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Human Error vs Technique Root Cause (Categories)
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Human Error vs Technique Root Cause (Categories)
Human Error vs Technique Root Cause (Categories)
Human Error vs Technique Root Cause (Categories)
Human Error vs Technique Root Cause (Categories)
Human Error vs Technique Root Cause (Categories)
Human Error vs Technique Root Cause (Categories)
Human Error vs Technique Root Cause (Categories)
Human Error vs Technique Root Cause (Categories)
Human Error vs Technique Root Cause (Categories)
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  Post Number #9  
Old 15th May 2017, 03:56 PM
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Ninja

 
 
Total Posts: 789
Re: Human Error vs Technique Root Cause (Categories)

Quote:
In Reply to Parent Post by Tyler C View Post

...I am only struggling with the next "why" and getting away from human error.
You're already getting great advice...I just feel like chiming in...

Don't "get away from human error"...handle it.

answer to Why #4: Operator error

Why#5: Why was is possible for the operator to make this mistake?

answer to Why#5:
Sufficient prohibitions not installed in the process to block this error from being possible.

CA to consider: What can you do to make it physically impossible for the operator to make this error?
Thanks to Ninja for your informative Post and/or Attachment!

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  Post Number #10  
Old 15th May 2017, 05:06 PM
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Miner

 
 
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Look! Re: Human Error vs Technique Root Cause (Categories)

My experience is that all human errors are caused by an underlying condition. I always insist on asking one more Why if you get an operator error as an intermediate cause.

As Ninja stated: Why is it possible for the operator to make this mistake? Did the tool slip because the punch was dull? Could a jig have been provided to secure the punch and prevent it from slipping?
Thanks to Miner for your informative Post and/or Attachment!
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