Monday Accident & Lessons Learned: What Should You Investigate?
Let’s say this was your facility and you happened to walk up on this job (or is it a circus act?) …
Yes … You would stop the work (or pause the work … a new term I heard at the BST Conference).
But then what?
b) Correct them informally – no need to get them in trouble.
c) Report as a near-miss?
d) Do a TapRooT® Investigation?
I would argue for a complete root cause analysis using TapRooT®.
Because this insanity has the potential to become a high consequence incident.
Even though no one has been hurt yet, this is a near-miss with the potential for a serious injury or fatality. Therefore, it should be treated just as seriously as if someone had fallen off the ladder and broken their wrist (or worse).
Learning from this “near-miss” an important step in preventing more serious accidents.
So, today’s lesson learned is to learn from the small stuff to make sure the big accidents never happen.