Behavioral Analysis - Virginia Tech
Causal Factors & Root Causes Worksheet
After completing your analysis, review the data to identify causes below (check box). Next, review the identified causes and evaluate them to determine if they are a minor contributing cause (CC) or the root cause (Root).
|Causes |CC |Root |Causes |CC |Root |
|Environment/Work Space | | |Equipment | | |
|Adverse weather | | |Poor design | | |
|Walking/working surface | | |Repeated failure | | |
|Poor housekeeping | | |No hazard controls | | |
|Inadequate illumination | | |Preventative maintenance failure | | |
|Layout/congested work space | | |Unexpected failure | | |
|Other (specify): | | |Poor machine/human interface | | |
|Personal Protective Equip. | | |Other (specify): | | |
|PPE not available | | |Tools | | |
|PPE not worn | | |Wrong tool | | |
|PPE inadequate | | |Defective tool | | |
|PPE defective | | |Correct tool not available | | |
|Other (specify): | | |Tool not used correctly | | |
|Process | | |Other (specify): | | |
|Improper storage | | |Training | | |
|Unexpected movement | | |No training | | |
|Incompatible chemicals | | |Inadequate practice | | |
|Inadequate controls | | |Understanding not tested | | |
|Materials not secured | | |Inadequate technical safety and health training for manager, | | |
|Other (specify): | | |supervisors, and/or hourly. | | |
|Procedures | | |Other (specify): | | |
|No SOP | | |Communications | | |
|SOP not followed correctly | | |No communication | | |
|Wrong SOP | | |Terminology not understood | | |
|No way to implement | | |Communication not timely | | |
|Inadequate SOP | | |Complex and confusing instructions | | |
|Limit/load/speed exceeded | | |Message misunderstood | | |
|SOP not used | | |Other (specify): | | |
|Other (specify): | | | | | |
| | | |Human Performance | | |
|Worksite Analysis | | |Hazard not recognized | | |
|Inadequate hazard survey/inspection | | |Employee short cut | | |
|Inadequate change analysis | | |Failure of supervisor to detect/ anticipate/fix/report hazard | | |
|Inadequate hazard reporting | | |Failure of employee to detect/ anticipate/fix/report hazard | | |
|Inadequate injury/illness reporting/trend analysis | | |Fatigue/reduced alertness | | |
|Untimely hazard correction | | |Hazard recognized but not eliminated | | |
|Inadequate hazard analysis/Job Hazard Analysis | | |Lack of experience | | |
|Inadequate incident investigation | | |Improper positioning | | |
|Other (specify): | | |Distraction | | |
|Management Leadership – Employee Involvement | | |Failure to follow SOP | | |
|Work site safety policy not clear | | |Horseplay | | |
|Management not visible | | |Improper work pace | | |
|Employee involvement not encouraged | | |Other (specify): | | |
|Unclear safety responsibilities | | |Supervision | | |
|Inadequate accountability | | |Inadequate planning | | |
|Inadequate program review | | |Inadequate pre-job briefing | | |
|Inadequate goals and objectives | | |Inadequate oversight | | |
|Poor mgmt/supervisor example | | |Poor worker selection | | |
|Low employee comfort level | | |Scheduling | | |
|Unclear authority | | |Worker fatigue | | |
|Inadequate/improper rewards | | |Other (specify): | | |
|Other (specify): | | |Hazard Prevention and Control | | |
|Business – Management Sys. | | |Untimely hazard control | | |
|Conflicting priorities/goals | | |Inadequate preventative maintenance | | |
|Production pressures | | |Inadequate access to health care providers/medical care | | |
|Incentives/rewards/improper rewards | | |Ineffective hazard control | | |
|Other (specify): | | |Ineffective emergency planning | | |
| | | |Other (specify): | | |
| | | | | | |
| | | | | | |
Additional space to specify “Other” details:
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