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Assignment # 3: Incident Investigation
Tran Thien Huong Nguyen
Student ID: 3147871
Human Resource Management, University of Winnipeg
HRSP 22: Managing Occupational Health, Safety & Environment
Instructor: Ethelinda Padua – Darcel Lecocq
February 22, 2023
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Table of Contents
Introduction …………………………………………………………………………………………………………………. 3
The Steps of an Incident Investigation …………………………………………………………………………… 3
1. Secure the Scene …………………………………………………………………………………………………. 3
2. Gather Evidence ………………………………………………………………………………………………….. 4
3. Analyze the Information ………………………………………………………………………………………. 4
4. Report the Results of the Incident Investigation ………………………………………………………. 4
5. Make Recommendations ………………………………………………………………………………………. 4
6. Follow up …………………………………………………………………………………………………………… 4
Stakeholders and Interview Questions ………………………………………………………………………….. 4
a) The President ……………………………………………………………………………………………………… 5
b) The Day-shift Superintendents ……………………………………………………………………………… 5
c) The Machine Operator …………………………………………………………………………………………. 5
d) The Injured Worker……………………………………………………………………………………………… 6
Support Documents to Identify Gaps in the Processes ……………………………………………………. 6
– Training Records …………………………………………………………………………………………………. 6
– Equipment Maintenance Reports …………………………………………………………………………… 6
– Safety Audit Reports ……………………………………………………………………………………………. 7
– Incident Reports ………………………………………………………………………………………………….. 7
Hazards and Recommendations ……………………………………………………………………………………. 7
1. Implement a Comprehensive Health and Safety Program …………………………………………. 7
2. Provide Workplace Health and Safety Training ………………………………………………………. 8
3. Preventative maintenance …………………………………………………………………………………….. 8
Conclusion …………………………………………………………………………………………………………………… 8
References ……………………………………………………………………………………………………………………. 9
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Introduction
Today, a hot forging object fell on a worker, causing serious injuries and bodily
suffering. The incident occurred on an original equipment manufacturer with 300 employees that
lacked a safety specialist on staff. The day-shift superintendents are in charge of general safety
practices. Furthermore, no previous occupational hazard analysis has ever been completed. The
manufacturer made an effort to stop workers from acting in a hazardous manner by using posters
and supervisor instructions to remind staff to work safely. Nevertheless, today a serious incident
that occurred caused the worker to lose vision in his right eye, most of his arm, and right ear.
There will be an incident investigation conducted by authorized person. The purpose of the
incident investigation is to determine how and why these failures occur and prevent more
