Recommendations: Data, Hazard Identification, and Analysis
Recommendation 14. The institution implements a process to report incidents and near misses so that the campus community can learn from these incidents.
Tools for Recommendation 14
Examples of whistle blowing, accident reporting, and near-miss reporting forms
Examples of lessons-learned websites at universities
Resources to help guide the development of a near-miss reporting system
- OSHA's Safety & Health Management Systems eTool provides guidance on Incident Investigations.
Available at OSHA.
- Orr, M. F., Sloop, S., & Wu, J. (1999). Acute chemical incidents surveillance—Hazardous Substances Emergency Events Surveillance, nine states, 1999–2008. CDC.
Available at CDC.
- Strauch, B. (2015). Can we examine safety culture in accident investigations, or should we? Safety Science, 77, 102-111.
Available at Science Direct.
- U.S. Chemical Safety and Hazard Investigation Board (2010). Texas Tech University: Laboratory Explosion.
Available at CSB.
- Hendershot, D. C. (2015). Do we recognize “near misses”? Journal of Chemical Health and Safety, 22(4), 38-39.
Available at Science Direct.
Comparison of Recommendation 14 with other key resources
- From Safe Science: Promoting a Culture of Safety in Academic Chemical Research (NRC, 2014):
- Recommendation 7: Organizations should incorporate non-punitive incidents and near-miss reporting as part of their safety cultures. The American Chemical Society, Association of American Universities, Association of Public and Land-grant Universities, and American Council on Education should work together to establish and maintain an anonymous reporting system, building on industry efforts, for centralizing the collection of information about and lessons learned from incidents and near misses in academic laboratories, and linking these data to the scientific literature. Department chairs and university leadership should incorporate the use of this system into their safety planning. Principal investigators should require their students to utilize this system.
- From Creating Safety Cultures in Academic Institutions (ACS, 2012):
- Recommendation 10. Establish and maintain an Incident Reporting System, and Incident Investigation System, and an incident Database that should include not only employees, but also-graduate students, postdoctoral scholars, and other nonemployees.
- Recommendation 12. Publish or share the stories of incidents and the lessons learned (case studies) to your institution’s Web site, a public Web site, or an appropriate journal where students and colleagues from other institutions may also use these as case studies for learning more about safety.
- From Texas Tech Laboratory Explosion Case Study (CSB, 2010):
- Key Lesson 6. Near -misses and previous incidents provide opportunities for education and improvement only if they are documented, tracked, and communicated to drive safety change.
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