Major Incident
Stage 4: Investigation management- Additional guidance
Terms of reference: Policy and procedure review
The terms of reference will be set on a case-by-case basis. They will address as appropriate HSE's role in regulating the industry concerned prior to the incident. They may refer to:
- prior contact with the duty holder relevant to the circumstances of the incident: this will include information given during basic or preventative inspections, reactive inspections or investigations, any previous enforcement action taken and any relevant contact with other authorities regarding the duty holder
- all relevant contacts with the duty holder regarding the assessment of any safety report, safety management systems, maintenance of plant integrity relevant to the incident, the resourcing by HSE of these activities and the extent and nature of HSE contact and co-operation with other relevant stakeholders
- whether the relevant HSE guidance and standards applied to the industry, in the context of our wider knowledge of the relevant risks and appropriate control measures were clear and sufficient
- whether HSE policies, strategic approach, resources and internal instructions were adequate in respect of the risks presented by the industry
- what lessons may be learnt to improve intervention and effectiveness, in particular with respect to the industry sector concerned
