Major incident response and investigation

Stage 6: Investigation report

As soon as possible in the course of the investigation:

• present a report to the Executive and the chair of the MIPG on the full facts, as known, of the incident, and HSE’s early response and liaison arrangements

Performance standard

Present the report:

• at the earliest opportunity but within one month of the incident occurring

When the investigation is completed:

• prepare and submit a draft investigation report  and recommendations on the outcome of the investigation to the Investigation Board

Finalise the investigation report and recommendations by:

• consulting MIIB on the draft report and recommendations
• consulting with the MIPG, through the chair, regarding the recommendations

Then:

• prepare the final investigation report for the Executive
• assign a unique identifying number to the report
• accurately describe and uniquely number any recommendations

Performance Standard

Present the report to the Executive:

• within three months of the completion of the investigation (excluding waiting for the completion of enforcement action)

Following presentation of the final report to the Executive:

• consult with Executive and MIPG how the recommendations for improvement identified in the interim and final reports are to be implemented
• monitor implementation of the recommedations and report to Executive

Performance standard

Report progress on the implementation of recommendations to the Executive and the Board

• in the annual report
• or at a time determined by the Executive