Accident Investigation Objective outside analysis generating short- to long-term steps to understand and reduce future risk.
- ROSS provides an objective outside view to examine the accident, machinery operation, procedures, guarding, and safety controls.
- A root cause analysis will be provided looking at the various influences that resulted in the incident.
- ROSS can provide a variety of suggestions for improvement and next steps.
- Some short-term steps can usually be taken to get machinery back into operation without exposing personnel to additional hazards. This could include re-installing guards and procedural changes.
- Medium-term steps may be able to be implemented to begin reducing risk more systematically. Modifications to safety systems to improve their reliability due to issues found in integration or lack of safety-rated outputs, or additional guarding to remove existing gaps.
- Long-term steps may be required, such as a full risk assessment to truly understand the hazards and the remediation required to bring the machine into full compliance.
When an accident occurs on a machine, there can be many potential causes interacting. Having an objective outside viewpoint from a machine safety expert can be beneficial in finding the root cause without any internal company biases that may exist. By examining how procedures, personnel actions, guarding, and the safety system interact there are frequently shortcomings found in a few areas if not all. A holistic view of the accident can provide insight not only into how to improve the safety of that machine but also into potential issues that may exist systemically within the facility or corporation.