Easy assignments - Need in 6-8 Hours.Safety Management Systems
Event Causal Analysis
| Event: | Sequence Before/After | IC# | ||||||
| ______________________________________________________________________________________________ | ||||||||
| Constant Environmental Conditions: | ||||||||
| o Indoor | o Windy | Notes:/Other: | ||||||
| o Outdoor | o Fog | |||||||
| o Debris on ground/floor | o Dusty | |||||||
| o Rain | o Dawn | |||||||
| o Snow | o Day | |||||||
| o Ice | o Night | |||||||
| o Wet | o Temperature . | |||||||
| o Dry | o Lights turned on | |||||||
| o Cloudy | o Lights turned off | |||||||
| o Sunny | o Lights inoperable | |||||||
| ____________________________________________________________________________________________ | ||||||||
| Unsafe Acts | Substandard Conditions | |||||||
| Immmediate Cause | ||||||||
| Job Factors | Personal Factors | Mgt System Factors | ||||||
| Root Cause: |
Event Causal Analysis
Event Countermeasure
| Event: | IC # | |||||||
| _______________________________________________________________________________________________ | ||||||||
| Immediate Causes | ||||||||
| Unsafe Act | Countermeasure | Substandard Conditions | Countermeasure | |||||
| Root Causes | ||||||||
| Job Factors | Counter | Personal Factors | Counter | |||||
| MGT System Factors | Counter |
Countermeasure Report