Initial Incident Checklist (click here to download)

The goal of any safety program is to identify and control hazards in the workplace before they can cause an incident.  Unfortunately we cannot safeguard everything and incidents do occur.  When an incident occurs it will be investigated and using the facts and evidence surrounding the incident corrective actions recommended and then acted upon.

Section 7.4(5)(1) of the Workplace Safety and Health Act requires a procedure for the investigation of accidents, dangerous occurrences and refusals to work under Section 43 of the Act.

Accidents and incidents are investigated:

  1. To ensure the health and safety of teachers, support staff, students and visitors in our facilities.
  2. To identify the cause and occurrence of the accident.
  3. To provide data for making recommendations for changes to equipment and procedure.
  4. To prevent further accidents or incidents and improve the HSD Safety Program.
  5. To meet legislative requirements.

All accidents or near misses shall be investigated and all appropriate reports be filled out and given to appropriate supervisors.  Incidents include the following:

  1. Personal injury
  2. Occupational illness
  3. Fire/explosion
  4. Property and equipment damage
  5. Environmental damage
  6. Near miss incidents

A serious incident must be reported immediately to WSH (204-945-3446) and the Division.

The Workplace Safety and Health Regulation, M.R. 217/2006, Part 2 General Duties, section 2.6 defines a serious incident as one:

  1. In which a worker / student is killed;
  2. In which a worker / student suffers:
    1. An injury resulting from electrical contact,
    2. Unconsciousness as the result of a concussion,
    3. A fracture of his or her skull, spine, pelvis, arm, leg, hand or foot,
    4. Amputation of an arm, leg, hand, foot, finger or toe,
    5. Third degree burns,
    6. Permanent or temporary loss of sight,
    7. A cut or laceration that requires medical treatment at a hospital,
    8. Asphyxiation or poisoning; or
    9. The collapse or structural failure of a building, structure, crane, hoist, lift, temporary support system or excavation,
    10. An explosion, fire or flood, an uncontrolled spill or escape of a hazardous substance, or
    11. The failure of an atmosphere-supplying respirator.

Who is involved in Investigating Workplace Incidents?

For the investigation of an incident:

  1. A school administrator / department supervisor – employer representative
  2. The building’s WSH representative – employee representative
  3. A member of the school’s crisis response team / first responder (optional)
  4. A divisional WSH Committee Administration Representative

Eight Steps of an Incident Investigation

  1. Preparation
  2. Visiting the Scene
  3. Information Gathering (Interviews/Statements)
  4. Examination of Physical Evidence (Gather and record the facts/evidence)
  5. Analyzing the Evidence (Evaluate the facts and draw conclusions)
  6. Recommending Corrective Action
  7. Preparing the Report
  8. Follow-up

Incidents Investigation

  1. The first person at the scene contacts the workplace supervisor or designate immediately. Crisis team members provide first aid and contact required emergency services.
  2. The workplace supervisor contacts appropriate divisional supervisor and Safety Program Coordinator – then reports to the Workplace Safety and Health Division (Manitoba Labour and Immigration).
    1. A Safety and Health Officer is on duty 24 hours each day of the week to respond to emergency calls.
    2. To report a serious incident, the workplace supervisor calls 945-3446, and provides the following information:
    3. The name and address of each person involved in the incident;
    4. The name and address of the employer (HSD), or any other employers involved;
    5. The name and address of each person who witnessed the incident;
    6. The date, time and location of the incident;
    7. The apparent cause of the incident and the circumstances that gave rise to it.
  3. The HSD Safety Program Coordinator and appropriate divisional supervisor determine the scope of the investigation,involving divisional co-chairs, divisional committee members, workplace representatives, department safety officers and “experts” as required.
    1. Manitoba Regulation 217/2006, section 2.8, requires that nothing (equipment or materials) involved in a serious incident may be altered or moved, unless it is necessary to free and injured or trapped person or to avoid creating additional hazards.  Where possible, pictures are to be taken of the area.
    2. The following serious incidents are to be reported:
        1. When electrical contact results in a worker(s) being transported to hospital.
        2. When burns result in a worker(s) being transported to hospital.
        3. When a fire or flood results in a worker(s) injury.
        4. When failure of an atmosphere-supplying respirator results in a worker(s) injury.
    1. The following incidents are not required to be reported to WSH, but are required to be reported to the office and appropriately documented:
        1. When a student is violent towards another student(s).
        2. When a student is violent towards an instructor(s) or other school staff.
        3. When there is an injury from playground equipment.
        4. When there is an injury/injuries in a gymnasium or other recreational activities (sports).
        5. When there is a slip and fall injury outside the school.
  4. The HSD Safety Program Coordinator completes an injury/incident report in consultation with those involved in the investigation.  This report is submitted to the HSD WSH Committee for review and recommendations.  A report may also be made to the Department of Labour, WSH Division or included in the minutes of the HSD WSH Committee Meeting and forwarded to the WSH Division.
  5. Remedial Action will be taken as soon as possible to repair or replace faulty equipment or modify procedure to ensure the accident/incident won’t happen again.
  6. The HSD WSH Committee will consider education and training in appropriate areas to address concerns coming out of the report.

Incident Investigation Summary Report

  1. The school administrator / worksite supervisor is responsible for ensuring that all incidents are investigated and reported.
  2. The school administrator is responsible for reporting all minor and serious incidents to the appropriate contacts:
    1. Minor Incident – HED Insurance
    2. Serious Incident – Workplace Safety and Health
  3. The school administrator, Workplace Safety and Health representative, and designated committee members, will conduct the incident investigation.
  4. The incident Investigation Summary Report will be completed and kept on file in the office.  A copy of all incidents reported will be sent to the HSD Safety Program Coordinator.  The following information will be included on the report:
    1. Date and Time of Incident
    2. Investigating Committee Members
    3. Particulars
      1. Injured person’s general information
      2. Location of incident
      3. Supervisor
      4. First Aid / Emergency Assistance
    4. Description of incident
      1. Evidence
      2. Sketch of incident scene
      3. Physical evidence
      4. Photo evidence
      5. Persons with information – statement summary
    5. Incident Causation
    6. Direct cause
      1. Indirect causes
    7. Corrective Action
      1. Immediate corrective actions to prevent recurrence
      2. Target date for corrective action
      3. Long term solutions
    8. Signatures