ACCIDENT / INCIDENT INVESTIGATIONS
INVESTIGATING AND REPORTING A WORK-RELATED ACCIDENT / INCIDENT
Accidents / Incidents do not just happen, they are caused either by an unsafe act and/or an unsafe condition or a combination of the two. In some cases the person performing the unsafe act does not realize just how serious the consequences can be. In most cases, an unsafe condition or improper use of a tool is the cause of an accident.
Investigations of accidents and incident are necessary, not to set blame but to primarily determine the cause or causes and to do everything within reason to preclude the same thing from happening again. Incidents which could develop into an accident are part of the investigation scheme to prevent such occurrence.
An accident investigation must be conducted for any incident/accident. The report must include information on the person injured, a complete description of the incident/accident, a statement of what caused or might have caused the incident/accident and any corrective action that has been taken or that should have been taken to prevent recurrence.
Before actually beginning an investigation of a work-related accident or incident, the supervisor/ investigator should be thoroughly familiar with "EMPLOYEE REPORT OF INJURY/ ILLNESS" form and the "INCIDENT/ACCIDENT INVESTIGATION FORM DA 2000" (both forms are available at the Human Resources Office). If the accident or incident involves a student, visitor, or client, then the VISITOR/CLIENT ACCIDENT REPORTING FORM DA3000 needs to be completed. After affirming that all necessary and appropriate steps have been taken to provide medical assistance to the injured, the supervisor will complete the following steps in investigating the accident:
Same Individual: Employee slipped and fell at the same location a week ago
Same Operation: Another worker was involved in an accident performing the same operation several days ago.
An accident is an occurrence that results in an injury or property damage. For employees, all personal injuries should have a DA2000 "Incident/Accident Investigation Form" and "LDOL Employer's Report of Injury" completed. For non-employees a DA3000 form must be completed.
An incident is an occurrence that could have resulted in an injury or property damage; or could have had an effect on implementation on the safety programs, policies and procedures. All incidents shall be reported using either the DA2000 form (for employees) or the DA3000 form (students, visitors, clients, etc.).
|Form Name||File types available|
|Employer Report of Injury/Illness LDOD-WC-1007||PDF File|
|Incident/Accident Investigation Form - DA2000||PDF File|
|Student/Visitor/Client Accident Reporting Form - DA3000||PDF File|
|Incident/Accident Investigation Form - DA2000||Doc|
|Student/Visitor/Client Accident Reporting Form - DA3000||Doc|
ULM Safety Manual - Table of Contents