Safety Incident Rubric HR

In our commitment to fostering a safe workplace, this Safety Incident Rubric serves as a comprehensive guide for evaluating and addressing incidents. By utilizing standardized criteria, we aim to consistently assess the nature and severity of incidents, facilitating prompt and effective responses to ensure the well-being of our employees.

Category 1: Incident Severity

1.1 Severity Level

Minor (No injuries or near misses, minimal property damage)
Moderate (Minor injuries, moderate property damage)
Major (Serious injuries, significant property damage)
Critical (Life-threatening injuries, catastrophic property damage)

1.2 Impact on Operations

No Impact (No disruption to operations)
Low Impact (Minor disruption, easily manageable)
Moderate Impact (Partial disruption, requires intervention)
High Impact (Severe disruption, significant loss)

Category 2: Root Cause Analysis

2.1 Immediate Cause

Human Error
Equipment Failure
Unsafe Conditions
Unknown

2.2 Contributing Factors

Lack of Training
Inadequate Equipment Maintenance
Inadequate Safety Procedures
Communication Breakdown
Other (Specify): _______________

Category 3: Incident Response

3.1 Initial Reporting

Timely (Reported promptly)
Delayed (Not reported immediately)

3.2 Documentation

Comprehensive (Detailed incident report)
Incomplete (Key details missing)

3.3 Corrective Actions

Immediate Corrective Action Taken
Corrective Action Planned
No Corrective Action Taken

Category 4: Employee Involvement

4.1 Employee Compliance

Employee followed safety procedures
Employee violated safety procedures
Employee not trained in safety procedures

4.2 Employee Reporting

The employee reported the incident
The employee did not report the incident
Employees afraid to report the incident

Category 5: Communication and Follow-Up

5.1 Notification

All relevant parties notified
Incomplete notification

5.2 Follow-Up

Investigation completed
Investigation pending

Category 6: Preventive Measures

6.1 Preventive Actions

Immediate preventive measures taken
Preventive actions planned

6.2 Training and Awareness

Additional training provided
Training plan developed

Category 7: Compliance and Accountability

7.1 Compliance with Policies

Incident handled in accordance with policies
Policy violation identified

7.2 Accountability

Accountability determined
No accountability established

Category 8: Recommendations and Lessons Learned

8.1 Recommendations

Recommendations for improvement made
No recommendations provided

8.2 Lessons Learned

Lessons learned documented
No lessons learned identified

Overall Assessment:

Incident Closed
Incident Under Review
Further Investigation Required
Escalation to Legal/Authorities

Additional Comments:

Confidentiality Note:

The information contained in this Safety Incident Rubric is confidential and intended solely for internal use within [Your Company Name]. It is essential that all personnel reviewing this document adhere to strict confidentiality guidelines and not disclose any incident-related information to individuals or entities outside of the organization, except as required by law or authorized by the appropriate authorities.

Unauthorized distribution, sharing, or discussion of this information may compromise the integrity of our incident response process, infringe upon privacy rights, and violate applicable laws and regulations.

All HR professionals, managers, and employees entrusted with access to this document are expected to exercise the utmost discretion in handling and safeguarding this sensitive information.

By accessing or using this document, you acknowledge your understanding of the confidentiality requirements and your commitment to upholding the principles of confidentiality outlined herein.

[Your Company Name]

October 04, 2056