Conducting effective event investigations underpins a performing Error Management System.
Reducing risk and protecting people from harm: event investigations are an integral part of an organisation’s Safety Management System. Developing the skills to conduct event investigations effectively and creating a culture that encourages open reporting are areas where we have significant expertise and experience.
There are hazards in all workplaces and risk control measures are needed to reduce the risks to an acceptable level in order to prevent incidents and events. The occurrence of an adverse event suggests that the existing risk control measures were inadequate and learning lessons from near misses can prevent costly accidents in the future.
An investigation is not an end in itself, but the first step in preventing future adverse events. A good investigation will enable you to learn valuable lessons which can be applied across your organisation. The investigation should identify why the existing risk control measures failed and what improvements or additional measures are needed.
As an investigator, you try to be objective and trust in your organisation’s open culture and ‘no blame’ philosophy to ensure errors are properly reported and investigated. Yet the same mistakes keep happening…
All our services are designed to facilitate permanent improvements and leave a legacy of improved competence and organisational performance. Through our hands-on investigation scenarios delivered in our training courses and consulting programmes, we can help you to: