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This material is for training purposes only to inform the reader of occupational safety and health best practices and general compliance requirements and is not a substitute for provisions of the OSH Act of 1970 or any governmental regulatory agency.


  MODULE 3: CAUSE ANALYSIS

There are many tools for SMS analysis. Document review, employee interviews, and review of site conditions are quite important and provide you with valuable data for analysis. We'll also look at the 5-Why and Fishbone techniques.

Documentation

Every worksite should have, at a minimum, written accident reports and the OSHA 300 Log of injuries and illnesses as required by law. It's a good idea, especially for larger companies, to have written procedures and records of all safety and health programs. A program evaluator should compare the written program with the performance record of the program.

Interviews

In addition to documentation, interviews can be very helpful in establishing what has occurred.  There are two kinds of interviews, formal and informal.

  • Formal interviews are conducted privately with randomly selected employees who are asked preselected questions. 
  • Informal interviews occur at employee work stations and generally follow a list of topics.

To assess how well the worksite safety and health policy is communicated and understood, and how well the disciplinary system is working, ask the employees to explain them.

To gauge the effectiveness of safety and health training, interview hourly employees and first-line supervisors:

  • Ask employees to describe what hazards they are exposed to, and how they are protected.
  • Ask employees to explain what they are supposed to do in several different types of emergencies.
  • Ask supervisors how they teach, how they reinforce the teaching, how they enforce safety and health rules and safe work practices, and what their responsibilities are during emergency situations.

Interviews with management should focus on its involvement in and commitment to the safety and health program.

  • Ask how the policy statement was created, and how that statement is communicated to all employees. 
  • Ask what information management receives about the safety and health activities, and what action management takes as a result of that information. 
  • Ask how management's commitment to safety and health is demonstrated to the workforce.

Review Workplace Conditions

Conditions in the workplace reveal much about SMS effectiveness. Workplace conditions can be observed indirectly by examining documents such as inspection reports of hazards, employee reports of hazards, and incident/accident investigations.

Inspections or tours may reveal hazards. Tips include:

  • Be careful the inspection does not become routine with emphasis only on hazard correction.
  • When a hazard is found, certainly take steps to ensure its correction.
  • Ask what management system(s) should have prevented or controlled the hazard.
  • Determine why system(s) failed, and either change them or take other appropriate corrective measures.

The "5 Whys" Technique

The 5 Whys technique is a brainstorming technique that identifies root causes of problems by asking why behaviors occurred or conditions existed. This produces the most direct cause of the event. As the diagram indicates, each cause is, at the same time, the effect of a deeper cause. For each of these causes, ask why it occurred. Repeat the process for the other events associated with the problem.

Cause and Effect (Fishbone) Diagram

The cause and effect diagram graphically represents the relationships between a problem (effect) and its possible causes. The problem is stated in descriptive terms that are observable and measurable. Possible causes are listed. The committee or team then assigns priorities to the causes and action plans are developed.

When a cause and effect diagram is constructed, thinking is stimulated, thoughts are organized, and discussions are begun. These discussions bring out many possible viewpoints on the subject. The idea that each effect observed is the result of a deeper cause. Once all participants reach a similar level of understanding about an issue, an expansion of ideas can then be examined.

Cause and effect diagrams are developed in a form, commonly referred to as a "fish," where the effect is found in a box to the right which is the head of the fish. The bones of the fish show the organized causes. The effects and causes can be expressed in words or data.

Cause and effect diagrams are used to examine many different topics which include the following:

  1. The relationships between a known problem and the factors that might affect it.
  2. A desired future outcome and its related factors.
  3. Any event past, present, or future and its causal factors.

The technique is also useful in planning activities and brainstorming. The diagram is basically a controlled way of gathering and using suggestions through group consensus.

Procedures A cause and effect diagram is developed in the following manner:

  1. Define the effect as clearly as is possible and place it at the head of the fish. This effect represents the "problem" that is being investigated. As data are collected, the effect can be redefined, if necessary.
  2. The group brainstorms the causes and lists them in no particular order. These causes are then studied and the causes that affect these causes are identified. This will continue until no new causes are thought of by the group.
  3. Once all causes are identified, list all categories and then display the categories on the diagram.
  4. The group then prioritizes the causes by multivoting. Each member of the group lists the causes in order of significance. Votes are counted and a final list is written.
  5. The highest prioritized causes are listed on the diagram as the big bones. The next highest prioritized causes will be listed on the diagram as the medium bones. Finally, the least prioritized causes will be listed on the diagram as the small bones.
  6. As categories and causes are included on the diagram, thinking may be stimulated and new causes may be identified.
  7. Teams are then formed to research and report on preventive (i.e., proactive) measures.

Last words

Well, I hope you find one or two of these techniques useful in your effort to analyze your safety management system. The really do work! In the next module we will take a look at taking all of the information and data collected to evaluate the effectiveness and efficiency (quality) of the safety management system. See you there!



Take the review Quiz

Most (but not all) questions on the final exam are derived from module quizzes.
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