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Additional resources for Root Causes Analysis (Contract Research Report)
Roig RA & Schneider P, (1994), Audits and Root Cause Analysis, Total Quality Environmental Management, V4nl, pp: 67-74, Wiley & Sons, Inc. O. , The Safety Practitioner * Weaver, DA (1973), TOR Analysis: A Diagnostic Training Tool, ASSE Journal, June, pp 24 - 29 Weaver, DA (1987), Technic of Operations Review TOR, in Modern Accident Investigation and Analysis, ed.
Thus the first block contains space to write a description of the incident. The second block lists the most common categories of contact that could have led to the incident, for example, contact with electricity, heat, cold or radiation, being hit by a moving object or crushed. g. g. inadequate or improper safety equipment, noise exposure or restricted action. The fourth block identifies Basic or Underlying Cause/s of which there are two categories: ‘Personal Factors’ and ‘Job Factors’. The former encompasses issues such as physical or psychological stress, lack of knowledge or skill and improper motivation, while the latter encompasses inadequate leadership and/or supervision, inadequate maintenance, tools and equipment.
HPIP Modules: - This tool essentially identifies important trends or programmatic system weaknesses. Change Analysis: - allows understanding of the event and ensures complete investigation and accuracy of perceptions. 26 • CHAP - Critical Human Actions Profile: - like change analysis, CHAP provides an understanding of the event and ensures complete investigation and accuracy of perceptions. Three volumes describing these tools and their application to incidents were published in 1993. Events and Causal Charting, Barrier Analysis and Change Analysis have been discussed elsewhere and will not be described further.