Safety Investigation Training - United Kingdom

Safety Investigation Training​ Course Outline

Module 1: Safety and Investigation 

• What is Safety? 
• Why is Safety Needed? 
• Why Investigate? 
• Understanding the Language of Investigation 
• Causes of Adverse Events 
• Investigation Basics 

Module 2: Investigation Methodologies

• Investigation Methodologies and Tools
• Tools for Use in Preparation for Root Cause Analysis
• Structured Root Cause Analysis Methodologies
• Selecting an Appropriate Methodology

Module 3: Designing an Incident Investigation Management System

• System Considerations
• Typical Management System Topics
• Management System

Module 4: Initial Notification, Classification, and Investigation of Process Safety Incidents

• Internal Reporting
• Incident Classification
• Incident Notification
• Type of Investigation

Module 5: Building and Leading an Incident Investigation Team

• Team Approach
• Advantages of the Team Approach
• Leading a Process Safety Incident Investigation Team
• Potential Team Composition
• Building a Team for a Specific Incident
• Team Activities

Module 6: Evidence Identification, Collection, and Management

• Sources of Evidence
• Evidence Gathering
• Timelines and Sequence Diagrams

Module 7: Evidence Analysis and Causal Factor Determination

• Scientific Method
• Confirmation Bias
• Evidence Analysis
• Hypothesis Formulation
• Hypothesis Testing
• Select the Final Hypothesis

Module 8: Determining the Root Cause 

• Root Cause Analysis 
• Methodologies for Root Cause Analysis 
• Root Cause Determination Using Logic Trees 
• Root Cause Determination Using Predefined Trees 

Module 9: Preparing the Final Report

• Report Scope
• Interim Reports
• Writing the Report
• Sample Report Format
• Report Review and Quality Assurance
• Investigation Document and Evidence Retention
• Developing Effective Safety Recommendations 
• Implementing Safety Recommendations 

Module 10: Continuous Improvement for Incident Investigation System

• Regulatory Compliance Review Investigation Quality Assessment
• Causal Category Analysis
• Review of Near-Miss Events
• Recommendations Review
• Investigation Follow-Up Review
• Key Performance Indicators