Accident, Incident & Near Miss Reporting Prepared by: Richard Woolnough www.iagsa.ca www.arkex.com
Introduction RAF Tornado F3 Florennes, Belgium 2005 www.iagsa.ca www.arkex.com
Why report accidents and incidents •Enables IAGSA to provide guidance and assistance •Assist with root cause analysis Dallas Texas May 2008 •Analysing trends •Share lessons learnt •Promotes good leadership as industry members www.iagsa.ca www.arkex.com
Why report accidents and incidents •Incidents are normally minor but if left to re-occur they can easily develop into major incidents that result in accidents •Develop prevention methods to avoid a re-occurrence fatal plane crash in Yellowknife’s Old Town in September 2011 Reporting is encouraged as this is an industry where safety is crucial and plays a big part in the success and continuous growth of the industry www.iagsa.ca www.arkex.com
Why report accidents and incidents www.iagsa.ca www.arkex.com
What is the benefit of reporting near misses ‘The chain of events that lead to a near miss are the same chain of events that lead up to an accident, especially at the level of the underlying cause (Reason, 1997).’ Barcelona Airport July 2014 www.iagsa.ca www.arkex.com
What is the benefit of reporting near misses •Understand true consequences or errors or omissions •Near misses are investigated in a systematic way •Not afraid to report on lessons learnt, benefiting the industry •Allows members to submit an accurate account of the incident ensuring unreliable accounts in the media are not a primary source of information •Share sanitised safety alerts to industry members •Promote improvement at an industry level www.iagsa.ca www.arkex.com
Reporting statistics Herbert Heinrich Pyramid 36 members reporting in 2013 www.iagsa.ca www.arkex.com
How to report an incident, accident or near miss? 1. Populate the ‘incident reporting & communication form’ as soon as reasonably possible 2. Send to COO IAGSA (Lance Martin) 3. IAGSA COO and Member to agree assessment of actual/potential severity – IAGSA COO to offer assistance during investigation if required 4. Investigation and follow up report sent to IAGSA COO on completion 5. IAGSA COO & Member to draft a safety alert (if required) and agree sanitation before distributing to members 6. Members benefit from investigation and any lessons learnt contributing to better safety awareness www.iagsa.ca www.arkex.com
Confidentiality ‘IAGSA understands that occasionally an investigation may identify information which may not be of a confidential nature to the member organisation. IAGSA will be bound by its code of conduct pertaining to confidential information and will work with the member organisation to ensure that any reports (initial and follow up) are sufficiently sanitized prior to release. Any reports or other communication concerning an occurrence will be aproved by the member organization prior to release, presentation or publication by IAGSA.’ – IAGSA member incident reporting & communication document A copy of IAGSA’s code of conduct pertaining to confidential information can be found on the IAGSA website under the ‘corporate governance’ tab www.iagsa.ca www.arkex.com
Conclusion Its important to remember that any information you can give that deals with safety events, safety occurrences or thought processes is better than having no information at all! – lets all contribute towards improving safety within our industry www.iagsa.ca www.arkex.com
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