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Element IA3: Loss Causation and Incident Investigation
Theories/Models and Use of Loss Causation Techniques 3-3
Accident/Incident Ratio Studies 3-3
Domino and Multi-Causality Theories 3-4
Single Cause Domino Theory 3-5
Reason’s Model of Accident Causation 3-8
Behavioural Root Cause Analysis 3-11
Study Questions 3-11
Quantitative Analysis of Accident and Ill-Health Data 3-12
Calculating Loss Rates from Raw Data 3-12
Presenting and Interpreting Loss Event Data 3-13
Principles of Statistical Variability, Validity and the Use of Distributions 3-16
Study Question 3-18
Reporting and Recording of Loss Events (Injuries, Ill Health, Dangerous Occurrences) and Near Misses 3-19
Reporting Requirements and Procedures 3-19
Internal Reporting and Recording 3-21
Study Questions 3-27
Loss and Near-Miss Investigations 3-28
Implied Legal Requirements 3-28
Reasons for Carrying Out Investigations 3-29
Benefits of Carrying Out Investigations 3-30
Investigation Procedures and Methodologies 3-31
Communications Focusing on Remedial Actions and Lessons Learnt 3-37
Study Questions 3-38
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