a. Who
- was injured?
- saw the incident? (Injury)
- was working with him/her?
- had instructed, trained, assigned the affected person/
- else was involved?
- Can help prevent the re-occurrence?
b. What
- was the incident?
- was the injury/illness?
- was being done at time of injury or incident?
- were they told to do so?
- tools were being used?
- machinery was involved?
- operation was being performed?
- instruction had been given?
- precautions were given?
- precautions were necessary?
- PPE was used or should have been used?
- did other do to contribute to the incident?
- problems or questions was encountered?
- did the employee and others do after the incident?
- did witnesses see?
- will be done to prevent re-occurrences.
- safety rules or procedures were violated?
- safety rules or procedures were lacking?
- safety rules or procedures were needed?
- additional training should be included?
c. When
- did the injury or incident occur?
- did the employee begin the task?
- was the employee assigned to the task?
- were the hazard or risk pointed out to the employee?
- did the supervisor last check on the employee’s progress?
- did the employee last notice that something is wrong?
- was appropriate training provided?
- was a risk assessment done?
d. Why
- was the employee injured?
- did the employee behave that way?
- did other persons behave that way?
- was PPE not used?
- were specific instructions not given to the employee?
- was the employee in that position/place?
- was the employee using that machine or tool(s)?
- did the employee not check with the supervisor?
- did the employee continue working under the circumstance?
- was the employee allowed to continue working?
- wasn’t the supervisor there at the time?
e. Where
- did the injury or incident occur?
- was the employee at the time of the incident?
- was the supervisor at the time of the incident?
- were co-workers at the time of the incident?
- were other persons involved at the time?
- were the witnesses when the incident occurred?
- else does this or a similar condition exist?
f. How
- was the employee injured?
- could the injury/illness have been avoided?
- could co-workers avoid similar injury/illness?
- could the supervisor have prevented the injury/illness?
Source; The South African Labour Guide