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SCAT Chart Systematic Cause Analysis Technique(1)

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accident investigation

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Page 1: SCAT Chart Systematic Cause Analysis Technique(1)

{\rtf \ansi\ansicpg1252\deff0{\fonttbl{\f11\fswiss\fcharset0 Arial Narrow;}{\f10\fswiss\fcharset0 Arial;}{\f12\fswiss\fcharset0 Franklin Gothic;}{\f13\fswiss\fcharset0 Verdana;}{\f20\froman\fcharset0 Times New Roman;}{\f21\froman\fcharset0 Garamond;}{\f22\froman\fcharset0 Palatino Linotype;}{\f30\fmodern\fcharset0 Courier New;}{\f31\fmodern\fcharset0 Lucida Console;}{\f40\ftech\fcharset2 Symbol;}{\f50\fscript\fcharset0 Garamond;}{\f60 Haettenschweiler;}}\jexpand\viewkind1\paperw16837\paperh11905{\shp{\*\shpinst\shpleft0\shptop0\shpright16838\shpbottom11904\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0{\sp{\sn shapeType}{\sv 75}}{\sp{\sn pib}{\sv {\pict\jpegblip\picw841 \pich595\picwgoal16838 \pichgoal11904\picscalex100 \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

Page 2: SCAT Chart Systematic Cause Analysis Technique(1)

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Page 3: SCAT Chart Systematic Cause Analysis Technique(1)

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Page 4: SCAT Chart Systematic Cause Analysis Technique(1)

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Page 5: SCAT Chart Systematic Cause Analysis Technique(1)

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Page 42: SCAT Chart Systematic Cause Analysis Technique(1)

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Page 43: SCAT Chart Systematic Cause Analysis Technique(1)

514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145001451450014514500145145007fffd9}}}{\sp{\sn fRecolorFillAsPicture}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fAllowOverlap}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}{\colortbl;\red0\green0\blue0;\red0\green0\blue50;\red0\green0\blue100;\red0\green0\blue150;\red0\green0\blue200;\red0\green0\blue250;\red0\green50\blue0;\red0\green50\blue50;\red0\green50\blue100;\red0\green50\blue150;\red0\green50\blue200;\red0\green50\blue250;\red0\green100\blue0;\red0\green100\blue50;\red0\green100\blue100;\red0\green100\blue150;\red0\green100\blue200;\red0\green100\blue250;\red0\green150\blue0;\red0\green150\blue50;\red0\green150\blue100;\red0\green150\blue150;\red0\green150\blue200;\red0\green150\blue250;\red0\green200\blue0;\red0\green200\blue50;\red0\green200\blue100;\red0\green200\blue150;\red0\green200\blue200;\red0\green200\blue250;\red0\green250\blue0;\red0\green250\blue50;\red0\green250\blue100;\red0\green250\blue150;\red0\green250\blue200;\red0\green250\blue250;\red50\green0\blue0;\red50\green0\blue50;\red50\green0\blue100;\red50\green0\blue150;\red50\green0\blue200;\red50\green0\blue250;\red50\green50\blue0;\red50\green50\blue50;\red50\green50\blue100;\red50\green50\blue150;\red50\green50\blue200;\red50\green50\blue250;\red50\green100\blue0;\red50\green100\blue50;\red50\green100\blue100;\red50\green100\blue150;\red50\green100\blue200;\red50\green100\blue250;\red50\green150\blue0;\red50\green150\blue50;\red50\green150\blue100;\red50\green150\blue150;\red50\green150\blue200;\red50\green150\blue250;\red50\green200\blue0;\red50\green200\blue50;\red50\green200\blue100;\red50\green200\blue150;\red50\green200\blue200;\red50\green200\blue250;\red50\green250\blue0;\red50\green250\blue50;\red50\green250\blue100;\red50\green250\blue150;\red50\green250\blue200;\red50\green250\blue250;\red100\green0\blue0;\red100\green0\blue50;\red100\green0\blue100;\red100\green0\blue150;\red100\green0\blue200;\red100\green0\

Page 44: SCAT Chart Systematic Cause Analysis Technique(1)

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\par\plain\pard\sl-179 \li1204 \ri4809 \expndtw-4 \f31 \fs12 Loss Severity Potential \plain\tx4854 \tab \expndtw-4 \f31 \fs12 Probability of Occurrence \plain\tx9479 \tab \expndtw-5 \f31 \fs12 Frequency of Exposure

Page 45: SCAT Chart Systematic Cause Analysis Technique(1)

\par\plain\pard\sl-195 \li523 \ri2803 \expndtw0 \f10 \fs12 O Major ( a ) O Serious ( B ) \plain\tx2550 \tab \expndtw-1 \f10 \fs12 O Minor ( C ) \plain\tx4051 \tab \expndtw0 \f10 \fs12 O High ( A ) \plain\tx5006 \tab \expndtw0 \f10 \fs12 O Moderate ( B ) \plain\tx6353 \tab \expndtw-3 \f10 \fs12 O Rare ( C ) \plain\tx9633 \tab \expndtw0 \f10 \fs12 O Extensive ( A ) \plain\tx10883 \tab \expndtw0 \f10 \fs12 O Moderate ( B ) \plain\tx12130 \tab \expndtw-4 \f10 \fs12 O Low ( C )

\par\plain\pard\sl-245 \li5913 \ri5712 \expndtw-2 \f31 \fs12 Type of Contact or Near Contact with Energy or Substance

\par\plain\sl-83\fs8\par\pard\pard\sl-136 \li16 \ri2459 \fi40 \expndtw0 \f10 \fs10 1 Struck against (Running or Bumping into) (See I.C's: \plain\tx3592 \tab \expndtw-1 \f10 \fs10 3 Fall To Lower Level (See I.C's:3,5,6,7,11,12,13,14, \plain\tx7173 \tab \expndtw-1 \f10 \fs10 5 Caught In (Pinch and Nip Points) (see I.C's: \plain\tx10760 \tab \expndtw-1 \f10 \fs10 7 Caught Between Or Under (Crushed Or amputated) \plain\par\pard\sl-136 \li57 \ri900 \fi132 \expndtw-1 \f10 \fs10 1,2,4,5,12,14,16,17,18,19,26) \plain\tx3688 \tab \expndtw-3 \f10 \fs10 15,16,17,22) \plain\tx7269 \tab \expndtw-2 \f10 \fs10 5,6,11,13,14,15,16,18) \plain\tx10879 \tab \expndtw-1 \f10 \fs10 (See I.C's: 1,2,5,6,9,11,12,13,14,15,16,22,28) \plain\tx13903 \tab \expndtw-2 \f10 \fs10 20,21,23,24,25,27,28) \plain\par\pard\sl-146 \li16 \ri381 \fi40 \expndtw0 \f10 \fs10 2 Struck by (Hit by Moving Object) (See I.C's: 1,2,4,5, \plain\tx3592 \tab \expndtw-1 \f10 \fs10 4 Fall On Same Level (Slip and Fall, Trip Over) \plain\tx7173 \tab \expndtw-1 \f10 \fs10 6 Caught On (Snagged, Hung) (See I.C's: \plain\tx10783 \tab \expndtw-1 \f10 \fs10 8 Contact with (Electricity,Heat,Cold,Radiation,Caustics, \plain\tx13807 \tab \expndtw-1 \f10 \fs10 9 Overstress,Overexertion,Overhead \plain\par\pard\sl-136 \li16 \ri580 \fi172 \expndtw-1 \f10 \fs10 6,9,10,12,13,14,15,16,20,26) \plain\tx3688 \tab \expndtw-1 \f10 \fs10 See I.C's: 4,9,13,14,15,16,19,22,26) \plain\tx7269 \tab \expndtw-1 \f10 \fs10 5,6,11,12,13,14,15,16,18) \plain\tx10879 \tab \expndtw-1 \f10 \fs10 Toxics, Noise)(See I.C's:5,6,7,11,12,13,14,15,16,17,18, \plain\tx13903 \tab \expndtw-1 \f10 \fs10 (See I.C's:8,9,10,11,13,14,15) \plain\par\sl-211\fs21\par\pard\pard\sl-127 \li16 \ri6505 \fi6559 \expndtw-3 \f31 \fs12 (IC's) Immediate/Direct Causes (IC's) \plain\par\sl-79\fs8\par\pard\pard\sl-141 \li16 \ri474 \expndtw-3 \f31 \fs10 SUBSTANDARD/UNSAFE ACTS \plain\tx3592 \tab \expndtw-1 \f10 \fs10 7 Failing to Use PPE Properly(See B.C's: 2,3,4,5,7,8 \plain\tx7118 \tab \expndtw-1 \f10 \fs10 13 Horseplay (See B.C's:2,3,4,5,7,8,13,15)

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\plain\tx10727 \tab \expndtw-1 \f10 \fs10 20 Inadequate warning System (See B.C's:8,9,10,11,12,13) \plain\tx13752 \tab \expndtw-1 \f10 \fs10 26 Inadequate or Excess Illumination \plain\par\pard\sl-141 \li16 \ri671 \fi40 \expndtw0 \f10 \fs10 1 Operating Equipment Without Authority (See B.C's \plain\tx3688 \tab \expndtw-3 \f10 \fs10 10,12,13,15) \plain\tx7118 \tab \expndtw-1 \f10 \fs10 14 Under Influence of Alcohol and/or Other \plain\tx10727 \tab \expndtw-1 \f10 \fs10 21 Fire & explosion Hazards (See B.C's:5,6,7,8,9,10,11,12, \plain\tx13903 \tab \expndtw-1 \f10 \fs10 (See B.C's:8,9,10,11,12,13) \plain\par\pard\sl-141 \li57 \ri389 \fi131 \expndtw-2 \f10 \fs10 2,4,5,7,8,12,13,15) \plain\tx3592 \tab \expndtw-1 \f10 \fs10 8 Improper Loading (See B.C's:1,2,3,4,5,6,7,8,9,12 \plain\tx7269 \tab \expndtw-1 \f10 \fs10 Drugs(See B.C's:2,3,4,5,7,8,13,15) \plain\tx10879 \tab \expndtw-5 \f10 \fs10 13,15) \plain\tx13752 \tab \expndtw-1 \f10 \fs10 27 Inadequate Ventilation (see B.C's:) \plain\par\pard\sl-141 \li16 \ri1253 \fi40 \expndtw0 \f10 \fs10 2 Failure to Warn (See B.C's: 1,2,3,4,5,6,7,8,9,12, \plain\tx3688 \tab \expndtw-5 \f10 \fs10 13,15) \plain\tx7118 \tab \expndtw-1 \f10 \fs10 15 Using Equipment Improperly (See B.C's: \plain\tx10727 \tab \expndtw-1 \f10 \fs10 22 Poor Housekeeping/Disorder (See B.C's: 5,6,7,8,9,10,11 \plain\tx13903 \tab \expndtw-3 \f10 \fs10 8,9,10,11,12) \plain\par\pard\sl-141 \li57 \ri341 \fi131 \expndtw-5 \f10 \fs10 13,15) \plain\tx3592 \tab \expndtw-1 \f10 \fs10 9 Improper Placement (See B.C's: 1,2,3,4,5,6,7,8,9, \plain\tx7269 \tab \expndtw-1 \f10 \fs10 1,2,3,4,5,6,7,8,9,10,12,13,15) \plain\tx10879 \tab \expndtw-4 \f10 \fs10 12,13,15) \plain\tx13752 \tab \expndtw-1 \f10 \fs10 28 Hazardous Environmetal Conditions \plain\par\pard\sl-141 \li16 \ri671 \fi40 \expndtw0 \f10 \fs10 3 Failure to Secure (See B.C's:2,3,4,5,6,7,8,9,12 \plain\tx3688 \tab \expndtw-4 \f10 \fs10 12,13,15) \plain\tx7118 \tab \expndtw-1 \f10 \fs10 16 Inadequate Guards or Bariers(See B.C's \plain\tx10727 \tab \expndtw-1 \f10 \fs10 23 Noise Exposure (See B.C's: 5,6,7,8,9,10,11,12,13,14) \plain\tx13903 \tab \expndtw-1 \f10 \fs10 (See B.C's:8,9,10,11,12,13) \plain\par\pard\sl-141 \li57 \ri2224 \fi131 \expndtw-5 \f10 \fs10 13,15) \plain\tx3537 \tab \expndtw-1 \f10 \fs10 10 Improper Lifting (See B.C's:1,2,3,4,5,6,7,8,9,12,13 \plain\tx7269 \tab \expndtw-2 \f10 \fs10 5,7,8,9,10,11,12,13,15) \plain\tx10705 \tab \expndtw-1 \f10 \fs10 24 Radiation Exposure (See B.C's: 5,6,7,8,9,10,11,12,13,14) \plain\par\pard\sl-160 \li16 \ri5949 \fi40 \expndtw0 \f10 \fs10 4 Operating at Improper Speed (See B.C's:2,3,4 \plain\tx3688 \tab \expndtw-10 \f10 \fs10 15) \plain\tx7103 \tab \expndtw-1 \f10 \fs10 17 Inadequate or Improper Protective Equipment \plain\par\pard\sl-160 \li57 \ri2496 \fi131 \expndtw-3 \f10 \fs10 5,6,7,8,)

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\plain\tx3537 \tab \expndtw-1 \f10 \fs10 11 Improper Position for Task (See B.C's: 1,2,3,4,5,6 \plain\tx7269 \tab \expndtw-1 \f10 \fs10 (See B.C's: 5,7,8,9,10,12,13) \plain\tx10705 \tab \expndtw-1 \f10 \fs10 25 Temperature Extremes (See B.C's: 1,2,3,8,9,11,12 \plain\par\pard\sl-160 \li16 \ri6010 \fi40 \expndtw0 \f10 \fs10 5 Making Safety Devices Inoperative (See B.C's \plain\tx3688 \tab \expndtw-2 \f10 \fs10 7,8,9,12,13,15) \plain\tx7103 \tab \expndtw-1 \f10 \fs10 18 Defective Tools,Equipment or Materials(See \plain\par\pard\sl-160 \li57 \ri6607 \fi131 \expndtw-1 \f10 \fs10 2,3,4,5,6,7,8,9,12,13,15) \plain\tx3537 \tab \expndtw-1 \f10 \fs10 12 Servicing Equipment in Operation (See B.C's:2,3,4,5 \plain\tx7254 \tab \expndtw-1 \f10 \fs10 B.C's: 8,9,10,11,12,13,14,15) \plain\par\pard\sl-160 \li16 \ri6027 \fi40 \expndtw0 \f10 \fs10 6 Using Defective Equipment (See B'C's: 2,3,4,5,6 \plain\tx3688 \tab \expndtw-2 \f10 \fs10 6,7,8,9,12,13,15) \plain\tx7103 \tab \expndtw-1 \f10 \fs10 19 Congestion or Restricted Action (See B.C's: \plain\par\pard\sl-136 \li16 \ri7501 \fi172 \expndtw-2 \f10 \fs10 7,8,9,10,11,12,13,14,15) \plain\tx7254 \tab \expndtw-4 \f10 \fs10 8,9,13)

\par\plain\sl-218\fs22\par\pard\pard\sl-127 \li9 \ri6431 \fi6487 \expndtw-3 \f31 \fs12 (BC's) Basic / Underlying Causes (BC's) \plain\par\sl-213\fs21\par\pard\pard\sl-100 \li9 \ri14833 \expndtw-3 \b \f10 \fs10 PERSONAL FACTORS

\par\plain\pard\sl-163 \li57 \ri875 \expndtw0 \b \f10 \fs10 1 Inadequate Physical/Physiological Capability \plain\tx3592 \tab \expndtw-1 \b \f10 \fs10 4 Mental or Psychological Stress \plain\tx7344 \tab \expndtw-6 \f10 \fs10 7.11. \plain\tx7696 \tab \expndtw-1 \f10 \fs10 Improper supervisory example \plain\tx10728 \tab \expndtw-1 \b \f10 \fs10 10 Inadequate Purchasing \plain\tx13434 \tab \expndtw-1 \b \f10 \fs10 13 Inadequate Work Standards \plain\par\pard\sl-141 \li57 \ri683 \fi132 \expndtw-2 \f10 \fs10 (See CAN: 6,9,12,15,18) \plain\tx3688 \tab \expndtw-1 \f10 \fs10 (See CAN: 1,4,5,6,10,11,12,15,16,18,20) \plain\tx7344 \tab \expndtw-6 \f10 \fs10 7.12. \plain\tx7696 \tab \expndtw-1 \f10 \fs10 Inadequate performance feedback \plain\tx10879 \tab \expndtw-1 \f10 \fs10 (See CAN: 1,3,4,6,9,12,13,14,15,19) \plain\tx13584 \tab \expndtw-1 \f10 \fs10 (See CAN: 1,2,3,4,5,6,7,8,9,10,11, \plain\par\pard\sl-141 \li57 \ri1313 \fi211 \expndtw0 \f10 \fs10 1.1 Inappropriate height,weight,size,strength \plain\tx3782 \tab \expndtw0 \f10 \fs10 4.1 Emotional overload \plain\tx7344 \tab \expndtw-6 \f10 \fs10 7.13. \plain\tx7696 \tab \expndtw-1 \f10 \fs10 Inadequate reinforcement of proper behavior \plain\tx11020 \tab \expndtw-1 \f10 \fs10 10.1 Inadequate specifications on requisitions

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\plain\tx13584 \tab \expndtw-2 \f10 \fs10 12,13,14,15,16,19) \plain\par\pard\sl-141 \li268 \ri109 \fi249 \expndtw-3 \f10 \fs10 reach, etc. \plain\tx3782 \tab \expndtw0 \f10 \fs10 4.2 Fatique due to mental task laod or speed \plain\tx7344 \tab \expndtw-6 \f10 \fs10 7.14. \plain\tx7696 \tab \expndtw-1 \f10 \fs10 Improper production incentives \plain\tx11020 \tab \expndtw-1 \f10 \fs10 10.2 Inadequate research on materials/equipment \plain\tx13668 \tab \expndtw-1 \f10 \fs10 13.1 Inadequate development of standards for; \plain\par\pard\sl-141 \li57 \ri394 \fi211 \expndtw0 \f10 \fs10 1.2 Restricted range of body movement \plain\tx3782 \tab \expndtw0 \f10 \fs10 4.3 Extreme judgment/decision demands \plain\tx11020 \tab \expndtw-1 \f10 \fs10 10.3 Inadequate specifications to vendors \plain\tx13903 \tab \expndtw-1 \f10 \fs10 13.1.1. Inventory and evaluation of

\par\plain\pard\sl-141 \li268 \ri616 \expndtw0 \f10 \fs10 1.3 Limited ability to sustain body positions \plain\tx3782 \tab \expndtw0 \f10 \fs10 4.4 Routine, monotony, demand for uneventful \plain\tx7070 \tab \expndtw-3 \b \f10 \fs10 JOB FACTORS \plain\tx11020 \tab \expndtw-1 \f10 \fs10 10.4 Inadequate mode or route of shipment \plain\tx14241 \tab \expndtw-2 \f10 \fs10 exposures and needs \plain\par\pard\sl-141 \li268 \ri364 \expndtw0 \f10 \fs10 1.4 Substance sensitivities or allergies \plain\tx4046 \tab \expndtw-4 \f10 \fs10 vigilance \plain\tx7173 \tab \expndtw-1 \b \f10 \fs10 8 Inadequate Leadership and/or Supervison \plain\tx11020 \tab \expndtw-1 \f10 \fs10 10.5 Inadequate receiving inspection and \plain\tx13903 \tab \expndtw-1 \f10 \fs10 13.1.2. Coordination pocess design \plain\par\pard\sl-141 \li268 \ri666 \expndtw0 \f10 \fs10 1.5 Sensitivities to sensory extremes \plain\tx3782 \tab \expndtw0 \f10 \fs10 4.5 Extreme concentration/perception demands \plain\tx7428 \tab \expndtw0 \f10 \fs10 8.1 Unclear or conflicting reporting relationships \plain\tx11255 \tab \expndtw-3 \f10 \fs10 acceptance \plain\tx13903 \tab \expndtw-1 \f10 \fs10 13.1.3. Employee involment \plain\par\pard\sl-141 \li268 \ri409 \fi249 \expndtw-1 \f10 \fs10 (temperature, sound, etc) \plain\tx3782 \tab \expndtw0 \f10 \fs10 4.6 Meaningless or degrading activities \plain\tx7428 \tab \expndtw0 \f10 \fs10 8.2 Unclear or conflicting assigment of responsibility \plain\tx11020 \tab \expndtw-1 \f10 \fs10 10.6 Inadequate communication of safety \plain\tx13903 \tab \expndtw-1 \f10 \fs10 13.1.4. Procedures/practices/rules \plain\par\pard\sl-141 \li268 \ri18 \expndtw0 \f10 \fs10 1.6 Vision deficiency \plain\tx3782 \tab \expndtw0 \f10 \fs10 4.7 Confusing directions/demands \plain\tx7428 \tab \expndtw0 \f10 \fs10 8.3 Improper or insufficient delegation \plain\tx11256 \tab \expndtw-2 \f10 \fs10 and health data

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\plain\tx13668 \tab \expndtw-1 \f10 \fs10 13.2 Inadequate communication of standards for: \plain\par\pard\sl-141 \li268 \ri1039 \expndtw0 \f10 \fs10 1.7 Hearing deficiency \plain\tx3782 \tab \expndtw0 \f10 \fs10 4.8 Conflicting demands/directions \plain\tx7428 \tab \expndtw0 \f10 \fs10 8.4 Giving inadequate policy,procedure, practices \plain\tx11020 \tab \expndtw-1 \f10 \fs10 10.7 Improper handling of materials \plain\tx13903 \tab \expndtw-2 \f10 \fs10 13.2.1. Pubilcation \plain\par\pard\sl-141 \li268 \ri1029 \expndtw0 \f10 \fs10 1.8 Other sensory deficiency (touch, \plain\tx3782 \tab \expndtw0 \f10 \fs10 4.9 Preoccupation with problems \plain\tx7696 \tab \expndtw-3 \f10 \fs10 or guidelines \plain\tx11020 \tab \expndtw-1 \f10 \fs10 10.8 Improper storage of materials \plain\tx13903 \tab \expndtw-2 \f10 \fs10 13.2.2. Distribution \plain\par\pard\sl-141 \li268 \ri449 \fi249 \expndtw-2 \f10 \fs10 taste, smell, balance) \plain\tx3741 \tab \expndtw0 \f10 \fs10 4.10. Frustasion \plain\tx7428 \tab \expndtw0 \f10 \fs10 8.5 Giving objectives, goals, or standard that conflict \plain\tx11020 \tab \expndtw-1 \f10 \fs10 10.9 Improper transporting of materials \plain\tx13903 \tab \expndtw-1 \f10 \fs10 13.2.3. Translation to appropriate \plain\par\pard\sl-141 \li228 \ri1064 \fi40 \expndtw0 \f10 \fs10 1.9 Respiratory incapability \plain\tx3741 \tab \expndtw0 \f10 \fs10 4.11. mental illness \plain\tx7428 \tab \expndtw0 \f10 \fs10 8.6 Inadequate work planning or programming \plain\tx10936 \tab \expndtw-1 \f10 \fs10 10.10. Inadequate identification of hazardous \plain\tx14241 \tab \expndtw-4 \f10 \fs10 languages \plain\par\pard\sl-141 \li228 \ri1155 \expndtw0 \f10 \fs10 1.10. Other permanent physical capabilities \plain\tx7428 \tab \expndtw0 \f10 \fs10 8.7 Inadequate instructions, orientation and or train \plain\tx11255 \tab \expndtw-6 \f10 \fs10 items \plain\tx13903 \tab \expndtw-2 \f10 \fs10 13.2.4. Training \plain\par\pard\sl-141 \li228 \ri354 \expndtw0 \f10 \fs10 1.11. Temporary disabilities \plain\tx3592 \tab \expndtw-1 \b \f10 \fs10 5 Lack of Knowledge \plain\tx7428 \tab \expndtw0 \f10 \fs10 8.8 Providing inadequate reference documents \plain\tx10965 \tab \expndtw-1 \f10 \fs10 10.11 Improper salvage and/or waste disposal \plain\tx13903 \tab \expndtw-1 \f10 \fs10 13.2.5. Reinforcing with signs, color \plain\par\pard\sl-136 \li57 \ri681 \fi3631 \expndtw-1 \f10 \fs10 (See CAN:2,4,5,6,7,8,9,10,11,12,13,15,16,18,20) \plain\tx7696 \tab \expndtw-1 \f10 \fs10 directives and guidance publications \plain\tx10965 \tab \expndtw-1 \f10 \fs10 10.12 Inadequate contractor selection \plain\tx14241 \tab \expndtw-2 \f10 \fs10 codes and jobs aids \plain\par\pard\sl-146 \li57 \ri109 \expndtw0 \b \f10 \fs10 2 Inadequate mental/Psychological Capability \plain\tx3782 \tab \expndtw0 \f10 \fs10 5.1 Lack of experience \plain\tx7428 \tab \expndtw0 \f10 \fs10 8.9 Inadequate identification and evaluation of

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\plain\tx13668 \tab \expndtw-1 \f10 \fs10 13.3 Inadequate maintenance of standards for: \plain\par\pard\sl-141 \li57 \ri631 \fi132 \expndtw-2 \f10 \fs10 (See CAN: 6,9,10,15,18) \plain\tx3782 \tab \expndtw0 \f10 \fs10 5.2 Inadequate orientation \plain\tx7696 \tab \expndtw-3 \f10 \fs10 loss exposure \plain\tx10728 \tab \expndtw-1 \b \f10 \fs10 11 Inadequate Maintenance \plain\tx13903 \tab \expndtw-1 \f10 \fs10 13.3.1. Tracking of work flow \plain\par\pard\sl-141 \li268 \ri1119 \expndtw0 \f10 \fs10 2.1 Fears and probias \plain\tx3782 \tab \expndtw0 \f10 \fs10 5.3 Inadequate initial training \plain\tx7344 \tab \expndtw0 \f10 \fs10 8.10. Lack of supervisory / management job \plain\tx10879 \tab \expndtw-1 \f10 \fs10 ( See CAN: 1,3,4,5,9,10,13,15,19) \plain\tx13903 \tab \expndtw-2 \f10 \fs10 13.3.2. Updating \plain\par\pard\sl-141 \li268 \ri353 \expndtw0 \f10 \fs10 2.2 Emotional disturbance \plain\tx3782 \tab \expndtw0 \f10 \fs10 5.4 Inadequate update training \plain\tx7696 \tab \expndtw-4 \f10 \fs10 knowledge \plain\tx11021 \tab \expndtw-1 \f10 \fs10 11.1 Inadequate preventive \plain\tx13903 \tab \expndtw-1 \f10 \fs10 13.3.3. Monitoring use of procedure \plain\par\pard\sl-141 \li269 \ri792 \expndtw0 \f10 \fs10 2.3 Mental illness \plain\tx3782 \tab \expndtw0 \f10 \fs10 5.5 Misunderstood directions \plain\tx7373 \tab \expndtw0 \f10 \fs10 8.11 Inadequate matching of individual qualifications \plain\tx11255 \tab \expndtw-1 \f10 \fs10 11.1.1. Assessment of needs \plain\tx14241 \tab \expndtw-2 \f10 \fs10 or practices/rules \plain\par\pard\sl-141 \li269 \ri300 \expndtw0 \f10 \fs10 2.4 Intelligence level \plain\tx7697 \tab \expndtw-1 \f10 \fs10 and job / task requirement \plain\tx11256 \tab \expndtw-1 \f10 \fs10 11.1.2. Lubrication and servicing \plain\tx13668 \tab \expndtw-1 \f10 \fs10 13.4 Inadequate monitoring of compliance \plain\par\pard\sl-141 \li269 \ri3031 \expndtw0 \f10 \fs10 2.5 Inability to comprehend \plain\tx3593 \tab \expndtw-1 \b \f10 \fs10 6 Lack of Skill \plain\tx7373 \tab \expndtw0 \f10 \fs10 8.12 Inadequate performance measurement and \plain\tx11232 \tab \expndtw-1 \f10 \fs10 11.1.3. Adjustment/assembly

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400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451

Page 96: SCAT Chart Systematic Cause Analysis Technique(1)

4005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451400514514005145140051451401fffd9}}}{\sp{\sn fRecolorFillAsPicture}{\sv 0}}{\sp{\sn posrelh}{\sv 1}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fAllowOverlap}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}}}\margt1420\margb260\margr800\margl440\plain\pard\sl-151 \li188 \ri835 \expndtw-10 \f10 \fs10 2.6 \plain\tx438 \tab \expndtw-3 \f10 \fs10 Poor judgment \plain\tx3608 \tab \expndtw-1 \f10 \fs10 (See CAN: 2,4,5,6,7,9,10,13,15,18) \plain\tx7616 \tab \expndtw-3 \f10 \fs10 evaluation

Page 97: SCAT Chart Systematic Cause Analysis Technique(1)

\plain\tx11175 \tab \expndtw-1 \f10 \fs10 11.1.4. Cleaning or resurfacing \plain\tx13353 \tab \expndtw-1 \b \f10 \fs10 14 Exercise Wear and Tear \plain\par\pard\sl-141 \li188 \ri589 \expndtw-10 \f10 \fs10 2.7 \plain\tx438 \tab \expndtw-2 \f10 \fs10 Poor coordination \plain\tx3702 \tab \expndtw0 \f10 \fs10 6.1 Inadequate initial instruction \plain\tx7292 \tab \expndtw-8 \f10 \fs10 8.13 \plain\tx7616 \tab \expndtw-1 \f10 \fs10 Inadequate or incorrect performance feedback \plain\tx10940 \tab \expndtw-1 \f10 \fs10 11.2 Inadequate repairative \plain\tx13504 \tab \expndtw-1 \f10 \fs10 (See CAN: 3,4,6,9,10,13,14,15) \plain\par\pard\sl-141 \li188 \ri477 \expndtw-10 \f10 \fs10 2.8 \plain\tx438 \tab \expndtw-2 \f10 \fs10 Slow reaction time \plain\tx3702 \tab \expndtw0 \f10 \fs10 6.2 Inadequate practice \plain\tx11176 \tab \expndtw-1 \f10 \fs10 11.2.1. Communication of needs \plain\tx13588 \tab \expndtw-1 \f10 \fs10 14.1 Inadequate planning of use

\par\plain\pard\sl-141 \li109 \ri241 \fi79 \expndtw-10 \f10 \fs10 2.9 \plain\tx438 \tab \expndtw-2 \f10 \fs10 Low mwchanical aptitude \plain\tx3702 \tab \expndtw0 \f10 \fs10 6.3 Infrequent performance \plain\tx7093 \tab \expndtw-1 \b \f10 \fs10 9 Inadequate Engineering \plain\tx11175 \tab \expndtw-1 \f10 \fs10 11.2.2. Scheduling of work \plain\tx13588 \tab \expndtw-1 \f10 \fs10 14.2 Improper extension of service life \plain\expndtw-6 \f10 \fs10 2.10. \plain\tx438 \tab \expndtw-2 \f10 \fs10 Low learning aptitude \plain\tx3702 \tab \expndtw0 \f10 \fs10 6.4 Lack of Coaching \plain\tx7189 \tab \expndtw-1 \f10 \fs10 (See CAN: 1,2,3,4,9,12,13,14) \plain\tx11175 \tab \expndtw-1 \f10 \fs10 11.2.3. Examination of units \plain\tx13588 \tab \expndtw-1 \f10 \fs10 14.3 Inadequate inspection and/or monitor \plain\expndtw-6 \f10 \fs10 2.11. \plain\tx438 \tab \expndtw-2 \f10 \fs10 Memory failure \plain\tx3702 \tab \expndtw0 \f10 \fs10 6.5 Inadequate review instruction \plain\tx7347 \tab \expndtw0 \f10 \fs10 9.1 Inadequate assessment of loss exposures \plain\tx11175 \tab \expndtw-1 \f10 \fs10 11.2.3. Part of substitution \plain\tx13588 \tab \expndtw-1 \f10 \fs10 14.4 Improper loading or rate of use \plain\par\pard\sl-136 \li109 \ri573 \fi7238 \expndtw0 \f10 \fs10 9.2 Inadequate considerationof human factors \plain\tx13588 \tab \expndtw-1 \f10 \fs10 14.5 Inadequate maintenance

\par\plain\pard\sl-146 \li13 \ri19 \expndtw-1 \b \f10 \fs10 3 Physical or Physiological Stress \plain\tx3512 \tab \expndtw-1 \b \f10 \fs10 7 Improper Motivation \plain\tx7616 \tab \expndtw-3 \f10 \fs10 or ergonomic \plain\tx10648 \tab \expndtw-1 \b \f10 \fs10 12 Inadequate Tools and equipment \plain\tx13588 \tab \expndtw-1 \f10 \fs10 14.6 Use by unqualified or untrained people \plain\par\pard\sl-136 \li13 \ri654 \fi96 \expndtw-1 \f10 \fs10 (See CAN: 4,6,9,11,12,13,15,18,20) \plain\tx3608 \tab \expndtw-1 \f10 \fs10 (See CAN: 1,2,4,5,6,8,10,11,13,15,17,18) \plain\tx7348 \tab \expndtw0 \f10 \fs10 9.3 Inadequate standards, specifications and or

Page 98: SCAT Chart Systematic Cause Analysis Technique(1)

\plain\tx10798 \tab \expndtw-1 \f10 \fs10 (See CAN: 1,3,4,6,7,9,11,12,13,14,15,19) \plain\tx13588 \tab \expndtw-1 \f10 \fs10 14.7 Use for wrong purpose \plain\par\pard\sl-146 \li188 \ri2467 \expndtw0 \f10 \fs10 3.1 Injury illness \plain\tx3702 \tab \expndtw0 \f10 \fs10 7.1 Improper performance is rewarding \plain\tx7616 \tab \expndtw-2 \f10 \fs10 design criteria \plain\tx10918 \tab \expndtw-1 \f10 \fs10 12.1 Inadequate assessment of needs and \plain\par\pard\sl-141 \li188 \ri1133 \expndtw0 \f10 \fs10 3.2 Fatique due to task load or duration \plain\tx3702 \tab \expndtw0 \f10 \fs10 7.2 Improper performance is punishing \plain\tx7348 \tab \expndtw0 \f10 \fs10 9.4 Inadequate monitoring of construction \plain\tx11176 \tab \expndtw-6 \f10 \fs10 risks \plain\tx13353 \tab \expndtw-1 \b \f10 \fs10 15 Abuse or Misuse \plain\par\pard\sl-141 \li188 \ri175 \expndtw0 \f10 \fs10 3.3 Fatique due to lack of rest \plain\tx3702 \tab \expndtw0 \f10 \fs10 7.3 Lack of incentives \plain\tx7348 \tab \expndtw0 \f10 \fs10 9.5 Inadequate assessment of operational \plain\tx10940 \tab \expndtw-1 \f10 \fs10 12.2 Inadequate human factors/ergonomics \plain\tx13588 \tab \expndtw-1 \f10 \fs10 15.1 Improper conduct that is condoned \plain\par\pard\sl-141 \li188 \ri848 \expndtw0 \f10 \fs10 3.4 Fatique due to sensory overload \plain\tx3702 \tab \expndtw0 \f10 \fs10 7.4 excessive frustation \plain\tx7616 \tab \expndtw-4 \f10 \fs10 readiness \plain\tx11176 \tab \expndtw-2 \f10 \fs10 considerations \plain\tx13823 \tab \expndtw-2 \f10 \fs10 15.1.1. Intentional \plain\par\pard\sl-141 \li188 \ri737 \expndtw0 \f10 \fs10 3.5 Exposure to health hazards \plain\tx3702 \tab \expndtw0 \f10 \fs10 7.5 Inappropriate agression \plain\tx7348 \tab \expndtw0 \f10 \fs10 9.6 Inadequate or improper controls \plain\tx10940 \tab \expndtw-1 \f10 \fs10 12.3 Inadequate standards or specifications \plain\tx13823 \tab \expndtw-2 \f10 \fs10 15.1.2. Unintentional \plain\expndtw0 \f10 \fs10 3.6 Exposure to temperature extremes \plain\tx3702 \tab \expndtw0 \f10 \fs10 7.6 Improper attempt to save time or effort \plain\tx7348 \tab \expndtw0 \f10 \fs10 9.7 Inadequate monitoring of initial operation \plain\tx10940 \tab \expndtw-1 \f10 \fs10 12.4 Inadequate availability \plain\tx13588 \tab \expndtw-1 \f10 \fs10 15.2 Improper conduct that is not condoned \plain\par\pard\sl-141 \li188 \ri848 \expndtw0 \f10 \fs10 3.7 Oxygen deficiency \plain\tx3702 \tab \expndtw0 \f10 \fs10 7.7 Improper attempt to avoid discomfort \plain\tx7348 \tab \expndtw0 \f10 \fs10 9.8 Inadequate evaluation of changes \plain\tx10940 \tab \expndtw-1 \f10 \fs10 12.5 Inadequate adjustment/maintenance \plain\tx13823 \tab \expndtw-2 \f10 \fs10 15.2.1. Intentional \plain\par\pard\sl-141 \li188 \ri737 \expndtw0 \f10 \fs10 3.8 Atmospheric pressure variation \plain\tx3702 \tab \expndtw0 \f10 \fs10 7.8 Improper attempt to gain attention

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\plain\tx10940 \tab \expndtw-1 \f10 \fs10 12.6 Inadequate salvage and reclamation \plain\tx13823 \tab \expndtw-2 \f10 \fs10 15.2.2. Unintentional \plain\par\pard\sl-141 \li188 \ri2477 \expndtw0 \f10 \fs10 3.9 Blood sugar insufficiency \plain\tx3702 \tab \expndtw0 \f10 \fs10 7.9 Inadequate dicipline \plain\tx10918 \tab \expndtw-1 \f10 \fs10 12.7 Inadequate removal and replacement \plain\par\pard\sl-136 \li13 \ri3324 \fi96 \expndtw0 \f10 \fs10 3.10. Drugs \plain\tx3608 \tab \expndtw0 \f10 \fs10 7.10. Inappropriate peer pressure \plain\tx11152 \tab \expndtw-2 \f10 \fs10 of suitable items \plain\par\sl-142\fs14\par\pard\pard\sl-127 \li13 \ri5932 \fi6902 \expndtw-2 \b \f10 \fs12 (CAN) Control Action Needs (CAN) \plain\par\sl-114\fs11\par\pard\pard\sl-100 \li13 \ri3942 \expndtw-1 \b \f10 \fs10 1 LEADERSHIP AND ADMINISTRATION \plain\tx3512 \tab \expndtw-1 \b \f10 \fs10 5 ACCIDENT AND INCIDENT INVESTIGATION \plain\tx7038 \tab \expndtw-2 \b \f10 \fs10 10 EMPLOYEE TRAINING \plain\tx10625 \tab \expndtw-2 \b \f10 \fs10 16 GROUP MEETING

\par\sect\sectd\sbknone\cols16\colno1\colw2522\colsr236\colno2\colw86\colsr131\colno3\colw86\colsr119\colno4\colw91\colsr236\colno5\colw2508\colsr246\colno6\colw86\colsr131\colno7\colw86\colsr119\colno8\colw91\colsr253\colno9\colw2563\colsr323\colno10\colw88\colsr131\colno11\colw86\colsr119\colno12\colw91\colsr174\colno13\colw2592\colsr513\colno14\colw141\colsr79\colno15\colw141\colsr64\colno16\colw1445\plain\pard\sl-136 \li13 \ri0 \fi96 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li258 \ri1285 \expndtw-1 \f10 \fs10 1.1 General Policy \plain\par\pard\sl-141 \li258 \ri1029 \expndtw-1 \f10 \fs10 1.2 Program Coordinator \plain\par\pard\sl-141 \li258 \ri66 \expndtw-1 \f10 \fs10 1.3 Senior and Middle Management Participation \plain\par\pard\sl-141 \li258 \ri363 \expndtw-1 \f10 \fs10 1.4 Management Performance Standards \plain\par\pard\sl-141 \li258 \ri822 \expndtw-1 \f10 \fs10 1.5 Management Participation \plain\par\pard\sl-141 \li258 \ri363 \expndtw-1 \f10 \fs10 1.6 Presentation at Management Meeting \plain\par\pard\sl-141 \li258 \ri580 \expndtw-1 \f10 \fs10 1.7 Management Reference Manual \plain\expndtw-1 \f10 \fs10 1.8 Management Audits Conducted \plain\par\pard\sl-141 \li258 \ri46 \expndtw-1 \f10 \fs10 1.9 Individual Responsibility for Safety and health \plain\par\pard\sl-141 \li174 \ri893 \fi264 \expndtw-2 \f10 \fs10 /Loss Control Objectives \plain\par\pard\sl-146 \li13 \ri152 \fi160 \expndtw-1 \f10 \fs10 1.10. Establishment of Annual Safety and Health

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\plain\par\pard\sl-136 \li203 \ri893 \fi235 \expndtw-2 \f10 \fs10 /Loss Control Objectives \plain\par\pard\sl-141 \li13 \ri253 \fi189 \expndtw-1 \f10 \fs10 1.11 Joint safety & Health Committees and/or \plain\par\pard\sl-141 \li203 \ri474 \fi235 \expndtw-1 \f10 \fs10 Safety and Health Representatives \plain\par\pard\sl-141 \li13 \ri278 \fi189 \expndtw-1 \f10 \fs10 1.12 Refusal to Work on Grounds of safety & \plain\par\pard\sl-141 \li203 \ri731 \fi235 \expndtw-1 \f10 \fs10 Health Hazard (s) procedure \plain\par\pard\sl-141 \li13 \ri1190 \fi189 \expndtw-1 \f10 \fs10 1.13 reference Library \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li13 \ri1164 \expndtw-2 \b \f10 \fs10 2 MANAGEMENT TRAINING \plain\par\pard\sl-139 \li13 \ri0 \fi95 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li258 \ri111 \expndtw-1 \f10 \fs10 2.1 Management Orientation/Induction Program \plain\par\pard\sl-141 \li258 \ri61 \expndtw-1 \f10 \fs10 2.2 Formal Initial Training of Senior Management \plain\par\pard\sl-141 \li258 \ri1477 \fi180 \expndtw-4 \f10 \fs10 personnel \plain\par\pard\sl-141 \li13 \ri66 \fi244 \expndtw-1 \f10 \fs10 2.3 Formal Review and update Training of senior \plain\par\pard\sl-141 \li258 \ri913 \fi179 \expndtw-2 \f10 \fs10 Management Personnel \plain\par\pard\sl-141 \li13 \ri202 \fi244 \expndtw-1 \f10 \fs10 2.4 Formal iInitial Training of Supervisory and \plain\par\pard\sl-141 \li258 \ri620 \fi179 \expndtw-2 \f10 \fs10 Middle Management Personnel \plain\par\pard\sl-141 \li13 \ri323 \fi244 \expndtw-1 \f10 \fs10 2.5 Formal Review and Update Training of \plain\par\pard\sl-141 \li438 \ri373 \expndtw-1 \f10 \fs10 Supervisory and Middle Management \plain\par\pard\sl-141 \li438 \ri1477 \expndtw-4 \f10 \fs10 personnel \plain\par\pard\sl-141 \li13 \ri298 \fi244 \expndtw-1 \f10 \fs10 2.6 Formal Training of program coordinator \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li13 \ri1214 \expndtw-2 \b \f10 \fs10 3 PLANNED INSPECTIONS \plain\par\pard\sl-139 \li13 \ri0 \fi96 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par

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\pard\sl-141 \li258 \ri711 \expndtw-1 \f10 \fs10 3.1 Planned General Inspections \plain\par\pard\sl-141 \li258 \ri993 \expndtw-1 \f10 \fs10 3.2 Follow-up Procedures \plain\par\pard\sl-141 \li258 \ri837 \expndtw-1 \f10 \fs10 3.3 Inspection report Analysis \plain\par\pard\sl-141 \li258 \ri303 \expndtw-1 \f10 \fs10 3.4 Critical Parts/Items Inspection Program \plain\par\pard\sl-141 \li258 \ri530 \expndtw-1 \f10 \fs10 3.5 Preventive Maintenance Program \plain\par\pard\sl-141 \li258 \ri338 \expndtw-1 \f10 \fs10 3.6 Mobile and Material-Handling Pre-Use

\par\column\plain\pard\sl-167 \li19 \ri0 \expndtw-1 \b \f10 \fs10 {\ul P}\plain\par\sl-311\fs31\par\sl-240\fs24\par\par\par\par\par\par\par\par\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-201\fs20\par\sl-240\fs24\par\par\par\par\par\par\par\pard\pard\sl-100 \li0 \ri19 \expndtw-1 \b \f10 \fs10 P

\par\column\plain\pard\sl-177 \li19 \ri0 \expndtw-1 \b \f10 \fs10 {\ul S}\plain\par\sl-311\fs31\par\sl-240\fs24\par\par\par\par\par\par\par\par\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-201\fs20\par\sl-240\fs24\par\par\par\par\par\par\par\pard\pard\sl-100 \li0 \ri19 \expndtw-1 \b \f10 \fs10 S

\par\column\plain\pard\sl-177 \li19 \ri0 \expndtw-1 \b \f10 \fs10 {\ul C}\plain\par\sl-311\fs31\par\sl-240\fs24\par\par\par\par\par\par\par\par\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 C\plain\par\sl-201\fs20\par\sl-240\fs24\par\par\par\par\par\par\par\pard\pard\sl-100 \li0 \ri19 \expndtw-1 \b \f10 \fs10 C

\par\column\plain\pard\sl-136 \li0 \ri0 \fi95 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li273 \ri181 \expndtw-1 \f10 \fs10 5.1 Accident/Incident Investigation Procedure \plain\par\pard\sl-141 \li273 \ri418 \expndtw-1 \f10 \fs10 5.2 Scope of Investigations Established \plain\par\pard\sl-141 \li273 \ri595 \expndtw-1 \f10 \fs10 5.3 Remedial Follow-up and Action \plain\par

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\pard\sl-141 \li273 \ri378 \expndtw-1 \f10 \fs10 5.4 Major Accident Announcement Used \plain\par\pard\sl-141 \li273 \ri226 \expndtw-1 \f10 \fs10 5.5 High Potential Incident Information Used \plain\par\pard\sl-141 \li273 \ri373 \expndtw-1 \f10 \fs10 5.6 Operating management Participation \plain\expndtw-1 \f10 \fs10 5.7 Incident Reporting and Investigation \plain\par\pard\sl-141 \li273 \ri317 \expndtw-1 \f10 \fs10 5.8 Accident/Incident Report Maintenance \plain\par\pard\sl-141 \li273 \ri711 \expndtw-1 \f10 \fs10 5.9 Regular Program Monitoring \plain\par\sl-151\fs15\par\pard\pard\sl-136 \li0 \ri1371 \expndtw-2 \b \f10 \fs10 6 TASK OBSERVATION \plain\par\pard\sl-136 \li0 \ri0 \fi96 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li273 \ri338 \expndtw-1 \f10 \fs10 6.1 Management Directive on Importance \plain\expndtw-1 \f10 \fs10 6.2 Complete Task Observation Program \plain\expndtw-1 \f10 \fs10 6.3 Level of Complete Task Observations \plain\par\pard\sl-141 \li273 \ri484 \expndtw-1 \f10 \fs10 6.4 Partial Task Observation Program \plain\expndtw-1 \f10 \fs10 6.5 Task Observation Report Analysis \plain\par\pard\sl-141 \li273 \ri710 \expndtw-1 \f10 \fs10 6.6 Regular Program Monitoring \plain\par\sl-151\fs15\par\pard\pard\sl-136 \li0 \ri901 \expndtw-2 \b \f10 \fs10 7 EMERGENCY PREPAREDNESS \plain\par\pard\sl-136 \li0 \ri0 \fi95 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li273 \ri942 \expndtw-1 \f10 \fs10 7.1 Coordinator Appointed \plain\par\pard\sl-141 \li273 \ri791 \expndtw-1 \f10 \fs10 7.2 emergency Plan in Writing \plain\par\pard\sl-141 \li273 \ri565 \expndtw-1 \f10 \fs10 7.3 Supervisory Training in First Aid \plain\par\pard\sl-141 \li273 \ri373 \expndtw-1 \f10 \fs10 7.4 Employee Training in First Aid (10%) \plain\par\pard\sl-141 \li273 \ri589 \expndtw-1 \f10 \fs10 7.5 Emergency Lighting and Power \plain\par\pard\sl-141 \li273 \ri1461 \fi180 \expndtw-4 \f10 \fs10 Adequate \plain\par\pard\sl-141 \li0 \ri499 \fi273 \expndtw-1 \f10 \fs10 7.6 Master Controls Color Coded and \plain\par\pard\sl-141 \li273 \ri1526 \fi179 \expndtw-5 \f10 \fs10 Labeled \plain\par\pard\sl-141 \li273 \ri478 \expndtw-1 \f10 \fs10 7.7 Protective and Rescue Equipment

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\plain\par\pard\sl-141 \li273 \ri378 \expndtw-1 \f10 \fs10 7.8 Emergency Team Training and Drills \plain\par\pard\sl-141 \li273 \ri675 \expndtw-1 \f10 \fs10 7.9 Qualified First Aid Attendants \plain\par\pard\sl-146 \li0 \ri408 \fi189 \expndtw-1 \f10 \fs10 7.10. Organized Outside Help and Mutual \plain\par\pard\sl-136 \li218 \ri1718 \fi235 \expndtw-10 \f10 \fs10 Aid \plain\par\pard\sl-141 \li218 \ri776 \expndtw-1 \f10 \fs10 7.11 Protection of Vital Records \plain\par\pard\sl-141 \li218 \ri1033 \expndtw-1 \f10 \fs10 7.12 Post Event Planning \plain\par\pard\sl-141 \li218 \ri353 \expndtw-1 \f10 \fs10 7.13 Emergency Communication Provided \plain\par\pard\sl-141 \li218 \ri262 \expndtw-1 \f10 \fs10 7.14 Public Safety Communications Planned \plain\par\sl-187\fs19\par\pard\pard\sl-100 \li0 \ri1131 \expndtw-2 \b \f10 \fs10 8 ORGANIZATIONAL RULES

\par\column\plain\pard\sl-110 \li19 \ri0 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-167\fs17\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-242\fs24\par\sl-240\fs24\par\par\par\par\pard\pard\sl-100 \li0 \ri19 \expndtw-1 \b \f10 \fs10 P

\par\column\plain\pard\sl-119 \li19 \ri0 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-167\fs17\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-242\fs24\par\sl-240\fs24\par\par\par\par\pard\pard\sl-100 \li0 \ri19 \expndtw-1 \b \f10 \fs10 S

\par\column\plain\pard\sl-119 \li19 \ri0 \expndtw-1 \b \f10 \fs10 C\plain\par\sl-167\fs17\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 C\plain\par\sl-242\fs24\par\sl-240\fs24\par\par\par\par\pard\pard\sl-100 \li0 \ri19 \expndtw-1 \b \f10 \fs10 C

\par\column\plain\pard\sl-136 \li151 \ri0 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C )

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\plain\par\pard\sl-141 \li151 \ri889 \expndtw0 \f10 \fs10 10.1 Training Needs Analysis \plain\par\pard\sl-141 \li151 \ri738 \expndtw0 \f10 \fs10 10.2 Employee Training Program \plain\expndtw0 \f10 \fs10 10.3 Training Program evaluation \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li0 \ri554 \expndtw-1 \b \f10 \fs10 11 PERSONAL PROTECTIVE EQUIPMENT \plain\par\pard\sl-139 \li151 \ri0 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li151 \ri183 \expndtw0 \f10 \fs10 11.1 Personal Protective Equipment Standards \plain\par\pard\sl-141 \li151 \ri622 \expndtw0 \f10 \fs10 11.2 Personal Protective Equipment \plain\par\pard\sl-141 \li151 \ri1256 \fi338 \expndtw-3 \f10 \fs10 Recordkeeping \plain\par\pard\sl-141 \li151 \ri813 \expndtw0 \f10 \fs10 11.3 Enforcement of Standards \plain\par\pard\sl-141 \li151 \ri728 \expndtw0 \f10 \fs10 11.4 Regular Program Monitoring \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li0 \ri1477 \expndtw-2 \b \f10 \fs10 12 HEALTH CONTROL \plain\par\pard\sl-139 \li151 \ri0 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li151 \ri753 \expndtw0 \f10 \fs10 12.1 Health Hazard Identification \plain\par\pard\sl-141 \li151 \ri984 \expndtw0 \f10 \fs10 12.2 Health hazard Control \plain\par\pard\sl-141 \li151 \ri642 \expndtw0 \f10 \fs10 12.3 Information/Training/education \plain\par\pard\sl-141 \li151 \ri692 \expndtw0 \f10 \fs10 12.4 Industrial Hygiene Monitoring \plain\expndtw0 \f10 \fs10 12.5 Health Maintenance program \plain\par\pard\sl-141 \li151 \ri566 \expndtw0 \f10 \fs10 12.6 Professional Medical Assistance \plain\par\pard\sl-141 \li150 \ri486 \expndtw0 \f10 \fs10 12.7 Health Communications to Worker \plain\par\pard\sl-141 \li151 \ri1030 \expndtw0 \f10 \fs10 12.8 Record Maintenance \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li0 \ri761 \expndtw-1 \b \f10 \fs10 13 PROGRAM EVALUATION SYSTEM \plain\par\pard\sl-139 \li151 \ri0 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li151 \ri209 \expndtw0 \f10 \fs10 13.1 Comprehensive Audit of Compliance with \plain\par\pard\sl-141 \li151 \ri1095 \fi338 \expndtw-2 \f10 \fs10 Program standards

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\plain\par\pard\sl-141 \li0 \ri209 \fi151 \expndtw0 \f10 \fs10 13.2 Comprehensive Audit of Compliance with \plain\par\pard\sl-141 \li151 \ri652 \fi338 \expndtw-1 \f10 \fs10 Physical Conditions standards \plain\par\pard\sl-141 \li0 \ri209 \fi151 \expndtw0 \f10 \fs10 13.3 Comprehensive Audit of Compliance with \plain\par\pard\sl-141 \li151 \ri319 \fi338 \expndtw-1 \f10 \fs10 Fire Prevention and Control Standards \plain\par\pard\sl-141 \li0 \ri209 \fi151 \expndtw0 \f10 \fs10 13.4 Comprehensive Audit of Compliance with \plain\par\pard\sl-141 \li151 \ri611 \fi338 \expndtw-1 \f10 \fs10 Occupational Health Standards \plain\par\pard\sl-141 \li0 \ri380 \fi151 \expndtw0 \f10 \fs10 13.5 Program Evaluation Systems Record \plain\par\pard\sl-141 \li0 \ri1533 \fi489 \expndtw-5 \f10 \fs10 Keeping \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li0 \ri1181 \expndtw-2 \b \f10 \fs10 14 ENGINEERING CONTROL \plain\par\pard\sl-139 \li150 \ri0 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li151 \ri108 \expndtw0 \f10 \fs10 14.1 Design Engineering Safety and Health Con- \plain\par\pard\sl-141 \li0 \ri380 \fi489 \expndtw-1 \f10 \fs10 siderations at conception and Design

\par\column\plain\pard\sl-100 \li0 \ri21 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-297\fs30\par\sl-240\fs24\par\par\pard\pard\sl-100 \li21 \ri0 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-283\fs28\par\sl-240\fs24\par\par\par\pard\pard\sl-100 \li11 \ri9 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-230\fs23\par\sl-240\fs24\par\par\par\par\par\pard\pard\sl-100 \li11 \ri9 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-316\fs32\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-100 \li21 \ri0 \expndtw-1 \b \f10 \fs10 P

\par\column\plain\pard\sl-110 \li0 \ri19 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-297\fs30\par\sl-240\fs24\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-283\fs28\par\sl-240\fs24\par\par\par\pard\pard\sl-100 \li9 \ri9 \expndtw-1 \

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b \f10 \fs10 {\ul S}\plain\par\sl-230\fs23\par\sl-240\fs24\par\par\par\par\par\pard\pard\sl-100 \li9 \ri9 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-316\fs32\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 S

\par\column\plain\pard\sl-110 \li0 \ri19 \expndtw-1 \b \f10 \fs10 C\plain\par\sl-297\fs30\par\sl-240\fs24\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 C\plain\par\sl-283\fs28\par\sl-240\fs24\par\par\par\pard\pard\sl-100 \li9 \ri9 \expndtw-1 \b \f10 \fs10 {\ul C}\plain\par\sl-230\fs23\par\sl-240\fs24\par\par\par\par\par\pard\pard\sl-100 \li9 \ri9 \expndtw-1 \b \f10 \fs10 C\plain\par\sl-316\fs32\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-100 \li19 \ri0 \expndtw-1 \b \f10 \fs10 C

\par\column\plain\pard\sl-136 \li0 \ri0 \fi179 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li321 \ri1020 \expndtw-1 \f10 \fs10 16.1 Group Meeting Held \plain\par\pard\sl-141 \li321 \ri123 \expndtw-1 \f10 \fs10 16.2 Record of Subject, Visual Aid, Attendance, \plain\par\pard\sl-141 \li321 \ri1005 \fi235 \expndtw-2 \f10 \fs10 Problems Discussed \plain\par\pard\sl-141 \li321 \ri139 \expndtw-1 \f10 \fs10 16.3 Middle and Top Management Involvement \plain\par\pard\sl-141 \li321 \ri693 \expndtw-1 \f10 \fs10 16.4 Regular Program Monitoring \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li0 \ri1282 \expndtw-2 \b \f10 \fs10 17. GENERAL PROMOTION \plain\par\pard\sl-139 \li0 \ri0 \fi179 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li321 \ri628 \expndtw-1 \f10 \fs10 17.1 safety Bulletin Board Program \plain\par\pard\sl-141 \li321 \ri441 \expndtw-1 \f10 \fs10 17.2 Use of program statistics and facts \plain\par\pard\sl-141 \li321 \ri870 \expndtw-1 \f10 \fs10 17.3 Critical Topic Promotion \plain\par\pard\sl-141 \li321 \ri633 \expndtw-1 \f10 \fs10 17.4 Use of Awards or Recognition \plain\par\pard\sl-141 \li321 \ri537 \expndtw-1 \f10 \fs10 17.5 Program Information Public

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ation \plain\par\pard\sl-141 \li321 \ri598 \expndtw-1 \f10 \fs10 17.6 Group Performance Promotion \plain\par\pard\sl-141 \li321 \ri814 \expndtw-1 \f10 \fs10 17.7 Housekeeping Promotion \plain\par\pard\sl-141 \li321 \ri199 \expndtw-1 \f10 \fs10 17.8 Records of Program Promotion Activities \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li0 \ri1159 \fi28 \expndtw-2 \b \f10 \fs10 18 HIRING AND PLACEMENT \plain\par\pard\sl-139 \li0 \ri0 \fi179 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li321 \ri678 \expndtw-1 \f10 \fs10 18.1 Physical Capability Analyses \plain\par\pard\sl-141 \li321 \ri280 \expndtw-1 \f10 \fs10 18.2 Pre-Employment Physical examination \plain\expndtw-1 \f10 \fs10 18.3 General Orientation/Induction Program \plain\par\pard\sl-141 \li321 \ri124 \expndtw-1 \f10 \fs10 18.4 Pre-Employment/Pre-Placement Qualifica- \plain\par\pard\sl-141 \li28 \ri1358 \fi527 \expndtw-3 \f10 \fs10 tion Checks \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li0 \ri1142 \fi28 \expndtw-2 \b \f10 \fs10 19 PURCHASING CONTROLS \plain\par\pard\sl-139 \li0 \ri0 \fi180 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li0 \ri204 \fi321 \expndtw-1 \f10 \fs10 19.1 Purchasing Includes safety and health in \plain\par\pard\sl-141 \li321 \ri552 \fi235 \expndtw-1 \f10 \fs10 Specifications and Procurement \plain\par\pard\sl-141 \li28 \ri416 \fi292 \expndtw-1 \f10 \fs10 19.2 Selection and Control of Contractor \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li0 \ri1179 \fi28 \expndtw-2 \b \f10 \fs10 20 OFF-THE-JOB SAFETY \plain\par\pard\sl-139 \li0 \ri0 \fi180 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li0 \ri68 \fi321 \expndtw-1 \f10 \fs10 20.1 Reporting System Established and statistics \plain\par\pard\sl-141 \li321 \ri1459 \fi235 \expndtw-4 \f10 \fs10 Analyzed \plain\par\pard\sl-141 \li0 \ri214 \fi321 \expndtw-1 \f10 \fs10 20.2 Off-the-job safety Information Communi- \plain\par\pard\sl-141 \li0 \ri1610 \fi556 \expndtw-6 \f10 \fs10 cated

\par

Page 108: SCAT Chart Systematic Cause Analysis Technique(1)

\column\plain\pard\sl-139 \li0 \ri74 \expndtw-1 \b \f10 \fs10 {\ul P}\plain\par\sl-81\fs8\par\sl-240\fs24\par\par\par\par\pard\pard\sl-100 \li9 \ri64 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-208\fs21\par\sl-240\fs24\par\par\par\par\par\pard\pard\sl-100 \li40 \ri33 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-295\fs29\par\sl-240\fs24\par\par\par\pard\pard\sl-100 \li59 \ri14 \expndtw-1 \b \f10 \fs10 P\plain\par\sl-285\fs29\par\sl-240\fs24\par\par\pard\pard\sl-100 \li74 \ri0 \expndtw-1 \b \f10 \fs10 P

\par\column\plain\pard\sl-148 \li0 \ri74 \expndtw-1 \b \f10 \fs10 {\ul S}\plain\par\sl-81\fs8\par\sl-240\fs24\par\par\par\par\pard\pard\sl-100 \li9 \ri64 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-208\fs21\par\sl-240\fs24\par\par\par\par\par\pard\pard\sl-100 \li38 \ri35 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-292\fs29\par\sl-240\fs24\par\par\par\pard\pard\sl-100 \li57 \ri16 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-287\fs29\par\sl-240\fs24\par\par\pard\pard\sl-100 \li74 \ri0 \expndtw-1 \b \f10 \fs10 S

\par\column\plain\pard\sl-148 \li0 \ri1373 \expndtw-1 \b \f10 \fs10 {\ul C}\plain\par\sl-81\fs8\par\sl-240\fs24\par\par\par\par\pard\pard\sl-100 \li9 \ri1363 \expndtw-1 \b \f10 \fs10 C\plain\par\sl-208\fs21\par\sl-240\fs24\par\par\par\par\par\pard\pard\sl-100 \li38 \ri1334 \expndtw-1 \b \f10 \fs10 C\plain\par\sl-292\fs29\par\sl-240\fs24\par\par\par\pard\pard\sl-100 \li60 \ri1313 \expndtw-1 \b \f10 \fs10 C\plain\par\sl-287\fs29\par\sl-240\fs24\par\par\pard\pard\sl-100 \li74 \ri1298 \expndtw-1 \b \f10 \fs10 C

\par\sect\sectd\sbknone\plain\pard\sl-110 \li6277 \ri8822 \expndtw-1 \b \f10 \fs10 P\plain\tx6495 \tab \expndtw-1 \b \f10 \fs10 S\plain\tx6688 \tab \expndtw-1 \b \f10 \fs10 C

\par\sect\sectd\sbkpage\margtsxn1340\pard\jexpand\viewkind1\paperw16837\paperh11905{\shp{\*\shpinst\shpleft0\shptop0\shpright16838\shpbottom11904\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0{\sp{\sn shapeType}{\sv 75}}{\sp{\sn pib}{\sv {\pict\jpegblip\picw841 \pich595

Page 109: SCAT Chart Systematic Cause Analysis Technique(1)

\picwgoal16838 \pichgoal11904\picscalex100 \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Page 131: SCAT Chart Systematic Cause Analysis Technique(1)

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Page 133: SCAT Chart Systematic Cause Analysis Technique(1)

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Page 135: SCAT Chart Systematic Cause Analysis Technique(1)

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Page 136: SCAT Chart Systematic Cause Analysis Technique(1)

\plain\tx11916 \tab \expndtw-6 \b \f10 \fs10 LEGEND \plain\par\pard\sl-139 \li258 \ri4126 \expndtw-1 \f10 \fs10 3.8 Planned general Inspection Report \plain\tx3786 \tab \expndtw-1 \f10 \fs10 8.2 Specialized Work Rules \plain\tx7189 \tab \expndtw-8 \f10 \fs10 14.3 \plain\tx7512 \tab \expndtw-2 \f10 \fs10 Regular Program Monitoring \plain\par\pard\sl-143 \li258 \ri67 \fi180 \expndtw-3 \f10 \fs10 Maintenance \plain\tx3786 \tab \expndtw-1 \f10 \fs10 8.3 Work Permit and specialized procedures \plain\tx10938 \tab \expndtw-1 \b \f10 \fs10 P\plain\tx11152 \tab \expndtw-1 \f10 \fs10 Do we have program standards for this activity?

\par\sect\sectd\sbknone\cols14\colno1\colw2522\colsr227\colno2\colw67\colsr151\colno3\colw67\colsr139\colno4\colw72\colsr265\colno5\colw2508\colsr256\colno6\colw67\colsr151\colno7\colw67\colsr139\colno8\colw72\colsr263\colno9\colw2563\colsr345\colno10\colw67\colsr151\colno11\colw67\colsr139\colno12\colw72\colsr491\colno13\colw72\colsr167\colno14\colw2201\plain\pard\sl-139 \li13 \ri772 \fi244 \expndtw-1 \f10 \fs10 3.9 regular Program Monitoring \plain\par\sl-146\fs15\par\pard\pard\sl-139 \li13 \ri616 \expndtw-1 \b \f10 \fs10 4 TASK ANALYSIS AND PROCEDURES \plain\par\pard\sl-139 \li13 \ri0 \fi96 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li258 \ri363 \expndtw-1 \f10 \fs10 4.1 Management Directive on Importance \plain\par\pard\sl-141 \li258 \ri978 \expndtw-1 \f10 \fs10 4.2 Critical Task Inventory \plain\par\pard\sl-141 \li258 \ri474 \expndtw-1 \f10 \fs10 4.3 Task Analysis and Task Procedure \plain\par\pard\sl-141 \li258 \ri1452 \fi179 \expndtw-3 \f10 \fs10 Objectives \plain\par\pard\sl-141 \li13 \ri520 \fi244 \expndtw-1 \f10 \fs10 4.4 Task Analysis and Procedures for \plain\par\pard\sl-141 \li438 \ri364 \expndtw-1 \f10 \fs10 Critical Task Completed and regularly \plain\par\pard\sl-141 \li438 \ri1532 \expndtw-5 \f10 \fs10 Updated \plain\par\pard\sl-141 \li13 \ri394 \fi244 \expndtw-1 \f10 \fs10 4.5 Safety and Health Hazards in Critical \plain\par\pard\sl-141 \li258 \ri660 \fi180 \expndtw-1 \f10 \fs10 task Analyses and procedures \plain\par\pard\sl-141 \li13 \ri746 \fi244 \expndtw-1 \f10 \fs10 4.6 Regular program Monitoring

\par\column\plain\sl-244\fs24\par\sl-240\fs24\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b

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\f10 \fs10 {\ul P}

\par\column\plain\sl-254\fs25\par\sl-240\fs24\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b \f10 \fs10 {\ul S}

\par\column\plain\sl-254\fs25\par\sl-240\fs24\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b \f10 \fs10 {\ul C}

\par\column\plain\pard\sl-139 \li273 \ri1501 \fi180 \expndtw-5 \f10 \fs10 Systems \plain\par\pard\sl-141 \li273 \ri373 \expndtw-1 \f10 \fs10 8.4 Rule education and Review Program \plain\par\pard\sl-141 \li273 \ri917 \expndtw-1 \f10 \fs10 8.5 Rule Compliance Effort \plain\par\pard\sl-141 \li273 \ri418 \expndtw-1 \f10 \fs10 8.6 Use of Educational Signs and Color \plain\par\pard\sl-141 \li273 \ri1587 \fi180 \expndtw-6 \f10 \fs10 Codes \plain\par\pard\sl-141 \li0 \ri720 \fi273 \expndtw-1 \f10 \fs10 8.7 Regular program Monitoring \plain\par\sl-151\fs15\par\pard\pard\sl-136 \li0 \ri765 \expndtw-1 \b \f10 \fs10 9 ACCIDENT/INCIDENT ANALYSIS \plain\par\pard\sl-136 \li0 \ri0 \fi95 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li273 \ri126 \expndtw-1 \f10 \fs10 9.1 performance statistics Computed and used \plain\par\pard\sl-141 \li273 \ri252 \expndtw-1 \f10 \fs10 9.2 Occupational Injury and Illness Analysis \plain\par\pard\sl-141 \li273 \ri504 \expndtw-1 \f10 \fs10 9.3 Property and Equipment Damage \plain\par\pard\sl-141 \li273 \ri811 \fi180 \expndtw-1 \f10 \fs10 Identification and analysis \plain\par\pard\sl-141 \li0 \ri589 \fi273 \expndtw-1 \f10 \fs10 9.4 Problem Solving project Teams

\par\column\plain\sl-213\fs21\par\sl-240\fs24\par\par\par\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b \f10 \fs10 P

\par\column\plain\sl-223\fs22\par\sl-240\fs24\par\par\par\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b \f10 \fs10 S

Page 138: SCAT Chart Systematic Cause Analysis Technique(1)

\par\column\plain\sl-223\fs22\par\sl-240\fs24\par\par\par\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b \f10 \fs10 C

\par\column\plain\pard\sl-141 \li0 \ri878 \expndtw-1 \b \f10 \fs10 15 PERSONAL COMMUNICATIONS \plain\par\pard\sl-139 \li150 \ri0 \expndtw-1 \f10 \fs10 Program Present (P), Standards (S), Compliance ( C ) \plain\par\pard\sl-141 \li151 \ri405 \expndtw0 \f10 \fs10 15.1 Training in Personal Communication \plain\par\pard\sl-141 \li151 \ri1443 \fi338 \expndtw-4 \f10 \fs10 Technique \plain\par\pard\sl-141 \li0 \ri158 \fi151 \expndtw0 \f10 \fs10 15.2 Job Orientation/Induction New/Transferred \plain\par\pard\sl-141 \li151 \ri1584 \fi338 \expndtw-5 \f10 \fs10 People \plain\par\pard\sl-141 \li151 \ri234 \expndtw0 \f10 \fs10 15.3 Proper Task Instruction Traning and Use \plain\par\pard\sl-141 \li151 \ri440 \expndtw0 \f10 \fs10 15.4 Planned Personal Contact Program \plain\par\pard\sl-141 \li150 \ri728 \expndtw0 \f10 \fs10 15.5 Regular Program Monitoring

\par\column\plain\sl-107\fs11\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b \f10 \fs10 P

\par\column\plain\sl-117\fs12\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b \f10 \fs10 S

\par\column\plain\sl-117\fs12\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b \f10 \fs10 C

\par\column\plain\sl-182\fs18\par\pard\pard\sl-100 \li2 \ri3 \expndtw-1 \b \f10 \fs10 S\plain\par\sl-182\fs18\par\pard\pard\sl-100 \li0 \ri0 \expndtw-1 \b \f10 \fs10 C

\par\column\plain\sl-179\fs18\par\pard\pard\sl-100 \li0 \ri631 \expndtw-1 \f10 \fs10 Are existing standards adequate? \plain\par\sl-182\fs18\par\pard\pard\sl-100 \li0 \ri394 \expndtw-1 \f10 \fs10 Is there full compliance with standards?

\par\sect\sectd\sbknone}