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Factors, Root Causes, Solutions (FRCS) TM Report Type(circle one):Loss/Near Loss/RPO Project: Project Manager/Principal: List questionable item or NLI/LI equivalent of questionable item To determine root cause(s)of losses, Verify there is a procedure, Have person explain specifically what Have person give an example of how near losses and questionable items& &JSA for this task. tools/equipment are needed and how this face-to-face communication develop solutions to prevent recurrence, answer ALL the following questions. they are accessed. occurred/occurs consistently. , F F* YES YES YES ctor 1 Factor 2 Factor 3 Factor 4 Have person e adequate If tools are needed Has your supervisor Are you familiar with q consistently told you to do this task documentation&do you verbalize how to <00 xplaining how to do for task,are they available, Y Y y do task according ious decision not to have operable,safe) maintained& task,as well as ALL tasks,according know how to do task according to YES P Y to documentation n,verify decision is there proper workplace to procedures or acceptable documentation or acceptable fY P P P or acceptable ontinue to design? practices? practices? practices. ctor 2. NO NO NO NO Why doesn't adequate Why aren't tools available,operable,safely Why didn't this face-to-face Why doesn't person know how to do task according documentation exist for maintained and/or why isn't there proper communication occur consistently? to documentation or acceptable practices? this task? workplace design? Identify root cause(s). Identify root cause(s). Identify root cause(s). Identify root cause(s). Solution(s):Explain who will develop Solution(s):Explain specifically how tools will be Solution(s):Explain how supervisor/PM will consistently Solution(s):Explain how person will be shown how to do procedure,or JSA for this task(who writes, made available,operable,safely maintained for communicate face-to-face with person to do this task,as task according to documentation or acceptable practices reviews,&approves,due date,etc.). task(who makes available,due date,etc.)and/or well as ALL tasks,according to procedures or acceptable (who will show person,due date,etc.). how workplace design will be made proper(who practices. is responsible,due date,etc.). Continue to Factor 2. Continue to Factor 3. Continue to Factor 4. Continue to Factor 5 on next page.