Complete Analysis of Near Miss Accidents: Trips, Slips, and Falls in an Office Setup

 Analysis of Trips, Slips, and Falls in an Office Setup Using Risk Matrix Decision Tree Analysis, FMEA, and Bow Tie.

1. Risk Matrix Analysis

SeverityLikelihoodRisk RatingInterpretation
Moderate Injury (e.g. sprain, minor fracture, head bump)Likely (several times per year)High (Orange Zone)Needs immediate intervention
Minor Injury (e.g. bruises, abrasions)Very Likely (monthly incidents reported or near misses)High (Orange Zone)High frequency; requires systematic preventive measures
Major Injury (e.g. head trauma, disability)Possible (at least once a year)Critical (Red Zone)High potential consequence; office must act to mitigate hazards

Key Risks Identified:

  • Wet floors, loose cables, uneven floor surfaces.

  • Cluttered workspaces.

  • Inadequate lighting in corridors and restrooms.

  • Use of unstable chairs or ladders to reach high areas.

2. Decision Tree Analysis

Event Trigger: Near Miss Report of Trip, Slip, or Fall

      

Interpretation:

  • Systematic investigation and action reduce risks.

  • Ignoring or inadequate response increases exposure and liability.


3. Failure Mode and Effects Analysis (FMEA)

Failure ModeEffectCauseSeverity (S)Occurrence (O)Detection (D)RPN (S×O×D)Action Priority
Wet floor left unattendedSlip, fallCleaning not flagged or uncontrolled spill875280Immediate signage and SOP enforcement
Loose electrical cablesTrip, stumblePoor cable management764168Implement cable trays & awareness
Clutter in walkwaysObstruction, tripPoor housekeeping685240Reinforce clean desk and walkway policy
Poor lightingMissed obstaclesBurnt bulbs, design flaw856240Audit lighting levels and repair schedules

Note:

  • RPN above 200 indicates urgent corrective action required.

  • Key intervention areas: SOP improvement, housekeeping policy, awareness campaign.


4. Bowtie Model Analysis



Top Event: Near Miss Accident - Trip, Slip, or Fall

Threats (Left side - causes):

  • Wet floors

  • Loose cables

  • Poor lighting

  • Cluttered pathways

Preventive Barriers:

  • Prompt cleaning & signage

  • Cable trays and covers

  • Regular maintenance audits

  • Housekeeping policy enforcement

Consequences (Right side - outcomes):

  • Minor to major injury

  • Productivity loss

  • Staff demoralization

  • Legal claims or penalties

Mitigating Barriers:

  • First aid and emergency response

  • Incident reporting and investigation system

  • Root cause analysis for continuous improvement

  • E-learning and toolbox meetings on office safety

Visual Summary:

  • Proactive barriers prevent the event.

  • Reactive barriers mitigate the impact if the event occurs.


Summary Insights Using Multiple Tools

ToolValue Added
Risk MatrixProvides urgency and prioritization of risks based on frequency and severity.
Decision TreeHighlights the decision points that escalate or mitigate the risk based on action or inaction.
FMEASystematically identifies failure points and prioritizes corrective actions based on RPN.
Bowtie ModelVisually illustrates cause-consequence relationships and identifies preventive and mitigative controls.

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