Incident Investigation & Reporting

Day 1: Introduction to Incident Investigation

• Session 1: Importance of Incident Investigation

  • Why incidents need to be investigated.

  • Overview of regulatory requirements.

  • Key terms and definitions.

• Session 2: Legal and Regulatory Framework

  • National and international standards.

  • Legal implications of incident reporting.

• Session 3: Types of Incidents to Report

  • Near misses, minor, major incidents, and accidents.

  • What incidents require reporting and investigation?

Day 2: Investigation Process

• Session 1: Planning and Preparation

  • Initial steps after an incident occurs.

  • Forming an investigation team.

• Session 2: Evidence Collection and Preservation

  • Gathering physical evidence and interviewing witnesses.

  • Handling sensitive information.

• Session 3: Data Collection Techniques

  • Documenting the scene: Photos, sketches, and notes.

  • Utilizing technology for evidence collection (CCTV, etc.).

Day 3: Root Cause Analysis

• Session 1: Introduction to Root Cause Analysis (RCA)

  • Defining root cause and its importance.

  • Difference between root cause and immediate cause.

• Session 2: Techniques for Root Cause Analysis

  • 5 Whys method.

  • Fishbone (Ishikawa) diagram.

  • Fault Tree Analysis (FTA).

• Session 3: Conducting an Effective RCA

  • Practical examples and case studies.

  • Interactive group activities.

Day 4: Writing the Incident Report

• Session 1: Structure of an Incident Report

  • Key sections: Introduction, incident description, findings, recommendations.

  • Writing in a clear, objective manner.

• Session 2: Common Mistakes in Reporting

  • Avoiding bias, assumptions, and omissions.

• Session 3: Practical Report Writing

  • Writing workshop: Drafting a sample report based on a case study.

Day 5: Corrective Actions and Post-Investigation Activities

• Session 1: Developing Corrective and Preventive Actions (CAPA)

  • How to ensure incidents are not repeated.

  • Monitoring and follow-up on corrective actions.

• Session 2: Communicating Investigation Findings

  • Reporting to management and regulatory authorities.

  • Sharing lessons learned across the organization.

• Session 3: Review and Final Assessment

  • Participants present their case study investigations and reports.

  • Feedback and Q&A session.