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The aim of good incident investigation is to
establish the sequence of events that ACTUALLY took place and
resulted in the damage or loss so that you can compare this with the
sequence of events that SHOULD have taken place
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Objectively and
collectively identify all contributing causes.
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Collect
information.
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Analyses data to
identify contributory factors.
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Determine the
root/real cause of events.
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Design appropriate
action plan to prevent further losses.
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Create ownership
amongst employees.
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Demonstrate that the
company is concerned about SHE. |