Lawrence Berkeley National Laboratory masthead Search Jobs Phone Book U.S. Department of Energy logo Berkeley Lab masthead A-Z Index

Occupational Injury and Illness Review

Paul Alivisatos photo

Lab Director Paul Alivisatos shares guiding principles to be used during incident anlayses.

This tutorial introduces the LBNL Injury Review Program and provides a 'toolkit' that to help you in the injury review process.  The tool kit  includes tools for data gathering, ISM analysis, and corrective action development.

LBNL employees must report report all work-related injuries or illnesses to their supervisor and Health Services.  A work-related injury  (or illness) means that the injury occurred either at a LBNL facility or while conducting LBNL related activities elsewhere.

LBNL reviews all work-related injuries or illnesses.

LBNL expectations for reporting and reviewing work related injuries and illnesses are based on the need to assure that:

  • Appropriate health care is provided in response to an injury (or illness)
  • Cause of injury is determined
  • Measures are implemented that will prevent or reduce the likelihood of recurrence
  • Skip the Tutorial and take me directly to the tool kit

    Injury Review Process

    LBNL work related injury and illness reviews are conducted under the direction of the Environment, Safety, Health, and Security Division's Injury Review Program (see PUB 3000, Ch. 5.1).

    Injury review is directed by the Injury Review Program Manager.

    Injury review is a collaborative effort on the part of the Injury Review Program; Health Services; and division line management (typically through the division Safety Coordinator), work lead, employee, and subject matter experts.

    Each review is tailored to the nature of an event and is responsive to the individual safety management needs of involved divisions.  Injury review does not look for or assign fault.  The intent is to determine how injuries will be prevented in the future.

    An injury review consists of:

  • Investigation
  • Analysis of data
  • Identification of causal factors
  • Corrective actions
  • Report
  • investigation timeline

    Investigation

    Factual information about equipment, materials, location,  conditions and personnel is harvested under neutral perspective.

    Analysis of Data

    The information is processed and analyzed to determine what caused the injury or illness.  Some investigators are trained in the application of specialized causal analysis techniques and will be assigned to an investigation when this is required.   Further information on causal analysis at LBNL can be found in PUB 5519-2.

    ISM Analysis

    Maximum improvement in LBNL systems and work performance is achieved when the root causes of an injury are related to weaknesses in the integration of safety management with the work performed.  The ISM analysis relates the causal factors to improvements that may be made in management of our work at the institutional and division levels.

    Corrective Actions

    Corrective actions are proposed that will be effective in preventing or reducing the likelihood or recurrence of the injury.

    Investigation Report

    A report is prepared to document and communicate the investigation information, findings and corrective actions.

    Injury Review Tool Kit

    Some tools are provided to aid the review team members.  They may be formally used as part of the review’s formal documentation or simply used as reference guidance.

    To go directly to one of the tools use the hyperlinked index below.

    TOOLS

    Investigation and Data Gathering

    • Personnel • Work Authorization
    • Time • Equipment
    • Location and Space • Human Factors
    • Activity • Slips, Trips, and Falls
    • Hazards • Ergonomics

    ISM Analysis

    ISM at LBNL

    ISM Flow

    ISM Chart

    "ISM Builder" (helps relate ISM to identified causal factors)

    Corrective Action Development

    SMARTER  Assistant