitioner's Guide to Applying Safety Science will better equip readers to deal with incident investigations by helping them understand the science behind investigation techniques, and by exploring coaching and leadership styles that help them ask better questions both before and after workplace incidents. The first two chapters of the book focus on our mindset as we approach and undertake investigations, and the simple things we all must do before an investigation starts. The third chapter is a step-by-step guide on how to undertake both simple and more detailed workplace incident investigations. Chapter 4 is reserved for a more detailed review and set of explanations around the science and thinking behind the method and approach.
This book serves as an easy-to-follow, real-world reference for supervisors, managers and safety practitioners across many industries.
"This is not a big book, but it packs a lot of ideas into 142 pages. The author, now a consultant but formerly in a senior OSH post at Australian miner and nickel refiner BHP Billiton, has a lot of experience to draw on but he is also clearly well read. One of the strengths of this book is how he harnesses theories from writers such as Todd Conklin and Daniel Kahneman to the service of accident analysis."
Stephen Marriot, IOSH Magazine
What level of investigation should we do?
Using this book and the techniques described within it for positive investigations
1 Mindset and approach
2 Before you investigate
Team formation, structure and roles
The art of facilitation and using a coaching style
Your conversations and questions (before and after an event)
3 The investigation process
Interviewing (versus taking statements)
The interview conversation
Data and information gathering
How to run an effective and efficient PEEPO
Determining Work-As-Done, Work-As-Normal and Work-As-Intended
Determining Work-As-Done, Work-As-Normal and Work-As-Intended in the case of more detailed incident investigations
Exploration of the gaps between Work-As-Done, Work-As-Normal and Work-As-Intended
Build the story (Incident Pathway Statement)
4 The technical and scientific stuff
Task complexity, procedural complexity and adequacy, and situational complexity
Resilience and resilience engineering
Risk intelligence, risk identification and risk management
Drift (procedural or practical drift)
Internal decision and sense-making
Intense task focus
Answering a different question
What-You-See-Is-All-There-Is (WYSIATI) and plan continuation
Shared Space as it relates To safe work spaces
Effective ‘core competency training’ and ‘awareness induction’
Individual actions and assessments
Systems of work and their interrelationships
It is all obvious when you know the outcome (hindsight bias)
Accountability and authority mismatch
Equipment, tools and plant design
Task planning, assignment, acceptance and monitoring
Other cognitive biases and heuristics
The efficiency – thoroughness trade-off (ETTO)
A. Interviewing – Having meaningful conversations
B. Incident Cause Analysis Method (ICAM) process
Bibliography and reading list.Index