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Root Cause Analysis Flow Chart <br /> Incident,Near Miss or Questionable <br /> Item Occurs Why? <br /> Personal Factor Job Factor Uncontrollable <br /> Factor <br /> Lack of Skill Lack of Motivation Lack of or <br /> or knowledge Inadequate <br /> Operational <br /> Procedures or <br /> Correct Way Takes Work Standards <br /> More Time and/or <br /> Requires More <br /> Effort Inadequate <br /> Communication of <br /> Expectations <br /> Regarding <br /> Short-cutting Procedures or <br /> Standard Work Standards <br /> Procedures is <br /> Positively <br /> Reinforced or Inadequate Tools A <br /> Tolerated or Equipment <br /> Person Thinks <br /> There is No <br /> Personal Benefit <br /> to Always Doing <br /> the Job According <br /> to Standards <br /> Solution/Recommendation <br /> Implementation of <br /> Solution/Recommendation <br /> afe erfocrnance elf ssessment <br /> Befbre Beginning Any Activity[TasklJob. After an <br /> Incident or Near Miss,any.Un<+tsurtl Circumstances: <br /> til• risk <br /> What could gopwrong?What is the vworstthing that could happen if <br /> something does go wrong? <br /> NAL'YZE h'o' y..to.reducathe risks <br /> D o (have all the necessary Tralnfrag ;and KrH w4edgra to do this job safely? <br /> Do l have all the proper Too/s and Persorw) protective equipment? <br /> ACT to ansure safe operations! <br /> Take necessary Acrlon to ensuro tha jots is dare safelyt <br /> Followwrlt.ten procedluresl Aakforassistartce.,Ifneededi <br /> Fvr Eve�yorxe * every Day, *. AY the Time <br />