Information Technology Reference
In-Depth Information
Personnel
Were personnel a cause? If yes, why?
TBD
table H
.7
personnel Analysis
Cause
Code
Cause
Degree
Subcategories
Description
3A
Inadequate work environment
3B
Inattention to detail
3C
Violation of requirement or procedure
3D
Verbal communication problem
3E
Other human error
Cause degree:
D = direct cause, C = contribution, R = root cause, NA = not applicable.
Comments
TBD
As point of explanation for “inadequate work environment,” consider the following
excerpt from the DoE
RCA Guide
, 1992:
Facility and equipment operability, procedures and documentation,
and management attitudes are all part of the work environment that
needs to be evaluated for each of these steps. Common problems that
need to be considered are:
n
n
n
n
n
n
n
n
n
n
n
n
n
Cognitive overload
Cognitive underload/boredom
Habit intrusion
Lapse of memory/recall
Spatial misorientation
Mindset/preconceived idea
Tunnel vision or lack of big picture
Unawareness
Wrong assumptions made
Reflect/instinctive action
Thinking and actions not coordinated
Insufficient degree of attention applied
Shortcuts evoked to complete job
