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Root Cause Analysis Flow Chart <br /> incident,Near Miss or Questionable <br /> ,'.Item Oecurs Why? <br /> ------------------------ <br /> ------------------------------ <br /> Personal Factor i Job Factor Uncontrollable <br /> Factor <br /> Lack of Skill i Lack of or <br /> f Lack of Motivation <br /> i <br /> Rig <br /> Operational <br /> —� Procedures or <br /> Correct Way Takes Work Standards <br /> More Time and/or 6 - <br /> Requires More �� __.__ <br /> ' Effort Inadequate 3 <br /> i Communication of <br /> I ____ Expectations <br /> -- Regarding <br /> Short-cutting Procedures or <br /> Standard Work Standards <br /> Procedures is a ---- <br /> Positively - <br /> Reinforced or Inadequate Tools d. <br /> Tolerated or Equipment <br /> Person Thinks <br /> There is No � <br /> i Personal Benefit <br /> to Always Doing <br /> the Job According -- - <br /> to Stantlards <br /> Solution/Recommendation <br /> Implementation of <br /> Solution/Recommendation <br /> afe erformance elf ssessment <br /> Before Beginning Any ActivityfTasklJob, After an <br /> Incident or Near Miss, any Unusual Circumstances: <br /> the risk! <br /> - - What could go wro ng?What is the worstthing that coultl happen if <br /> so methingtices go wrong? <br /> ANALYZE how to retluce the risks <br /> Do I Iwve all tato necessary Tralning and Knowledgu to do this]ob safely? <br /> v Do 1 haves all tho propor loo/s and Personal protoctivo oquipmon47 <br /> ACT to ensure safe operations! <br /> Ta ko nocessary Action to ensuro thoiobls tlona safelyl <br /> FallowwHtmn procetlurest Ask for assistance,If neotledl <br /> For Everyone ` Every Day All fhe Time <br /> i • 0 28 (jenenc HASP <br />