Como envolver as partes interessadas nas investigações de acidentes para promover a cultura de segurança?

It’s important to identify all the stakeholders prior to commencing accident investigations. These may include employees , contractors, line managers, customers, local authorities and government regulators. When setting up an investigation team, representation can be considered from each of these stakeholders. A root cause failure analysis session maybe needed to fully identify what caused the accident and solutions to prevent recurrence. This root cause failure analysis session will require most of these stakeholders who are closely impacted by or involved in the accident to attend in order to get divergent views concerning the accident.

Um acidente de trabalho definitivamente é um ato indesejado que acontece muitas vezes em decorrência de uma série de falhas, interligadas ou isoladas. Devido a tamanha complexidade de se chegar a uma ou mais falha(s) raiz, é preciso que a equipe de investigação seja multidisciplinar, afinal, são muitos fatores técnicos envolvidos. As partes envolvidas devem se limitar as estruturas internas na organização, salvo quando se tratar de algo mais grave, onde alguns órgãos públicos são envolvidos e traçam sua própria investigação paralela. É primordial que haja este envolvimento, afinal as consequências de um acidente não se limita apenas ao acidentado ou mesmo ao setor de segurança, é necessário que cada responsabilidade seja atribuída.

Involving stakeholders in accident investigations is crucial for promoting a strong safety culture within an organization. Here are some strategies to engage stakeholders effectively in the accident investigation process is: 1. Communication and transparency 2. Training and Awareness 3. Involvement of top management for corrective and preventive actions. 4. Involvement of safety committee. 5. Clear reporting procedure 6. Regular safety audits 7. Empower employees to actively participate in the safety culture by providing them with the tools, resources, and authority needed to address safety concerns.

To involve stakeholders in accident investigations: Open Communication: Encourage transparent sharing of accident details. Collaborative Analysis: Involve stakeholders in analyzing causes. Feedback Incorporation: Act on stakeholder suggestions for safety improvements. Regular Updates: Provide ongoing updates on investigation progress. Training Participation: Include stakeholders in post-incident safety training.

Safety starts from the top...Executive and Senior management need to be leading in the safety culture such that all stakeholders are aware that it is being driven from the top. Site visits and behavioral based observations with meaningful feedback would assist in tackling accident investigations to promote a safety culture in organisations.

Communicate clearly that the purpose of the investigation is "fact-finding," not "fault-finding." Ensuring everyone who is important to the investigation understands that they are all there to add value to the quality of the outcome is critical. Provide assurance to build trust that people are safe, and they will be much more open to participating.

Style, content,frequency , and level of communication is very important to have proper decision for improvement, For example, if the fault didn’t clear due to Overcurrent relay did not operate on time due to the age and coordination issues, You may discuss all the points of fault details in technical committees however for higher management and stakeholders its purely asset based like aged asset and discussion about modernization rather than spending valuable times of board meetings in discussions over current characteristics

Uma ferramenta que pode ser utilizada com maestria é o Learning Teams (equipe de aprendizagem). Através dessa metodologia poderemos entender e aprender como o ttabalho real é realizado. Aqui envolverá vários operadores e pessoas que pertence aquele co texto e na dinâmica perceberemos o que está ocorrendo que não está escrito em procedimento e instrução de trabalho.

Encourage employees to share their insights and observations. Often, frontline workers have valuable perspectives on what might have contributed to the accident. Their involvement also reinforces the message that safety is everyone's responsibility.

The most important aspect is to get inputs from all stakeholders regarding accident causes, scenarios, previous instances etc. Make sure to collect as many relevant data points. Have a clear communication strategy and required formats for data collection. Entire root cause analysis depends on relevance and broadness of data. Employ all tools for data collection like brainstorm, feedbacks, previous records, system deviations, site conditions, eyewitness accounts, interviews, Procedures etc.

Engage stakeholders in the fact-finding process, not for placing blame, but to understand the root causes. This collaborative approach fosters a learning culture rather than a punitive one. Engage stakeholders in the fact-finding process, not for placing blame, but to understand the root causes. This collaborative approach fosters a learning culture rather than a punitive one.

O que devemos está atentos é consertar o sistema por criar barreiras que impeçam a ocorrência de novos acidentes. Pois segurança não é ausência de acidentes, mas presença de capacidade. E essa capacidade ocorre quando sabemos que o ser humano é falho e por isso essa capacidade precisa ser mais e mais robusta para que a falha seja segura.

Involve stakeholders in safety committees that meet regularly to discuss safety issues, including outcomes of accident investigations. These committees should have representatives from various levels and departments. Its not necessary that they need to be scheduled. they can be done anytime concern is raised.

Provide stakeholders with updates on the implementation of safety recommendations from the investigation. Regular follow-ups demonstrate a sustained commitment to safety improvements. Involve stakeholders in celebrating safety milestones. Recognize and reward departments or individuals who contribute significantly to enhancing safety.

Before involving everyone I. The hierarchy line (from front line to VP) in the actual investigation, I’d ponder what role each person would play and how they’d contribute. I would argue leadership (especially top management) would contribute very little in the actual analysis of the event. Most often they hinder transparency by making front line more uncomfortable in an already stressful situation. That is not “safety culture”. In a culture of care (beyond safety), front line staff supported by a trained professional (eg EHS) can share their stories and identify improvement opportunities. While leadership can support and prioritize resources to conclude action plans.

Engaging external stakeholders should be placed very carefully to reduce any extra charges . If the investigation results were not enough conclusive , Then external stakeholders must be involved from the point where the investigation has inconclusive results . I agree the external stakeholders need to be defined from day one , but should be engaged in a specific stage .

First of all, it is necessary to establish with senior management what is expected of them in the accident investigation process, that they understand that the main role they should play is to guarantee an environment of psychological safety, so that their presence does not bring silence and fear !!! And that they should be involved in the investigation as a speeding-up mechanism, in order to reduce the bureaucracy that normally exists in companies and ensure that actions to improve and generate learning are carried out more quickly !!! And in addition, that it plays the role of encouraging the sharing of the lessons learned at the event throughout the organization !!!