FOOD MANUFACTURING ROOT CAUSE ANALYSIS Lockout/Tag Out TECHNICAL PAPER PAGE | 5
ROOT CAUSE ANALYSIS WORKSHOP
DAY 1 | LOCKOUT/TAG OUT
THE ROOT-CAUSE WORKSHOP FISHBONE EXERCISE
Day One of the workshop consisted of the subject matter experts identifying
reasons for inadequate lockout/tag out in the food manufacturing sector
with the use of a fishbone diagram.
The Fishbone consisted of the following categories:
1. Tools & Machines: equipment, technology, tool design, maintenance
2. Culture: work culture/attitudes, values, organization leadership,
traditions, beliefs, interactions
3. Processes: method, procedures, work instructions, policy
4. Environment: working environment, work surroundings including air,
noise, light, accommodation, well-being at work
5. People: behaviour, experience, mental health, age
6. Measures: data, indicators, evaluation, techniques/actions used to
measure performance, quality
