GEA UK Root and Underlying Causes

Root Cause Associated Root Cause Underlying

Policy’s and procedures not issued
Organisation Roles and Responsibilities not Communication
defined Management commitment
Ineffective auditing
Confusing
Difficult to use
Incorrect Documentation Not Communicated
Human Behaviour (Violation)
Management Systems Ineffective Training
Training not completed
Ineffective Management
Information technology
Communication
Ineffective auditing
Ineffective Training
Procedures not followed Training not completed
Technical error
Resources
Information technology
Ineffective auditing
Communication
Training not completed
Ineffective Training
Training not completed
Responsibilities not fulfilled Human Behaviour
Resource
Competency
Ineffective auditing
Management / Supervision Communication
Ineffective Training
Training not completed
Not aware of Policies and or Procedures Competency
Ineffective auditing
Communication
Resource

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 GEA UK Root and Underlying Causes

Root Cause Associated Root Cause Underlying

Procedure not followed
Ineffective management system
Not Completed Ineffective Training
Training not completed
Human Behaviour
Resource
Competency
Ineffective auditing
Poor management / supervision
Planning
Procedure not followed
Ineffective Training
Training not completed
Not Implemented Human Behaviour
Resource
Competency
Risk Assessment Ineffective auditing
Poor management / supervision
Communications
Planning
Procedure not followed
Human Behaviour
Resource
Not Communicated Competency
Ineffective auditing
Poor management / supervision
Communications

Inadequate Resource
Competency
Ineffective auditing
Poor management / supervision
Communications
Training

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 GEA UK Root and Underlying Causes

Root Cause Associated Root Cause Underlying

Misunderstood Ineffective communication
Complicated
Competency
Communications Confirmation not gained

Not received Information technology

Deleted in error
Human Behaviour
Resource / Time Constraints

Training not Completed Need not identified

Training not made available
Planning
Resource / time management
Ineffective auditing
Ineffective management / supervision
Training / Competence Training not monitored
Training ineffective Training provided not suitable
Training provider / material not suitable
Competency not assessed
Training not monitored
Resource
Responsibility
Ineffective communication
Procedure not followed
Ineffective Training
Training not completed
Implementation Requirements not Implemented Human Behaviour
Resource
Competency
Ineffective auditing
Poor management / supervision
In adequate Procedures

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 GEA UK Root and Underlying Causes

Root Cause Associated Root Cause Underlying

Requirements not Understood Ineffective communication
Complicated Procedures
Ineffective Training
Training not completed
Ineffective auditing
Implementation (cont)
Poor management / supervision

Roles and Responsibilities not Defined Ineffective Management system

Ineffective communication
Ineffective Training
Training not completed
Ineffective auditing
Poor management / supervision

Need not identified

Policies / procedures not issued Ineffective auditing
Resource
Technical error
Confusing
Not Communicated
Policies and procedures not implemented Not strict enough
Not policed or Audited
Procedures Human Behaviour (Violation)
Ineffective Training
Training not completed
Ineffective Management

Ineffective Training
Policies Procedures not Communicated Training not completed
Technical error
Resources
Information technology
Ineffective auditing

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 GEA UK Root and Underlying Causes

Root Cause Associated Root Cause Underlying

Ineffective auditing Resource
Planning
Training / Competency
Communication
Legal and Regulatory non-compliance Requirements not identified
Process / procedures not implemented
Process / procedures not identified
Ineffective Management system
Quality Control Resource
Planning
Training
Design
Non-Conforming Product Supplier Selection Process
Supplier Audits
Requirements not established
Training
Resource
Planning
Process / procedures not implemented
Process / procedures not identified
Ineffective Management system
No Objectives or Targets Communication
Training
Poor management / supervision
Ineffective auditing

Planning Poor / ineffective planning Resource

Training
Poor management / supervision

Wrong Equipment used / selected Training

Resource
Human error
Technical error

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 GEA UK Root and Underlying Causes

Root Cause Associated Root Cause Underlying

Process / procedures not implemented
Planning (cont) Supplier Supplier Selection Process
Supplier Audits
Requirements not established
Training
Resource
DRA Not Completed
Process / procedures not implemented
Design not Identifying Hazards Training / competency
Supplier Selection Process
Resource
Planning
Design
Process / procedures not implemented
Training / competency
Legal and Regulatory non-compliance Resource
Planning
Ineffective Auditing
Error / Unintentional Violation Training / competency
Fatigue
Planning
Medical Condition / Restrictions
Process / Procedures not understood
Stress
Management System
Communication
Unrealistic targets
Human Behavioural System induced error
Performance Management
Intentional Violation Drug / Alcohol Abuse
Substance Use
Job Performance issues

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