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




