The North P&I Club has issued a loss prevention briefing including all important issues to take into consideration for a proper incident investigation. The Club analyses how to conduct an investigation; to collect and preserve the evidence; to examine data and find probable cause and also how to use data to identify trends.
In particular, it is noted that, fundamentally, the investigation should establish:
- who was involved
- what happened
- why did it happen
Quite often the first decision to be made is if the investigation is actually needed. If it is to be conducted, it should be initiated as soon as possible, following an incident. For example, witness statements must be taken as soon as possible, as:
- Memories fade
- People’s versions of events may change after they discuss it with others
- Contemporaneous evidence carries more weight in court law
As for the collection of evidence, the simple process on managing the evidence is:
- Collect: Gather physical or documentary or electronic evidence and witness statements
- Preserve: Ensure evidence remains protected
- Record: Maintain a record of the items of evidence
The main type of evidence is documentary (paper and electronic), while other evidence will depend on the type of the incident.
Regarding the analysis, this is only as good as the information collected. There is no right way to analyze, but the key is to dig deep enough to identify the causes. A common mistake is to identify what is known as the “immediate” cause and go no further.
It is also vital to identify casual factors and preconditions, as the events leading to an incident are rarely simple.
After identifying the root causes, North suggests that the next step is to consider how to prevent it. Once agreed, the recommendations should be distributed across the full company fleet, so everyone can learn from the incident. Furthermore, there must be a system of follow-up and closing-out to ensure the recommendations are implemented.
Detailed information may be found in the following report:
Source: North of England P&I Club