Root Cause Process Decision Matrix

Root Cause Process Decision Matrix

<p> Root Cause Process Decision Matrix</p><p>Incident Category People Relationship to Useful Tools Estimated Likely Number Classification (Resources) Issue Owner Completion of Involved Time Occurrences</p><p>A Mishap not resulting in Informal: Supervisor. Internal: FMT  Change analysis 1 to 2 hours Most classification B, C, or D May delegate to field  HBT (near-miss)* employees and seek  Others as needed assistance from E&S (fishbone, contingency reps. diagram, STOP cards)</p><p>B  First aid Informal or formal: Internal: FMT  Change analysis 3 to 4 hours Frequent</p><p> Medical Field-based team. Size,  HBT</p><p> Permit level of expertise, and  Fault tree</p><p> noncompliance membership determined  Others as needed</p><p> PINC by operations </p><p> INC supervisor.</p><p> Level 1** spill (typically less than 1 bbl)</p><p>C  LWD Formal: Chartered legal Internal and  MORT (partial) 1 to 2 days Seldom</p><p> Critical INC review. FMT-based external: FMT  Events a causal factors</p><p> Level 2** spill team. Should consist of supplemented with  Others as needed (typically 1 bbl to field office and external independent 100 bbl) FMT or BU members. resources</p><p>D  Severe injury or Formal: Chartered legal External and  MORT (all or partial) 1 week Least</p><p> multiple injury review. Multidiscipline independent:  Events and causal factors</p><p> Permanent or partial team made up of +/- 4 another FMT or BU  Others as needed disability team members. contact</p><p> Fatality</p><p> Catastrophic event</p><p> Level 3** spill (catastrophic release)</p><p>*Property damage/loss categories and S&E classifications are determined on a case-by-case basis and should consider frequency and severity. **Environmental categories are based on levels defined by GOMBU Oil Spill Response Plan.</p>

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