FOOD MANUFACTURING ROOT CAUSE ANALYSIS Lockout/Tag Out TECHNICAL PAPER PAGE | 7
PRIMARY CAUSAL FACTORS VOTING
The following were scored higher by workers:
Lack of procedures (program)
Procedure not followed
Inadequate procedure
Inadequate metrics (production rate, downtime,
financial growth)
Lockout point not accessible
Fear
Worker and management subject matter experts voted on the importance of each of the 32 identified
primary causal factors using the following rating scale:
1 Not important 5 Moderately important
2 Low importance 6 Very important
3 Slightly important 7 Extremely important/showstopper
4 Neutral
Voting was facilitated using a voting tool app. Votes were validated following the workshop.
MANAGEMENT AND WORKER VOTING RESULTS
The separated voting results for both management and workers are highlighted below.
The following were scored
higher by management:
Inadequate leadership commitment
Inadequate training
Low risk perception/acceptable risk
Inadequate monitoring/enforcement
Inadequate LOTO devices
Inadequate LOTO points
Unidentified roles and responsibilities
Inadequate LOTO placard at machine
MANAGEMENT AND WORKER VOTING COMPARISON SUMMARY
Overall, management scored items higher in the voting:
Highest score by management 7.00 (Inadequate leadership commitment)
Highest score by workers 6.80 (Lack of procedures)
Management and workers had the same score (6.00) on one item:
Lockout point not accessible
Largest variance where management scored higher was inadequate leadership commitment:
Management 7.00 vs Workers 6.20
Largest variance where workers scored higher was inadequate metrics (production rate, downtime,
financial growth):
Workers 6.20 vs Management 5.50
Overall, management and workers scored closely on most topics.
