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Incident Investigation and Loss Causation Theory

Incident investigation examines what happened, the conditions that made it possible and what needs to change.

Programme subject
Occupational Health & Safety Programmes

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Workplace safety, risk assessment and emergency preparedness

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Learning from incidents without stopping at blame

Incident investigation examines what happened, the conditions that made it possible and what needs to change. Loss-causation models can provide useful prompts, but conclusions should be grounded in evidence rather than selected to fit a preferred theory.

Use a suitably anonymised event or near miss to discuss timelines, interviews and the difference between immediate and underlying factors. Protect confidential information and avoid prejudging responsibility. The output should support practical corrective actions and a way to check their effectiveness.

Practical discussion topics

  • Evidence collection and event timelines
  • Interviewing and separating fact from inference
  • Immediate, underlying and organisational factors
  • Action prioritisation and accountable owners
  • Effectiveness review and shared learning

Who should discuss this subject

Supervisors, safety staff and managers participating in internal incident reviews.

Prepare a useful enquiry

  • An anonymised incident scenario
  • Existing investigation process and participant experience

IOSH safety programme guide · Business-improvement enquiries

Official subject resources

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