There is great variation in the extent, scope and type of incident investigations that are conducted. Some steps need to be taken into consideration, which will be described in this article. See, for learning from incidents, Learning from incidents and accidents. Blame and fear of retribution can seriously complicate any efforts to uncover what really caused an unwanted event. It is recommended that the investigation should always explicitly focus on understanding, learning and improving. In addition, an investigation is often an important part of transparency as it enables the organisation to explain what happened to important stakeholders. to comply with requirements posed by governing bodies.įrom an OSH management perspective the main goals should be to understand the incident and to use that knowledge to improve (to learn) in order to prevent similar incidents from occurring in the future.to blame who is responsible for the event and to punish this company or individual.to learn and improve so as to prevent future incidents from occurring.to understand what went wrong (especially the causation and processes that were involved).There are many primary and secondary goals to conduct an incident investigation, for example: Many organisations carry out formal incident investigations. For a more thorough definition of incidents and accidents see: Reporting and monitoring occupational accidents and diseases in Europe Why investigate In addition we focus on the field of occupational health and safety, although we realise that the same investigation techniques may be relevant for the investigation of other types of incidents as well. In this article we will use the terms incident and incident investigation interchangeably with accident or accident investigation. In general the focus is on unintended and unforeseen events which have unintended consequences. There are many different definitions of what constitutes an incident or accident. This article contains an overview of steps in incident investigation and some methods for analysis.

In this article we focus only on incident investigation conducted (internally) by companies themselves. In many countries inspectorates, accident research boards, or criminal prosecutors may investigate some or all of the serious occupational incidents that occur. Government agencies may or may not be involved in the investigation and analysis of events. Previously overlooked weaknesses of safety management or safety culture may be uncovered, as well as underestimated risks, unknown risks or insufficient control over known risks. A thorough accident or incident investigation may uncover a wealth of knowledge about safety management practices in the organisation. After a major incident or accident, conducting an accident investigation is generally the next step. However, despite these efforts things still go wrong and unintended events occur. Many organisations and companies take extensive proactive measures to identify, evaluate and reduce occupational risks. 3.2 Choosing which incidents to investigate.gets the event ‘ New Traditions & Ambitions’, unless it is a custom nation.owns at least 20 core provinces in Indochina region.is not a subject nation other than a tributary state.has an administrative technology of at least 20.Playing with normal or historical nations. is not Ayutthaya or 'Leviathan' DLC is not active.One of the biggest benefits of such tributaries is that they take no aggressive expansion and act as safe harbours for one's fleet during wars (assuming they are not in the same war). Having an Eastern religion means Siam may have tributaries from which it can earn monarch power, ducats or manpower. A materially faster alternative is to form Siam starting as Lan Xang, a process which could take as little as 10 years, as it requires only five additional provinces three of which are required cores. Ayutthaya can form Siam with the mission Royal Absolutism if the Leviathan DLC is enabled, however, this takes exceptionally long - deep into the 1600s - as it requires development of 500 and absolutism of 75. Siam is a formable nation that can be formed by any nation is in the Siamese culture group. Royal Absolutism +1 Yearly legitimacy +1.0 Yearly absolutism Royal Poets +0.5 Yearly prestige −10% Idea costĪdvanced Elephant Warfare +15% Cavalry combat ability +1 Cavalry fireĮxperienced Ambassadors +2 Diplomatic reputationĮncourage Immigration −10% Development costĬonsolidation of the State −20% Diplomatic annexation cost Traditions: +10% Morale of armies +30% National manpower modifier

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