(5W) Department:MC2
(CAUSE ANALYSIS) Endorsee Contributors
Name AUDOME ZEANLATUMDEE Date
Accident Removable back support, and the hand crank to a shaft.
Process name Shaft Grinding
Condition to appear. Left middle finger is wound.
Direct cause Removable back support in confined spaces.
Analyzing and researching the causes of motivation. The cause of the behavior (psychology).
Why did it 1W "Why the hand crank to a shaft.
Because removable back support, and the hand crank to a shaft.
"
Why the hand crank to a shaft.?
How does he make a mistake?
2W "Why removable back support, and the hand crank to a shaft.
Because removable back support in confined spaces.ane near shaft."
Why did he work with the method?
How do you consider in this case?
3W " Why removable back support in confined spaces.?
Because there is no the space safely for removing PPE."
Why did wrong consideration?
What is your reason?
4W "why there is no the space safely for removing PPE.?
Because unforeseen accidents."
How do you consider in this case?
5W "Why unforeseen accidents?
Because the accident occurred has never been like this before."
Why can not the process.
Cause the actual behavior there is no the space safely for removing PPE.
No. (COUNTERMEASURE) Date of Completion.
1 "meeting employees of the accident that occurred. To make employees aware of the dangers that may arise.
" 15/08/14
2 has set the grounds for removing PPE safety equipment (front locker). 15/08/14