Accident Investigation Guide: 2005 Edition

Table of Contents

Chapter 1—Accident Investigation

• 1.1 Introduction
• 1.2 Authority
• 1.3 Purpose
• 1.4 Scope
• 1.5 Investigation Team Selection
• 1.6 Composition of the Investigation Team
• 1.7 Investigation Sequence
• 1.8 Investigation Briefings and Report
• 1.9 Report Use

Chapter 2—Investigation Overview

• 2.1 Introduction
• 2.2 Accident Sequence
• 2.3 Human Factors Accident and Incident Analysis
• 2.4 Equipment Factors Analysis
• 2.5 Environmental Factors Analysis

Chapter 3—Witness Statements and Interviews

• 3.1 General
• 3.2 Statements
• 3.3 Interviews
• 3.4 Conducting the Interview
• 3.5 Types of Questions
• 3.6 Sample Witness Interview Questions

Chapter 4—Physical and Photographic Evidence

• 4.1 Physical Evidence—General
• 4.2 Physical Evidence Preservation and Collection
• 4.3 Types of Physical Evidence
• 4.4 Photographic Evidence—General
• 4.5 Photographic Documentation

Chapter 5—Guidelines for Establishing Findings, Identifying Causal Factors and Contributing Factors, and Developing Recommendations

• 5.1 Establishing Findings
• 5.2 Identifying Causal Factors
• 5.3 Identifying Contributing Factors
• 5.4 Developing Recommendations

Chapter 6—The Investigation Report: Factual and Management Evaluation Sections

• 6.1 General
• 6.2 Distribution of the Report

Chapter 7—Accident Review Board

• 7.1 Purpose
• 7.2 Composition of the Accident Review Board
• 7.3 Duties and Responsibilities
• 7.4 Convening the Accident Review Board
• 7.5 Final Approval of the Accident Prevention Action Plan and Distribution of the Report
• 7.6 Disposition of the Report and the Case File
• 7.7 Release of the Accident Investigation Report and Documents
• 7.8 Briefings, Press Releases, Family Meetings

Chapter 8—Wildland Fire Shelter Entrapments, Deployments, and Fatalities

• 8.1 General
• 8.2 Scope and Purpose
• 8.3 Wildland Fire Shelter Entrapments, Deployments, and Fatalities Protocol

Chapter 9—Aviation Investigations

• 9.1 Introduction
• 9.2 Scope and Purpose
• 9.3 National Transportation Safety Board Investigations
• 9.4 Forest Service Investigations
• 9.5 Composition of the Investigation Team
• 9.6 Forest Service Accident Investigation Report
• 9.7 Aviation Investigation Sequence

Glossary and Abbreviations Used in Investigations

Acknowledgments

About the Authors

Charts & Forms

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