事故根本原因分析檢查表

1、 10111213141516FirstLevelRootCauses一級根本原因Task工作安排和執(zhí)行SecondLevelRootCauses二級根本原因Riskassessment風(fēng)險評估Tools工具PPERiskassessment風(fēng)險評估ThirdLevelRootCauses三級根本原因NoSWR未進(jìn)行安全工作審核Handlingorloadingisnotadequatelyspecified搬運和裝卸沒有明確的規(guī)定Toolsinbadcondition工具狀況不良Toolsnotavailable沒有工具Inadequateorwrongtoolsforthejob作業(yè)中使用

2、了不恰當(dāng)?shù)幕蝈e誤的工具Impropergauges計量儀表不合適PPEinbadconditionPPE狀況不良PPEnotavailable沒有PPEInadequatePPEforthejob使用的PPE不恰當(dāng)Nowarningsigns沒有警示標(biāo)識Riskassessmentoftheequipmentoroftheprocessnotdone未對設(shè)備或工藝進(jìn)行風(fēng)險評估Hazardnotidentified未辨識出危害Inadequateriskscontrols風(fēng)險控制不當(dāng)Equipmentbadlydesignedorbadlyconstructed設(shè)備的設(shè)計或構(gòu)造有缺陷Standa

3、rdsnotappliedorinadequate未執(zhí)行相關(guān)標(biāo)準(zhǔn)或采用了不適合的標(biāo)準(zhǔn)Equipmentorsoftwarecannotsupporttheusage設(shè)備或軟件不能滿足使用的需求Inadequateman/machineinterface人機(jī)界面不當(dāng)Accidjncid.&N.M.事故、事件和未遂事故Rootcauseanalysisofaccidents,incidentsandnear-misses事故、事件和未遂事故根本原因分析表FirstLevelRootCauses一級根本原因SecondLevelRootCauses二級根本原因ThirdLevelRootCauses

4、三級根本原因Accidjncid.&N.M.事故、事件和未遂事故18Designorconstruction設(shè)計或構(gòu)造Improperlyprogrammedmachine設(shè)備運行程序編制不當(dāng)19Inadequatereviews(SHEaudits,PSSR,)檢查不到位(SHE審核，開車前檢查等)20Unavaibilityofdocumentationfiles沒有運行程序的說明文件21Machinewithoutadequateguard設(shè)備上無合適的防護(hù)裝置22Equipmentusedoutsideofitscapabilitiesandlimitations超能力和超極限使用設(shè)備

5、23Controlsincludingemergencystopbuttonsnotclearlylabelledordifferentiated包括緊急停止開關(guān)在內(nèi)的各種控制按鈕未明確標(biāo)識或區(qū)分24Nomaintenance沒有維修25Equipment/material設(shè)備和物質(zhì)材料Equipmentfailure設(shè)備故障26Maintenance維修Inadequatemaintenance(lackofspareparts,lackofscheduledmaintenance,lackofpreventivemaintenance,)維修不當(dāng)(缺乏備件、缺乏定期維修或預(yù)防性維修等等)2

6、7Obsolescenceofequipment使用報廢或超期服役的設(shè)備28Safetydevicesoutoforder安全設(shè)施失效29Softwareorhardwarenotupdated軟件或硬件未更新30UnavailableMaterialSafetyDataSheet沒有物質(zhì)安全數(shù)據(jù)表31Hazardousmaterialsnotidentified未辨識出有害物質(zhì)32Presenceofgasorfumes存在有毒氣體或異味33MaterialImproperlabelling標(biāo)簽不當(dāng)材料Rootcauseanalysisofaccidents,incidentsandnear

7、-misses事故、事件和未遂事故根本原因分析表 Rootcauseanalysisofaccidents,incidentsandnear-misses事故、事件和未遂事故根本原因分析表 FirstLevelRootCauses一級根本原因343536373839SecondLevelRootCauses二級根本原因Material材料ThirdLevelRootCauses三級根本原因Accidjncid.&N.M.事故、事件和未遂事故4041424344Environment環(huán)境4546474849Ergonomics人機(jī)工程Localenvironment當(dāng)?shù)氐沫h(huán)境Housekeepi

8、ng現(xiàn)場整潔Communication溝通Qualityrequirementsofmaterialsinadequate對材料的質(zhì)量要求不當(dāng)Contaminatedmaterial材料被污染Materialhandledimproperly(storage,distribution,usageordisposal)材料的處理不當(dāng)(存儲、運輸、使用或處置)Inadequatesampling采樣不當(dāng)Awkwardpositions使用不便Baddesignofman/machineinterface人機(jī)界面有缺陷Processaffectedbyconditionsoverthecourseo

9、faday生產(chǎn)工藝經(jīng)常變換帶來影響Processaffectedbyhumidity,vibration,noise,lighting,.生產(chǎn)工藝受到濕度、震動、噪音和光線等的影響。Toomuchnoise噪音大Poorlighting照明不足Extremetemperatures極端溫度Influenceofweather天氣的影響Mess臟亂Slipperyfloor地面滑Obstacles有障礙物Informationimproperlydisseminated信息傳遞不正確Forgettocommunicate忘記溝通Rootcauseanalysisofaccidents,incid

10、entsandnear-misses事故、事件和未遂事故根本原因分析表Rootcauseanalysisofaccidents,incidentsandnear-misses事故、事件和未遂事故根本原因分析表FirstLevelRootCauses一級根本原因Peopleperformance員工的行為SecondLevelRootCauses二級根本原因ThirdLevelRootCauses三級根本原因Accidjncid.&N.M.事故、事件和未遂事故Competency能力Lackofexperienceoftheworkerinperformingthistask執(zhí)行任務(wù)的員工經(jīng)驗不

11、足Notraining未接受過培訓(xùn)Trainingnotunderstood未理解所培訓(xùn)的內(nèi)容Mistake失誤Documentsimproperlyinterpreted對文件的理解有誤Doesntunderstandinformation沒有理解所收到的信息Workerdistractedintheworkplace工作時注意力不集中Notfitforduty不能勝任工作Toomuchjudgmentrequiredtoperformthetask完成工作任務(wù)需要做出許多判斷Toomuchinformationatthesametime在同一時間內(nèi)需要了解的信息過多Fatigue疲勞Phy

12、sicallyunableforthejob身體條件無法勝任工作Alcohol,drugsormedicines酒精、毒品或藥品Understressforworkorpersonalreasons有來自工作或個人方面的壓力Behaviour行為Horseplay工作時玩鬧Usewithoutauthorisation擅自使用設(shè)備、工具等Defeatsafetydeviceswithoutauthorisation擅自摘除安全設(shè)施Lackofmotivation缺乏積極性Lackofvigilance警惕性不強(qiáng)5152535455565758596061626364656667Rootcaus

13、eanalysisofaccidents,incidentsandnear-misses事故、事件和未遂事故根本原因分析表Rootcauseanalysisofaccidents,incidentsandnear-misses事故、事件和未遂事故根本原因分析表6869707172737475767778798081828384FirstLevelRootCauses一級根本原因Management管理SecondLeVe為RootCauses二級根本原因Workpermitprocedure(andLOTOprocedures)作業(yè)許可(以及掛牌上鎖程序)Managementofchange變

14、更管理Otherprocedures其它的規(guī)程Training培訓(xùn)ThirdLevelRootCauses三級根本原因Deliberatemistake故意出錯Inattentiontodetailsofprocedure忽視了操作程序的部分細(xì)節(jié)Notdefined,inadequate,notimplemented,notcompliedwith沒有制定制度、制度不完善、制度未頒布實施或未被遵守Standarddoesntexistornotenforced沒有制定標(biāo)準(zhǔn)規(guī)范或未強(qiáng)制實施Guidelinesforjudgmentunavailable沒有作業(yè)情況判別指導(dǎo)書Notdefined,

15、inadequate,notimplemented,notcompliedwith沒有制定制度、制度不完善、制度未頒布實施或未被遵守Standarddoesntexistornotenforced沒有制定標(biāo)準(zhǔn)規(guī)范或未強(qiáng)制實施Guidelinesforjudgmentunavailable沒有制定變更管理的判別指導(dǎo)書Notdefined,inadequate,notimplemented,notcompliedwith沒有制定制度、制度不完善、制度未頒布實施或未被遵守Standarddoesntexistornotenforced沒有制定標(biāo)準(zhǔn)規(guī)范或未強(qiáng)制實施Guidelinesforjudgme

16、ntunavailable沒有作業(yè)情況判別指導(dǎo)書Workinstructionsarenotclearlywritten作業(yè)指導(dǎo)寫得不清楚Workinstructionsarenotcomplete作業(yè)指導(dǎo)不完整Propertrainingtoperformthetasknotadministeredtotheworker沒有針對員工所從事的作業(yè)任務(wù)提供適當(dāng)?shù)呐嘤?xùn)Workersnottrainedproperly員工培訓(xùn)不到位Testingperformednotsignificant培訓(xùn)后的測試流于形式，沒有發(fā)揮功效NotrainingforwearingPPE沒有進(jìn)行PPE穿戴的培訓(xùn)Acc

17、idjncid.&N.M.事故、事件和未遂事故Rootcauseanalysisofaccidents,incidentsandnear-misses事故、事件和未遂事故根本原因分析表管理FirstLevelRootCausesSecondLeV培訓(xùn)RootCausesThirdLevelRootCausesAccidjncid.&N.M.事故、事件和未遂事故一級根本原因二級根本原因三級根本原因85Notrainingforusingtools沒有進(jìn)行使用工具的培訓(xùn)86RoleandaccountabilityUnclearjob工作任務(wù)不清87崗位職責(zé)Unclearresponsibilities職責(zé)不清88Performancesetting績效指標(biāo)的設(shè)定Performanceexpectationsforteamorindividualsnotset未制定團(tuán)