Rio Tinto Lead Investigator Course

Engineering Safer Workplace Solutions
Rio Tinto
Lead Investigator’s Course
8Steps
Why the Lead Investigators
Course?
Rio Tinto identified opportunities to improve process
for investigations of major and catastrophic incidents.
In many investigations the focus has been on the
immediate circumstances of the incident with
inadequate considerations given to the cultural and
leadership aspects that may have contributed to the
incident. As a result, multiple investigations were
often carried out. These created delays, additional cost
and, inevitably, concerns were raised regarding the
investigation process.
The 2 day Lead Investigators Course was prepared by
InterSafe at the request of Rio Tinto as support training
for their TapRooT® analysis methodology.
Who is the Course for?
The course was designed for General Manager level
capability participants who may be called upon to lead a
major or catastrophic investigation.
The Rio Tinto 24 hour Reporting of major and
catastrophic incidents Work Practice is also reviewed
and discussed with particular focus on the role of the
Lead Investigator.
Course notes, case studies, checklists and audit
criteria tools are provided to ensure critical issues
are more likely to be addressed at each step of the
process when real life situations are faced.
™
OF EFFECTIVE INCIDENT
INVESTIGATION
Why are InterSafe’s Models so Powerful
and Effective?
Our individual belief systems, or models, dictate our perceptions. We
see things not as they are, but as we believe or expect them to be.
Our beliefs or models can be either empowering or limiting depending
on whether they help or hinder us in achieving our goals. Nowhere
is this more evident than in incident investigation, where prejudices,
preconceptions and value judgements reign along with limiting beliefs
such as ‘most accidents are caused by human error / unsafe acts’. Such
models, subconsciously, restrict the flow of information and result in
many relevant factors in an incident sequence being missed.
InterSafe’s models guide an objective observation of the incident
sequence by introducing useful frames of reference which:
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are conceptually clear
are cohesive and logical
are scientific
help maximise the identification of relevant factors and, therfore,
potential points of control
Effective incident investigation can only occur once limiting beliefs are
challenged and superseded.
Common feedback drawn from course assessments delivered by
InterSafe include ‘dynamic and entertaining’, ‘engaging’, ‘eye opening’,
‘useful and practical’, ‘paradigm shifting’.
What the Course Covers
The 2 day course covers the following models and concepts which
underpin effective investigation process.
1. Rio Tinto Work Practice
2. Scientific Process and Incident Investigation
Other Services
3. Egocentric vs. Ergonomic model
InterSafe is also able to assist with site incident
investigations in the following ways:
4. Thinking vs. Feeling model
5. ART-T™ Timeline Model for Incident Sequences
• Independent investigation
6. Essential Factors Thinking
• Lead Site team
7. Hypothesis forming and testing
• Coach / mentor site team leader
• Provide process or content expertise
8. Taxonomy and its implication for recommendations
• Review incident investigation reports
9. Collective Insights Model for establishing / modifying group
performance
10. Organisation model – Policy / System / Procedures / Standards
11. Culture model – Shared values / beliefs / behaviours
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8
Identify Recommendations / Actions
ep
7
Identify TapRooT® Root Causes
ep
6
Identify TapRooT® Casual Factors
ep
5
Prepare SnapCharT
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4
Write Incident Description
ep
3
Form and Test Hypothesis
ep
2
Collect Information / Data
ep
1
Scope and Prepare for Investigation
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12. System model – authorised / unauthorised and productive /
non-productive
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PART B
13. VAACS model for effective recommendations
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Next Steps
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If you would like to discuss a Lead
Investigator’s Course or how InterSafe
could assist you please contact one of our
team on:
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PART A
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THE INCIDENT
+61 7 3895 8111
Who is InterSafe?
InterSafe specialises in incident investigation to Engineer
Safer Workplace Solutions. InterSafe has assisted our
clients in effectively controlling the future through
preparation of more than 10,000 comprehensive
incident reports (dealing mostly with fatal/permanently
disabling occurrences) throughout 60 years of collective
experience.
This experience has led to a unique way of thinking
about, investigating and preventing incidents. InterSafe
shares these powerful and effective investigation models
and techniques through a range of courses and services.
Level 1, 905 Stanley Street East
Phone: +61 7 3895 8111
[PO Box 7338]
Fax: +61 7 3895 8222
East Brisbane, Qld 4169 Australia
enquiries@intersafe.com.au
InterSafe ABN 53 071 971 376
www.intersafe.com.au
InterSafe – Lead Investigators Course Flyer - v1a - 2012
or investigations@intersafe.com.au