Incident Investigation

Incident Investigation

The focus of effective incident investigations is improving systems, not assigning blame.

OSHA’s Process Safety Management (PSM) Mandate requires that facilities investigate each incident “which resulted in, or could have reasonably resulted in a catastrophic release of highly hazardous chemical in the workplace.” The mandate language provides guidance on the required elements for the investigation, but is limited in terms of guidance for how to conduct the investigation.

One of the leading tools in incident investigation, Root Cause Analysis (RCA), provides structure to ensure that the investigation team works to identify the true cause of the incident so that effective corrective actions can be taken. Investigation teams need to be willing to look beyond the seemingly obvious immediate causes of an incident to ensure they uncover the true root cause of each incident. The purpose of the investigation is not to assign blame, but rather to identify failures in existing systems that led to the incident occurring. Corrective actions can then be identified and addressed to prevent similar incidents from occurring in the future. 

AcuTech consultants have supported organizations in numerous incident investigations and are intimately familiar with the tools and approaches used in effective incident investigations. In addition, AcuTech consultants leverage their experience with  continuous improvement in management systems to ensure that corrective actions follow industry best practice. AcuTech offers expertise in Root Cause Analysis, Events and Causal Factors Analysis (ECFA), expert witness services, litigation support, regulatory penalties, and third-party moderation.

  • Root Cause Analysis (RCA)
  • Events and Causal Factors Analysis (ECFA) 
  • Expert Witness 
  • Litigation Support 
  • 3rd Party Moderation 
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