BOS 4601, Accident Investigation Course Syllabus. Course Description. Course Textbook. Course Learning Objectives. Credits.

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1 Course Syllabus Course Description Study of integrating accident or near miss investigations as an effective, practical, and even a profitable, management tool. Incorporates systematic, procedural, determinative, and corrective applications for investigative accident management. Course Textbook Oakley, J. S. (2012). Accident investigation techniques: Basic theories, analytical methods, and applications (2nd ed.). Des Plaines, IL: American Society of Safety Engineers. Course Learning Objectives Upon completion of this course, students should be able to: 1. Identify and discuss the purpose and value of accident investigation. 2. Recognize how management systems impact worker safety and accidents. 3. Identify techniques used and discuss the investigative or data gathering phase of accident investigation. 4. Discuss the need for planning and how to plan for investigating accidents. 5. Identify and describe specific analytical processes commonly used in accident investigation to include 'Event and causal factors analysis'. 6. Construct an 'Events and Causal Factors Chart'. 7. Identify and describe the theoretical fundamentals of Root Cause Analysis. 8. Identify and describe tree analysis techniques and how they apply to accident analysis and hazard prevention. 9. Identify and describe how corrective actions are generated from the accident analysis process. 10. Identify, describe, and apply the fundamentals and importance of follow-up in relation to corrective action implementation. 11. Apply accident investigation techniques in evaluating complex accident investigation scenarios and findings. Credits Upon completion of this course, the students will earn three (3) hours of college credit. Course Structure 1. Unit Learning Objectives: Each unit contains Unit Learning Objectives that specify the measurable skills and knowledge students should gain upon completion of the unit. 2. Unit Lesson: Each unit contains a Written Lecture, which discusses lesson material. 3. Reading Assignments: Each unit contains Reading Assignments from one or more chapters from the textbook. 4. Key Terms: Key Terms are intended to guide students in their course of study. Students should pay particular attention to Key Terms as they represent important concepts within the unit material and reading. 5. Learning Activities (Non-Graded): These non-graded Learning Activities are provided in Units I, III, V, and VII to aid students in their course of study. 6. Unit Assessments: This course contains eight Unit Assessments, one to be completed at the end of each unit. Assessments are composed of written response questions. 7. Unit Assignments: Students are required to submit for grading Unit Assignments in Units II, IV, VI, and VIII. Specific information and instructions regarding these assignments are provided below. BOS 4601, Accident Investigation 1

2 8. Ask the Professor: This communication forum provides you with an opportunity to ask your professor general or course content related questions. 9. Student Break Room: This communication forum allows for casual conversation with your classmates. Unit Assignments Unit II Homework Assignment Who first came up with the domino theory? Discuss and give examples of the five labeled dominos within this theory. APA formatting is a necessity on your writing. Thus, the expectation is to have a title page, running header, page numbers, indented paragraphs, proper citations, typed in Times New Roman 12 point font, and a separate reference page. Unit IV Homework Assignment On January 2, 2013 at 5:34 am, the maintenance technician noticed a leak in the water pipe in the valve department. The valve has had a leak for four months, but because a maintenance request has not been submitted, the problem was not fixed. The maintenance technician was to about to clock out at 5:40 am and decided to leave a note for the first shift technician to mop up the area. At 5:53 am, an air horn was sounded for everyone to respond to an area. As workers arrived, they noted Bob lying in a pool of water. It was very obvious to everyone that Bob s leg was broken. An ambulance was called, and Bob was transported to the hospital. During the investigation, it was learned that the night maintenance technician had noted the water but decided to not clean the area immediately. The night maintenance technician left a note at the desk at 5:41 am and left. The morning maintenance technician was supposed to clock in at 5:40 am but had called his supervisor at 5:33 am to say that he was running late and would be there by 6 am. He also called and left a message for the morning maintenance technician saying that he was running 15 minutes late. The morning maintenance technician arrived at 5:53 am, heard the alert horns, and responded to the accident. Using one of the charts on Exhibit 7.1 and 7.6 in your textbook as examples, create an Events and Causal Factors Analysis Timeline of this incident. Useful hints: You are welcome to choose your own format; you may use PowerPoint, draw the chart by hand and scan it as a PDF, or use some other means. You could use your computer s paint application, for instance, or use Microsoft Word, and use parentheses for events (Event), square brackets for conditions [Conditions], and brackets for the accident [Accident], or some similar convention (such as color coding text). Whatever convention you choose to use, make sure you provide a key. Your chart will be graded on content, effort, and presentation. Also, keep in mind that if your chart is difficult to follow, you will lose points. It is expected that you use considerable effort on making your chart easy to understand and navigate. Also, keep in mind that this assignment is graded with a heavier weight than your standard unit assignments. Your chart may be abbreviated; that is, it does not have to be infinitely detailed, but the key sequence of events should be charted, as should the key conditions surrounding the event. The objective of this project is to provide you with an opportunity to practice with this important and very practical analytical tool. Unit VI Homework Assignment An employee complained to his manager in reference to a machine that he felt did not have the proper guarding. He complained that the guarding was not present and that the blade was fully exposed. The manager advised the employee that maintenance was aware of the issue but did not have the manpower currently to work on this particular issue and would get around to within a few days. The employee was advised to exercise extra caution while working on the machine and was given a pair of gloves. Moments later, the employee returned, and reported to the same manager that he just had a near miss and almost ran his hand into the exposed blade because he was not paying close attention. BOS 4601, Accident Investigation 2

3 The employee implored to the manager that this time it was a near miss, but next time, himself or someone else may lose a finger or a hand. What should the manager do at this point? What type of recommendations should be made to fix the problem? How should the manager track this problem to ensure that it is fixed? Unit VIII Homework Assignment On July 5, 1985, a 27-year-old sewer worker entered an underground pumping station (8' x 8' x 7') via a fixed ladder inside a three-foot diameter shaft. Although this was clearly a confined space, it was not marked as a designated confined space. Because the work crew had worked in the area several times without issues, they felt comfortable that they would be able to complete this task and could later meet the other crew at a bar for drinks after work. They were unaware that there was a procedure in place to isolate the work area and ensure that the pump had been bypassed. Thus, the transfer line that the worker was going to repair was still under pressure. As the worker began to remove the bolts, he noted some sewage coming from the bolt but continued on, as he did not want his co-workers to ridicule his apprehension. When the workers removed the bolts from an inspection plate that covered a check valve, the force of the waste water blew the inspection plate off, which allowed sewage to flood the chamber and trap one of the workers nearby. A co-worker, a supervisor, and a policeman attempted a rescue, and all three died. The first two deaths appeared to be due to drowning, and the latter two appeared to be due to asphyxiation as a result of inhalation of "sewer gas." Write a detailed report that you intend to discuss before an accident review board that answers the following questions: How could Job Safety Analysis have useful? What is the root cause of this accident? What are the contributing factors in this accident? Which events and causal factors analysis from chapter seven of the textbook would you apply? Why? What are your recommendations for corrective actions? APA Guidelines CSU requires that students use the APA style for papers and projects. Therefore, the APA rules for formatting, quoting, paraphrasing, citing, and listing of sources are to be followed. A document titled APA Guidelines Summary is available for you to download from the APA Guide Link, found in the Learning Resources area of the mycsu Student Portal. It may also be accessed from the Student Resources link on the Course Menu. This document provides links to several internet sites that provide comprehensive information on APA formatting, including examples and sample papers. Grading Rubrics This course utilizes analytic grading rubrics as tools for your professor in assigning grades for all learning activities. Each rubric serves as a guide that communicates the expectations of the learning activity and describes the criteria for each level of achievement. In addition, a rubric is a reference tool that lists evaluation criteria and can help you organize your efforts to meet the requirements of that learning activity. It is imperative for you to familiarize yourself with these rubrics because these are the primary tools your professor uses for assessing learning activities. Rubric categories include: (1) Assessment (Written Response) and (2) Assignment. However, it is possible that not all of the listed rubric types will be used in a single course (e.g., some courses may not have Assessments). The Assessment (Written Response) rubric can be found embedded in a link within the directions for each Unit Assessment. However, these rubrics will only be used when written-response questions appear within the Assessment. BOS 4601, Accident Investigation 3

4 Each Assignment type (e.g., article critique, case study, research paper) will have its own rubric. The Assignment rubrics are built into Blackboard, allowing students to review them prior to beginning the Assignment and again once the Assignment has been scored. This rubric can be accessed via the Assignment link located within the unit where it is to be submitted. Students may also access the rubric through the course menu by selecting Tools and then My Grades. Again, it is vitally important for you to become familiar with these rubrics because their application to your Assessments and Assignments is the method by which your instructor assigns all grades. Communication Forums These are non-graded discussion forums that allow you to communicate with your professor and other students. Participation in these discussion forums is encouraged, but not required. You can access these forums with the buttons in the Course Menu. Instructions for subscribing/unsubscribing to these forums are provided below. Once you have completed Unit VIII, you MUST unsubscribe from the forum; otherwise, you will continue to receive updates from the forum. You will not be able to unsubscribe after your course end date. Click here for instructions on how to subscribe/unsubscribe and post to the Communication Forums. Ask the Professor This communication forum provides you with an opportunity to ask your professor general or course content questions. Questions may focus on Blackboard locations of online course components, textbook or course content elaboration, additional guidance on assessment requirements, or general advice from other students. Questions that are specific in nature, such as inquiries regarding assessment/assignment grades or personal accommodation requests, are NOT to be posted on this forum. If you have questions, comments, or concerns of a nonpublic nature, please feel free to your professor. Responses to your post will be addressed or ed by the professor within 48 hours. Before posting, please ensure that you have read all relevant course documentation, including the syllabus, assessment/assignment instructions, faculty feedback, and other important information. Student Break Room This communication forum allows for casual conversation with your classmates. Communication on this forum should always maintain a standard of appropriateness and respect for your fellow classmates. This forum should NOT be used to share assessment answers. Grading Unit Assessments 10%) = 70% Unit Homework Assignments 7.5%) = 30% Total = 100% Course Schedule/Checklist (PLEASE PRINT) The following pages contain a printable Course Schedule to assist you through this course. By following this schedule, you will be assured that you will complete the course within the time allotted. BOS 4601, Accident Investigation 4

5 Course Schedule By following this schedule, you will be assured that you will complete the course within the time allotted. Please keep this schedule for reference as you progress through your course. Unit I Assessing your Safety-First Culture Learning Activities (Non-Graded): See Study Guide Chapter 1: What is An Accident Chapter 2: An Accident Happens: What Do You Do? How Long Do You It? Unit II The Accident Theory Chapter 3: A Short History of Accident Theory Chapter 4: Using the Analytical Approach to Investigate Accidents Unit III Organizing the Investigation Chapter 5: Investigative Techniques Chapter 6: The Analytical Process BOS 4601, Accident Investigation 5

6 Course Schedule Unit IV Investigative Techniques Chapter 7: Events and Causal Factors Analysis Chapter 8: Change Analysis Chapter 9: Barrier Analysis Unit V Investigative Techniques Chapter 10: Tree Analysis Chapter 11: Cause and Effect Analysis Chapter 12: Specialized and Computerized Techniques Unit VI Corrective Actions Chapter 13: Recommending Corrective Actions BOS 4601, Accident Investigation 6

7 Course Schedule Unit VII Reporting and Follow-up Chapter 14: Reporting and Follow-up Unit VIII Learning from Accidents Chapter 15: Learning from Accidents BOS 4601, Accident Investigation 7

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