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What role should security personnel play in incident analysis?

2009-03-27View Original

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Recently, there have been several instances of pipeline blockages in the company, so management has asked us to conduct a safety investigation to determine whether the cause of these incidents lies in deficiencies in the operating procedures or in violations of those procedures during operation. Since the incidents all occurred during night shifts, and there were no eyewitnesses, only physical evidence (the items retrieved after the pipelines became blocked) was available. So it is difficult to investigate the cause of the incident clearly. I have a few questions: 1. What role should security personnel play in this process? Is it leading the incident investigation? Should I still cooperate with the production department’s investigation and provide feedback? Should I supervise the production investigation or review the investigation report? 2. For such incidents whose causes are difficult to determine, how can we prevent them from occurring again until the true cause is identified? 3. If it is ultimately determined that there were violations during the operation, how should responsibility be assigned? Since there might be issues with several flights in between, should the responsibility be shared among all those flights, or should it fall on the last flight? I hope experts can give me some advice! Thank you!
Reply #22009-03-27
1. Regarding the first question, it is necessary to refer to the company’s rules and regulations, including how departmental responsibilities are defined. However, according to the Provisions on the Reporting and Handling of Work-related Injuries and Deaths in Enterprises (now repealed), Chapter 3 on Accident Investigation, Article 9 states that for cases of minor or serious injuries, the company’s management or a person designated by them shall organize an accident investigation team consisting of personnel from production, technology, safety, and other relevant departments, as well as union members, to carry out the investigation. 2. For such incidents for which it is difficult to identify the cause, efforts should be made to determine it – could it be a pipeline blockage? The cause might lie in various factors such as raw materials, equipment, processes, or operating procedures. Possible causes should be eliminated one by one, and if the cause cannot be determined, appropriate preventive measures should be taken ; 3. If there are indeed problems during the operation, the responsibility of the relevant managers shall be held first.
Reply #32009-03-27
My previous employer was a manufacturing company where accident reports were prepared, and the safety department was responsible for overseeing and reviewing them
Reply #42009-03-27
The accident tree analysis method used by DuPont in accident investigations is recommended
Reply #52009-03-27
1. In my opinion, the security department is still responsible for oversight; you are part of the management team, and you may not be as knowledgeable about the manufacturing processes as those on the production line – nor do you necessarily have a better understanding of what’s going on there. Draw conclusions based on their findings, along with some experience and knowledge. If you have to take care of everything related to security, then how many people are there in your security department? How can they keep up with it? ; Make use of the safety officers in the workshops and teams to carry out supervision as well; keep a close eye on them. 2. Propose preventive measures and ensure their effective implementation.
Reply #62009-03-27
1. Safety personnel should be responsible for supervising production investigations and reviewing the investigation reports during this process. Since the issue relates to safety, it is a security risk. Such safety hazards should be well understood by the production and process departments. Therefore, security agencies should play a role in supervising and auditing. 2. Analyze the potential dangerous consequences of pipeline blockages and develop emergency response plans. If it’s serious, I’m afraid we’ll have to ask management to halt production for investigation. 3. It is presumed that there were violations during the operation; it seems to be merely a presumption or inference, as there is insufficient evidence. In that case, use all the teams; we can be a bit stricter with the last team! The specific details are unclear; for reference only! Looking forward to hearing the insights of experts!
Reply #72009-03-27
The accident investigation is the responsibility of the directly involved department; the safety department merely participates in it at most. Since this is a process-related accident, it would be best for technicians from the production department to get involved, with the safety department observing only
Reply #82009-03-27
Personally, I feel that in Chinese companies, the status of safety personnel is rather awkward. Although everyone claims to place importance on safety, these employees are often not given much attention, and their opinions carry little weight (compared to those in areas such as manufacturing processes or equipment)
Reply #92009-03-27
I. What role should security personnel play in this process? Is it leading the incident investigation? Should I still cooperate with the production department’s investigation and provide feedback? Should I supervise the production investigation or review the investigation report? According to Article 19 of the Regulations on the Reporting, Investigation, and Handling of Production Safety Accidents, issued by Decree No. 493 of the State Council of the People’s Republic of China... for minor accidents that do not result in any casualties, the county-level people’s government may also entrust the entity where the accident occurred to organize an accident investigation team to conduct the investigation. Article 24: The head of the accident investigation team shall be appointed by the people’s ** responsible for the accident investigation. The head of the accident investigation team oversees the work of the team. And \"the management asked us to conduct a safety investigation,\" so your company’s management has assigned the responsibility for investigating this incident to the safety department; although it is a production-related accident, the production department and the technical department can only serve as members of the investigation team. II. For such incidents for which it is difficult to identify the cause, how can we prevent them from occurring again until the true cause is found? Since the previous version did not describe the consequences of pipeline blockages when outlining the accident, it is proposed to analyze the situation based on two possible outcomes: 1. Pipeline blockages could lead to serious consequences such as system overpressure explosions and casualties (although such consequences were not observed in these incidents). In such cases, it is recommended to shut down the system immediately, and resume operation only after identifying the cause of the accident and taking preventive measures ; 2. A blockage in the pipeline may cause some systems to stop operating and become overfilled, but it will not lead to serious consequences such as combustion explosions or casualties. In such cases, if technicians are unable to determine the cause of the incident from the original operation records, it is recommended to assign technicians to stay on duty and investigate the cause based on the actual production conditions before taking appropriate preventive measures. Furthermore, based on the details provided in the super edition, such as \"there have been several pipeline blockages at the company recently\" and \"these incidents all occurred during night shifts\", I conclude that your company operates on a continuous production basis. The cause of these accidents is most likely improper operation by the staff; if there were problems with the operating procedures, such accidents should occur frequently. Another possibility is that large temperature differences during nighttime lead to pipeline blockages. III. If it is ultimately determined that there were violations during the operation, how should responsibility be assigned? Since there might be issues with several flights in between, should the responsibility be shared among all those flights, or should it fall on the last flight? The recommended approach for handling such incidents is to focus on the team where the accident occurred, for the following reasons: 1. Unclear handover between shifts ; 2. Failure to operate in accordance with procedures properly during shift duty ; 3. Potential hazards were not identified and eliminated in a timely manner. 4. Handling only one shift can improve the quality of handover inspections in the future. Finally, it is recommended to deal with the workshop managers responsible for the accident as well, on the grounds that \"there have been several instances of pipeline blockages\"; yet the workshop failed to pay attention when the accident first occurred and continued production without investigating the cause of the accident or taking appropriate preventive measures. This post was last edited by lyhh9024 on 2009-3-27 21:01.]
Reply #102009-03-27
Let me share my views as well: 1. What role should security personnel play in this process? Is it leading the incident investigation? Should I still cooperate with the production department’s investigation and provide feedback? Should I supervise the production investigation or review the investigation report? There should be many types of accidents in a company: production process accidents, equipment failures, fire accidents, safety incidents, environmental accidents, and so on. Companies should assign different competent departments the responsibility for investigating and analyzing these various accidents. According to the accident described in the revised version, it should be classified as a production operation accident; the production department (or the workshop where it occurred) is responsible for investigating and analyzing it, with the safety management department participating in the investigation and analysis to provide its insights. It can be said that the safety management department is on an equal footing with the production departments, equipment departments, and fire protection departments; it can only participate and cooperate, but not supervise or audit. Supervision and review can only be carried out by the company’s vice president in charge. 2. For such incidents whose causes are difficult to determine, how can we prevent them from occurring again until the true cause is identified? After such an accident occurs, the authority responsible for handling accidents should analyze it based on various factors that could have led to the accident. Any factor that could lead to such an accident must be given attention; preventive measures must be put in place, and issues must be resolved promptly, so as to avoid the recurrence of similar accidents as much as possible. 3. If it is ultimately determined that there were violations during the operation, how should responsibility be assigned? Since there might be issues with several flights in between, should the responsibility be shared among all those flights, or should it fall on the last flight? The investigation into the cause of the accident must be thorough, ensuring that no responsible party is overlooked. If it is presumed to be an operational violation, then the violator must be punished, regardless of the reason. Whenever responsibility is involved, one must assume a certain degree of responsibility. Of course, if it’s a matter of several shifts, then each shift has its responsibility, and that responsibility must be shared equally. Of course, neither the team nor the production workshop can evade their responsibilities for supervision and management. Why, with so many accidents having occurred, is no attention still being paid, and why can’t they be properly investigated and analyzed? The above are merely my personal opinions!

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