Effective incident and near miss investigation is essential for understanding the factors that lead to safety events and preventing them from happening again. The Events and Causal Factors (ECF) technique is a structured approach that helps identify and analyse the events leading up to an incident or near miss, as well as the factors that contributed to it. The ECF method helps teams focus on what went wrong and why, not just on the immediate causes.
Once the causal factors have been identified, the next step is to look deeper using tools like the ‘5-Why’ methodology to determine the root cause. It’s important to note that the root cause is almost always a failure in the management system, not a personal error. This distinction ensures that individuals are not blamed for mistakes and that responsibility for preventing recurrence lies with the organization and management.
What you’ll learn:
- The process of using the Events and Causal Factors technique to break incidents and near misses into a clear sequence of events
- How to identify causal factors and use tools like the 5-Why methodology to uncover root causes
- Why root causes are often linked to management system failures and not individual mistakes
- The importance of focusing on corrective actions that can prevent future incidents and promote a culture of safety
This webinar is best for:
- HSE Directors / Managers
- Process and HSE Professionals
- Plant Managers
- Operators
- CEOs, Board Members and Senior Leadership teams
