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P

re

v

enti

v

e

A

ction

P

rocedure

BOS-

P

RD-1201.901202

T

h

e

I

mplement

a

tion Re

s

pon

s

i

b

le

shall:

x

A

ssess

and ana

l

y

se

t

h

e

potent

i

a

l c

a

u

ses

;

x

D

e

f

i

n

i

ng

t

h

e potent

i

a

l i

mpa

c

t

;

x

D

e

f

i

ne an a

c

t

i

on

p

l

an

adapted

to

t

h

e

potent

i

a

l i

mpa

c

t

.

A

ss

e

ss

ing

a

nd

a

n

a

ly

s

ing

potenti

a

l c

a

u

s

e

s

Eff

iciency

a

nd e

ff

ecti

v

ene

ss

:

T

h

e

so

l

u

t

i

ons

need

to

h

ave

a

reasonab

l

e

probab

ili

t

y

o

f

so

l

v

i

ng

t

h

e

potent

i

a

l

prob

l

em

;

Budget:

T

h

e prevent

i

ve

a

c

t

i

on

c

ost

shall

be

w

i

t

h

i

n

t

h

e b

u

dget o

f

t

h

e

i

mpa

c

ted

O

rgan

i

sat

i

on

and

appropr

i

ate

;

E

mployee in

v

ol

v

ement:

E

mployee

s

a

ff

e

c

ted b

y

t

h

e

potent

i

a

l

prob

l

em

should

be

i

nvo

l

ved

wh

en

i

dent

i

fy

i

ng

potent

i

a

l c

a

u

ses

;

Focu

s

on

s

y

s

tem

s

:

T

h

e

so

l

u

t

i

ons

shall

be

f

o

c

u

sed on

a

s

y

stem

ic

v

i

e

w

.

E

mployee

s

do ma

k

e

m

i

sta

k

es

,

b

u

t

t

h

at

i

s

not

u

s

u

a

ll

y

t

h

e

root

c

a

u

se o

f

t

h

e

prob

l

em

.

Qu

a

lity tool

s

(

not limited to

)

:

5 Why’

s

:

T

h

e 5

W

hy

’

s

’ i

s

u

sed

to

i

dent

i

fy

t

h

e

root

c

a

u

ses

o

f

a prob

l

em

to avo

i

d ana

l

yz

i

ng

s

u

per

f

ici

a

l c

a

u

ses

.

5 WH

:

T

h

e 5

WH i

s

a

too

l

u

sed

to

des

c

r

i

be

a

s

i

t

u

at

i

on

(

prob

l

em

,

c

a

u

ses

,

so

l

u

t

i

ons

,

et

c.)

and

to a

cc

u

rate

l

y

ana

l

y

se

a

ll

e

l

ements

.

F

a

ult Tree Method

:

T

h

e

f

a

u

l

t

tree

i

s

u

sed

to

sear

c

h

an order

l

y

c

h

a

i

n

o

f

c

a

u

ses

l

ead

i

ng

to

root

c

a

u

se

.

Flo

w

-

C

h

a

rt

:

A

f

l

o

w

-c

h

art

i

s

a

t

y

pe

o

f

d

i

agram

t

h

at

represents

a

pro

c

ess

or

re

l

ated a

c

t

i

v

i

t

i

es

,

s

h

o

w

i

ng

t

h

e

steps

as

bo

x

es

o

f

var

i

o

u

s

ki

nds

,

and

t

h

e

i

r

order

b

y

c

onne

c

t

i

ng

t

h

ese

w

i

t

h

arro

w

s

. T

h

i

s

d

i

agrammat

ic

representat

i

on

c

an g

i

ve a

step

-

b

y

-

step

so

l

u

t

i

on

to a

g

i

ven

prob

l

em

.

Hi

s

togr

a

m

:

A

n

h

i

stogram

i

s

a bar

c

h

art

represent

i

ng

a

f

re

q

u

en

c

y

d

i

str

i

b

u

t

i

on

;

h

e

i

g

h

ts

o

f

t

h

e bars

represent

observed

f

re

q

u

en

ci

es

.

Is

hik

awa

Di

a

gr

a

m

:

T

h

i

s

d

i

agram

i

s

u

sed

to order

and

v

i

s

u

a

li

z

e

t

h

e

re

l

at

i

ons

h

i

p

bet

w

een

an

"

e

ff

e

c

t

"

and

a

ll li

n

k

ed

c

a

u

ses

.

Pa

reto

C

h

a

rt

:

T

h

e

P

areto

pr

i

n

ci

p

l

e

(

a

l

so

k

no

w

n

as

t

h

e

80-20

r

u

l

e

),

states

t

h

at

,

f

or man

y

events

,

ro

u

g

h

l

y

80%

o

f

t

h

e

e

ff

e

c

ts

c

ome

f

rom

20%

o

f

t

h

e

c

a

u

ses

. T

h

e

P

areto

c

h

art

i

s

u

sed

to order

and

v

i

s

u

a

li

z

e

t

h

e

80-20

r

u

l

e

.

T

a

pRoot

TM

:

T

ap

R

oo

T

T

M

met

h

odo

l

og

y

–

and

c

orrespond

i

ng

so

f

t

w

are

,

wh

ic

h

c

omb

i

nes

i

n

ci

dent

i

dent

i

f

ic

at

i

on

,

ana

l

y

s

i

s

,

and

d

y

nam

ic

report

,

shall

be

u

sed

f

or

i

nvest

i

gat

i

ng

a

ll i

n

ci

dents

and

an

y

ot

h

er

t

y

pe

o

f

dev

i

at

i

on

or

non

-c

on

f

orm

i

t

y

wh

en

app

lic

ab

l

e

. I

n

t

h

i

s

c

ase

,

t

h

e

I

mplement

a

tion Re

s

pon

s

i

b

le

,

des

i

gnated

b

y

t

h

e

P

roce

ss Ow

ner

,

shall

be

i

n

c

h

arge

o

f

t

h

e

root

c

a

u

se

ana

l

y

s

i

s

i

n

T

ap

R

oo

T

T

M

.

T

h

e

prevent

i

ve

a

c

t

i

on

shall

be

des

c

r

i

bed

i

n

t

h

e

Quality Improvement Action Plan

.

A

d

u

e

date

shall

be

i

nd

ic

ated

f

or

i

mp

l

ementat

i

on

.

O

n

c

e

c

omp

l

eted

,

t

h

e

P

revent

i

ve

A

c

t

i

on

shall

be

approved

b

y

t

h

e

respe

c

t

i

ve

P

roce

ss

Ow

ner

. I

f

t

h

e

P

revent

i

ve

A

c

t

i

on

p

l

an

i

s

not

approved

,

t

h

e

I

mplement

a

tion Re

s

pon

s

i

b

le

shall

propose

anot

h

er

P

revent

i

ve

A

c

t

i

on

u

nt

il

approva

l.

V

ers

i

on

0

3

. O

r

i

g

i

na

l

date

:

0

3

/12/201

3

.

V

ers

i

on

date

:

3

1/12/201

5

.

V

a

li

d

vers

i

on

on

l

y

on

Q

M

S

s

i

te

.

U

n

c

ontro

ll

ed do

c

u

ment

wh

en

pr

i

nted

.

P

ro

c

ed

u

re prepared b

y:

BOS

Q

HS

E

M

anager

.

A

pproved

b

y:

BOS

Q

HS

E

M

anager

.

V

a

li

dated

b

y:

BOS

Qu

a

li

t

y

R

epresentat

i

ve

.

.

6

/12

Integral transposition from

Corporate original

(last version date:14/08/12)

956