System Root Cause
Training/Competency: Training exists but inadequate ;
Catering crew have been trained but not specific with task
Risk Management/JSA: Hazard not recognized;
The hazard, putting the plastic basket near handrail was occurred in the past but never been reported as a hazard
Supervision/Work Direction: Inadequate work oversight or enforcement of work standards ;
Catering crew never been observed and feedback at risk behavior when performed this job (material transferring to Dry store)