原因分析综合表(2)

可能的系统原因POSSIBLE SYSTEM CAUSES 人为因素 PERSONAL FACTORS1.1-1 1-2 1-3 1-4 1-5

工作因素 JOB FACTORS5.5-1

体力 PhysicalCapability 视力低下Visiondeficiency

2.2-1

身体状况Physical Condition 原先受伤或得 病Pr

evious injury orillness

3.3-1 3-2 3-3

精神状态 MentalState 判断力差Poor judgment 记忆力丧失Memoryfailure

4.4-1

精神压力 MentalStress 全神贯注于别的问 题Preoccupation withproblems

行为 Behavior不合格的操作受到奖 赏 Improper perfo rmance isrewarded

6.6-1

技术水平 SkillLevel 对所需求技术 没有充分评估Inadequate assessment of required skills

7.7-1

训练 / 知识转换Training / Knowledge Transfer 没有进行充分的知识 转换Inadequate knowledgetransfer

8.

管理、 监视和对雇员 9. 的领导关系 Managem ent /Supervision / Employee Leadership 角色和职责冲突Conflictingroles / responsibilities 9-1

承包商的选择和 审查 ContractorSelection & Oversight 承包商未进行资格 预审Lack of contractor pre qualifications

10.1010-1

工程 / 设计Engineering / Design 技术设计欠妥Inadequatetechnical design

11.1111-1 1111-2

工作计划 Work Planning工作计划欠妥Inadequate workplanning

12.

采购、材料处理及 材料控制Purchasing, Material Handling & Material Control 收货项目与订购项目 不符Incorrect item received 给销售商的产品 规范标准不正确inadequate specifications to vendor

13.1313-1

工具和设备 Tools &Equipm ent 需求和风险评估欠妥Inadequate assessment of needs and risks

14.

工作规程 / 政策 / 标准 / 程 序 (PSP) Work Rules / Policies /Standards / Procedures (PSP) 执行任务缺乏PSP Lack of PSP forthe task

15.1515-1

沟通 Communication在同伴间水平沟通 不完善Inadequatehorizontal communication between peers

预防性保养欠缺 Inadequatepreventive maintenance

1414-1

听力低下Hearingdeficiency

节省时间或努力saves time or effort

其它感官缺陷Othersensory deficiency

2-2

肺活量下降Reducedrespiratory capacity

疲劳Fatigue 由于工作量due to workload 3-4 3-5 3-6 3-7 3-8 3-9

协调不好或反应时 间长Poor coordination orreaction time

4-2 4-3

情绪干扰Emotionaldisturbance 恐惧Fears or phobias 缺乏机械知识Low mechanical aptitude 理解能力差Low learning aptitude 4-4

受到挫折Frustration 对工作方向及要求 模糊不清Confusingdirections / demands

8-1

设计输入陈旧designinput obsolete

避免不便之处 5-2 5-3 avoids discomfort 哗众取宠gains attention 6-2

必需的评估assessment ofneeds

缺乏技术实践Inadequate practice of skill

不能领会inability tocomprehend

报告关系不明确unclearreporting relationships

9-2

导师资格不够inadequate instructor qualifications

其它永久性身体残 疾Other permanentphysical disabilities 暂时残疾Temporary disabilities

由于缺乏休 息due to lack ofrest

报告关系相矛盾conflicting reporting relationship

承包商资格预审欠 妥Inadequate contractorpre-qualifications

设计输入不正确design input not correct

1212-1

1313-2

润滑/维修lubrication /servicing

人的因素及人机控制 考虑欠妥Inadequatehuman factors / ergonomics considerations

设计输入不可用design input not available

目标或要求相冲突Conflicting directions / demands

没有适当的监督示范Improper supervisory ex ample

6-3

不经常操作的 技术Infrequentperformance of skill

1-6 1-7

由于感官超 载due to sensoryoverload 2-3

4-5

无意义的或品味低 的活动Meaningless ordegrading activities

对关键的安全行为没 有充分的认识Inadequate identification of critical safe behaviors

培训设备不足inadequate training equipment

职责分配不清unclearassignment of responsibility

9-3

承包商选用欠妥Inadequate contractor selection

调节/装配adjustment /assembly

1313-3

标准和规范不合适Inadequate standards or specifications 1414-2

设计输出不妥designoutput inadequate

清洗/涂层cleaning /resurfacing 1111-3

6-4

缺乏技术指导Lack of coaching on skill

职责分配相矛盾conflicting assignment of responsibility 授权不清或不妥improper or insufficient delegation of authority 8-2

9-4

不理解使用说明书misunderstood instructions 7-2

雇佣未经审核批准 的承包商Use of nonapproved contractor 无工程监管Lack of job oversight

涉计输入不可行design input infeasible output unclear

维修性保养欠缺 Inadequaterepair

订购书上资料不 精确或有误inadequate specifications on requisition

1313-4 1313-5

无现实可取性Inadequate availability

缺乏PSP的详细职责lack of defined responsibility for PSP 缺乏安全工作分析lack of job safety analysis 安全工作分析不足inadequate job safety analysis PSP工作展开不力Inadequate development of PSP 程序和设备设计不相一致inadequate coordination with process / equipment design

1515-2

上下级间垂直沟通 不完善Inadequate verticalcommunication between supervisor and person

1515-3

不同机构间沟通不 完善Inadequatecommunication between different organizations

1515-4

设计输出不清design 设计输出不正确design output not correct

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