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ISO 45001 ยท Lecture 23 of 27

Incident Investigation and Nonconformity (Clause 10.2)

Concept map
graph TD A["๐Ÿ”Ž Clause 10.2<br/>Incident and Nonconformity"] --> B["๐Ÿ’ฅ Incident<br/>Could or Did Harm"] A --> C["โŒ Nonconformity<br/>Requirement Not Met"] A --> D["๐Ÿ› ๏ธ Investigate"] D --> D1["โ” Five Whys"] D --> D2["๐ŸŸ Fishbone Diagram"] D1 --> E["๐Ÿ”‘ Find Root Causes"] D2 --> E E --> E1["๐Ÿ“‹ Missing Inspection<br/>Routines"] E --> E2["๐ŸŽ“ Inadequate Training"] E --> E3["๐Ÿ’ก Poor Lighting"] E --> F["๐Ÿšซ Avoid Blaming<br/>Workers Too Early"] style A fill:#4A90E2,color:#fff,stroke:#333,stroke-width:2px style B fill:#FF6B6B,color:#fff,stroke:#333 style D fill:#7ED321,color:#000,stroke:#333,stroke-width:2px style E fill:#F5A623,color:#000,stroke:#333 style F fill:#BD10E0,color:#fff
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Key takeaways

  • Clause 10.2 requires reporting, investigating, and acting on incidents and nonconformities.
  • An incident is a work-related occurrence that could or did cause injury or ill health.
  • A nonconformity is the non-fulfillment of a requirement.
  • Structured methods like the Five Whys or a fishbone diagram move from surface symptoms to root causes.
  • Deeper causes often include missing inspection routines, inadequate training, or poor lighting.
  • Blaming workers usually means the investigation stopped too early.

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