Incident Analysis

RiskPro consultants have been trained in the ICAM (Incident Cause Analysis Method) application of investigation and analysis. ICAM is a systematic safety investigation analysis method which aims to identify local factors (root causes) and failures within the broader organisation and productive system (eg. communication, training, operating procedures, incompatible goals, organisational culture, equipment, etc) which contribute to the incident. Through this analysis of incident information, factual causes are identified enabling qualified recommendations for improvement and prevention.

The initial collection of data (analysis of findings) is generally divided into five (5) main areas:

1. People;
2. Environment;
3. Equipment;
4. Procedures; and
5. Organisation.

Conditions, actions or deficiencies in each of these five main areas are examined for their potential as contributing factors to the subsequent incident. Information generated from this process of the investigation (analysis of findings) is then transferred, classified and charted into one of the following five (5) contributory levels:

1. Organisational Factors (OFTs);
2. Task/Environmental Conditions;
3. Individual/Team Actions;
4. Absent or Failed Defences; and/or
5. Non-Contributory Facts.

The next incident analysis step classifies system failures into Organisational Factor Types (OFTs). These factors could potentially produce the conditions that affect or direct performance. This investigation process analyses the interaction of the local conditions combined with the organisational factors. ICAM classifies OFTs as per the table below.

RiskPro provide clear and comprehensive reports with recommendations for improvement and prevention.

HW Hardware Selection, quality, availability and position in life-cycle of tools, equipment and components
TR Training Provision of the correct knowledge and skills for persons undertaking the task
OR Organisation Structure of responsibility and accountability
CO Communication Communication mechanisms and transparency 
IG Incompatible Goals Relationship or conflict between production, safety, planning and/or economic goals 
PR Procedures Accurate, understandable procedures which are known and used 
MM Maintenance Management Maintenance system involving planning, resourcing and type of maintenance
DE Design Plant, equipment, building, layout design
RM  Risk Management Systematic application of processes/procedures and methods for identifying and analysing risk
MC Management of Change Systematic assessment and application of change 
CM Contractor Management Evaluation, selection, retention and monitoring of contracted services