Elements and Performance Criteria
- Prepare for a causal analysis
- Appropriate background documentation is identified, obtained and assembled to collate all relevant facts and information that may guide and contribute to the causal analysis
- Relevant personnel are identified and requested to provide input to the causal analysis
- Other relevant sources of information regarding injury causation are identified and assembled
- Methods and tools to be used in the analysis are identified, specified and prepared in accordance with organisational procedures and guidelines
- Identify the contributing factors involved in causing injury
- Relevant information sources are reviewed to determine contributing factors typically involved in causing injury
- Activities are observed and/or reviewed
- Interviews are conducted with relevant personnel
- Contexts in which the activities are commonly conducted are reviewed
- Components and aspects of activities which appear to be associated with greater risk of injury are analysed in detail
- Data is recorded using organisational analytical tools in order to compile inputs to the analysis
- Final list of contributing factors involved in injury causation is determined, validated and recorded by cross-referencing results from all causal analysis activities
- Undertake a root cause analysis
- Recommend countermeasures
- Effective countermeasures are identified where possible, for each root cause of injury, from available information and subject matter experts
- Where no proven countermeasure can be identified, countermeasures are developed from first principles, in consultation with subject matter experts
- Written and oral causal analysis report, including details of recommended countermeasures, is prepared in accordance with organisational policy and procedures and is delivered to decision-makers for consideration