Ref. # Risk Cause Risk Treatment Rating Fire caused by An oily rag was left in the engine bay after Include a work area check on the job completion oily rag left in maintenance work had been completed. checklist. the engine bay The mechanic was suffering from the All BSWs must adhere to fatigue hours limits, also effects of fatigue and did not notice he had taking into account any secondary employment left it there. or personally fatiguing circumstances. The mechanic had been working 12 hour All BSWs must adhere to fatigue hours limits, also shifts for the last 7 days. taking into account any secondary employment or personally fatiguing circumstances. The supervisor was covering sick leave by Specify that extra hours (overtime) must always rostering staff for extra hours rather than be voluntary, and cannot be offered unless the temporarily bringing in additional staff to worker is within fatigue hours limits, also taking cover the short-term workload. into account any secondary employment or personally fatiguing circumstances. Management does not look favourably on Issue written policy that extra hours must always bringing in additional resources (and be voluntary, and cannot be offered unless the therefore spending extra money) to cover worker is within fatigue hours limits, also taking staff absences into account any secondary employment or personally fatiguing circumstances. Determine risk rating using risk assessment matrix, to determine remedial action prioritisation. Provide the 5 Whys table to TSV (not mandatory). This is the three column table you completed in Step 2 of the above process.
Ref. # Risk Cause Risk Rating Treatment Fire caused by oily rag left in the engine bay An oily rag was left in the engine bay after maintenance work had been completed. Include a work area check on the job completion checklist. The mechanic was suffering from the effects of fatigue and did not notice he had left it there. All BSWs must adhere to fatigue hours limits, also taking into account any secondary employment or personally fatiguing circumstances. The mechanic had been working 12 hour shifts for the last 7 days. All BSWs must adhere to fatigue hours limits, also taking into account any secondary employment or personally fatiguing circumstances. The supervisor was covering sick leave by rostering staff for extra hours rather than temporarily bringing in additional staff to cover the short-term workload. Specify that extra hours (overtime) must always be voluntary, and cannot be offered unless the worker is within fatigue hours limits, also taking into account any secondary employment or personally fatiguing circumstances. Management does not look favourably on bringing in additional resources (and therefore spending extra money) to cover staff absences Issue written policy that extra hours must always be voluntary, and cannot be offered unless the worker is within fatigue hours limits, also taking into account any secondary employment or personally fatiguing circumstances. Determine risk rating using risk assessment matrix, to determine remedial action prioritisation. Provide the 5 Whys table to TSV (not mandatory). This is the three column table you completed in Step 2 of the above process.
Incident-contributing-factors-industry-guidance.docx