(44bd) Proven Approach to Investigating near Misses

Getting near misses reported is a major hurdle for most companies.  One of the reasons is that the investigation system is not ready for the large influx of reports and so workers and management are reluctant to potentially overload the investigation system (and overload themselves).  This paper explains approaches that have been successful for handling near misses reporting within both large and small companies; the paper focuses on appropriate approaches for investigating near misses to ensure high value from the investment of reporting and analysis.  This paper builds on the updated paper presented in 2012 at GCPS on "Gains from Getting Near Misses Reported."