Step 7: Write the Report
Introduction
Now that you have analyzed the facts and developed effective recommendations, you must report your findings to those who have the authority to take action.
In this module, we'll cover the procedure for effectively reporting the facts.
Perception is Reality
Never forget that your primary goal as an accident investigator is to uncover the surface causes, root causes, and report findings and recommendations. Your challenge is to be objective and accurate.
To repeat, it is not your job to investigate to establish blame: that’s OSHA’s job. In fact, if your analysis of the facts has uncovered root-cause system weaknesses, justification for discipline does not exist because management has not fulfilled its OSHA-required responsibilities.
Your findings, and how you present them, shapes perceptions and subsequent corrective actions. If your report arrives at conclusions such as "Bob should have used common sense," or "Bobbie forgot to use PPE," it won't be effective at all.
If you make accusatory statements, it will not result in permanent system improvements. Bottom line: If the accident investigation doesn't help to fix the system, it has most likely been a waste of time and effort.
OSHA Fatal Fact Accident Reports
OSHA's Fatal Facts describe cases that are representative of employers who failed to identify and correct hazardous working conditions leading to fatalities at their worksites. The documents offer ideas on how to correct these hazards and educate workers about safe work practices.
Knowledge Check Choose the best answer for the question.
8-1. If you discovered contributing root causes (system weaknesses) in an accident investigation, _____.
You forgot to answer the question!