In the case of a fall or near-miss incident, the fall protection administrator should appoint a competent or qualified person to conduct an incident investigation. The investigation will help determine if the fall protection program has established the appropriate control method for a given hazard, if the training is adequate, and what improvements are needed to ensure such an incident does not reoccur.
Systems of root-cause analysis help identify the underlying causes of incidents and are valuable for determining what corrective measure should be taken as a result of hte lessons learned. Many times, the result of an incident investigation is that worker error is identified as the main contributing factor. When root-cause analysis is used, multiple underlying causes are usually uncovered.
See “Introduction to Fall Protection, 4th Edition” page 406.
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