05/08/2026
π Incident Investigation (ICAM / 5 Whys Approach)
Incident investigation is the process of finding why an incident happened to prevent it from happening again. The goal is not to blame people, but to identify the root cause and improve workplace safety.
π 1. What Happened?
π Gather all the facts about the incident.
πΈ Take photos of the scene.
π₯ Interview witnesses and involved workers.
π Review permits, JSA, procedures, and records.
β° Establish the sequence of events (timeline).
π Identify who, what, where, and when.
π― Focus on facts, not assumptions.
β 2. Why? (5 Whys)
Ask "Why?" repeatedly until you reach the real cause.
Example:
β οΈ Worker slipped and fell.
β‘οΈ Why? The floor was wet.
β‘οΈ Why? Oil leaked from the machine.
β‘οΈ Why? The seal was damaged.
β‘οΈ Why? Preventive maintenance was overdue.
β‘οΈ Why? Maintenance schedule was not followed.
π― The goal is to uncover the underlying issueβnot just the immediate cause.
π³ 3. Root Cause (ICAM)
Identify the root cause, not just the obvious problem.
π§ Equipment Factors β Machine failure, damaged tools, poor maintenance.
π· Human Factors β Lack of training, fatigue, unsafe actions, poor communication.
π System Factors β Missing procedures, inadequate supervision, weak risk assessment.
π’ Organizational Factors β Poor safety culture, lack of resources, ineffective management.
π‘ Remember: Removing the root cause helps prevent repeat incidents.
β
4. Corrective Actions
Take immediate actions to fix the identified issues.
π οΈ Repair or replace faulty equipment.
π§ Remove hazards and make the area safe.
π Retrain workers if required.
π Update procedures or work instructions.
π Increase supervision where necessary.
π― Corrective actions address the causes found during the investigation.
π‘οΈ 5. Preventive Actions
Implement long-term improvements to stop similar incidents.
π
Improve inspection and maintenance programs.
π Update Risk Assessments and JSA.
π§° Improve engineering controls and safety systems.
π£οΈ Conduct Toolbox Talks and safety awareness training.
π Monitor corrective actions and review their effectiveness.