This Injury Review Toolkit contains some tools to aid the Occupational Injury & Illness Review team members. Read about the investigation team roles, how data is gathered, conducting an ISM analysis. They may be formally used as part of the review’s formal documentation or simply used as reference guidance. Documenting corrective actions can be made through the CHESS system. As a starting point, review the Berkeley Lab Injury Investigation Tips and Lines of Inquiry.
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Investigation Team Roles and Positions
|
Role |
Permissions |
| Lead Investigator [DSC typically included as a lead for divisional investigations] |
Lead Investigators have read-write permissions to an investigation and have permission to:
|
| Investigator | Investigators have read-write permissions to an investigation. Investigators have access to add and edit: Data Gathering items, ISM Analysis items, and File Attachments. An Investigator can also edit the Causal Factors and the Summary & Conclusions section. |
| Approver (typically includes supervisor, DSC) |
Approvers have read-only access to an investigation AND are required to sign off before this investigation can be marked as complete. (To allow an approver write access, they must also be checked as an investigator |
| Viewer (typically division senior management) |
A Viewer has read-only access to an investigation. They are not sent notifications from the investigations, but do have access to the investigation. |
Note: The Date Notified (invited to participate in the investigation) field will be populated by the system when the individual has been sent an investigation notification. If this field is blank, the individual has not been sent a notification
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Data Gathering
Fact finding and assembling the relevant and pertinent information about people, events, conditions, equipment, materials and work processes is essential to determining why an event occurred. These guides listed below can be used for documenting data or simply as a review guide for investigation team members.
| Personnel | Equipment |
| Time | Ergonomics |
| Location and Space | Human Factors |
| Activity | Slips, Trips, and Falls |
| Hazards | |
| Work Authorization |
ISM Analysis
The list below provides several resources to describe applying ISM principles as part of the injury and illness review. This information is also described in the institutional ISM Plan, PUB 3140.
- ISM Matrix
- Outlines the relationship of the Guiding Principles and Core Functions of ISM to the general cycle of work performance at LBNL.
- ISM Wheel
- This ISM Wheel is visual aid to help the investigation team map and relate the ISM Guiding Principles and Core Functions to the events leading to an injury.
- ISM Builder
- The interactive ISM Builder tool (.xls) helps the investigation team associate direct, contributing and root causes to the ISM Guiding Principles and Core Functions.
- Examples of the ISM Builder are provided for additional reference.
Corrective Actions
Corrective Actions are designed to identify and eliminate the causes of a problem to prevent recurrences of similar incidents. These are documented in the CHESS System. The LBNL Office of Contract Assurance has developed an on-line training class (BLI2010 – Corrective Action Development) to help employees design more effective corrective actions in response to identified issues.
SMART (corrective action development)
S = Specific
M = Measureable
A = Accountable
R = Reasonable
T = Timely
