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
back to step 4.1
