SCAT Chart - Systematic Cause Analysis technique - SCAT Chart

JELASKAN KEJADIAN KECELAKAAN

EVALUASI POTENSI KERUGIAN JIKA TDK DIKENDALIKAN

Potensi Keparahan Kerugian
O Mayor ( a ) O Serius ( B )
1 Menabrak/bentur benda diam/bergerak (See I.C's:
1,2,4,5,12,14,16,17,18,19,26)
2 Terpukul/tabrak oleh benda bergerak
(See I.C's: 1,2,4,5,
6,9,10,12,13,14,15,16,20,26)
O Jarang ( C )
Probabilitas Kejadian Frekuensi Paparan
O Minor ( C ) O Tinggi ( A ) O Sedang ( B ) O Jarang ( C ) O Tinggi ( A ) O Sedang ( B )
Jenis Contact atau hampir Kontak dengan Energi atau Zat
3 Jatuh dari tempat yang lebih tinggi 5 Tusuk, jepit, cubit benda runcing 7 Terperangkap diantra atau dibawah (Hancur Or diamputasi)
(See I.C's:3,5,6,7,11,12,13,14,
15,16,17,22) (see I.C's:
5,6,11,13,14,15,16,18) (See I.C's: 1,2,5,6,9,11,12,13,14,15,16,22,28)
4 Jatuh di tempat yang datar 6 Terjepit,tangkap,jebak diantara obyek besar 8 Kontak dengan (Listrik, Panas, Dingin, Radiasi, Kaustik,
See I.C's: 4,9,13,14,15,16,19,22,26) (See I.C's:
5,6,11,12,13,14,15,16,18) Racun, Bising)(See I.C's:5,6,7,11,12,13,14,15,16,17,18,

(IC's) Immediate/Direct Causes (IC's)

SUBSTANDARD/UNSAFE ACTS 7 Kegagalan menggunakan APD secara tepat(See B.C's: 2,3,4,5,7,8 13 Bersenda gurau (See B.C's:2,3,4,5,7,8,13,15) 20 Sistem peringatan yang tidak memadai (See B.C's:8,9,10,11
1 Mengoperasikan Peralatan Tanpa Authority (See B.C's 10,12,13,15) 14 Dibawah pengaruh alkohol dan obat yang lainnya 21 Bahaya kebakaran dan ledakan (See B.C's:5,6,7,8,9,10,11,12,
2,4,5,7,8,12,13,15) 8 Beban tidak sesuai (See B.C's:1,2,3,4,5,6,7,8,9,12 (See B.C's:2,3,4,5,7,8,13,15) 13,15)
2 Gagal untuk meperingatkan (See B.C's: 1,2,3,4,5,6,7,8,9,12, 13,15) 15 Menggunakan peralatan secara tdk tepat (See B.C's: 22 Housekeeping yang buruk/berantakan (See B.C's: 5,6,7,8,9,10,11
13,15) 9 Penempatan tidak tepat (See B.C's: 1,2,3,4,5,6,7,8,9, 1,2,3,4,5,6,7,8,9,10,12,13,15) 12,13,15)
3 Kegagalan untuk mengamankan (See B.C's:2,3,4,5,6,7,8,9,12 12,13,15) 16 Pengaman atau penghalang yang tidak memadai (See B.C's 23 Paparan kebisingan (See B.C's: 5,6,7,8,9,10,11,12,13,14)
13,15) 10 Mengangkat tidak tepat (See B.C's:1,2,3,4,5,6,7,8,9,12,13 5,7,8,9,10,11,12,13,15) 24 Paparan radiasi (See B.C's: 5,6,7,8,9,10,11,12,13,14)
4 Mengoperasikan pada kecepatan yang tdk sesuai (See B.C's:2,3,4 15) 17 Peralatan pelindung yang tdk memadai atau tdk sesuai.
5,6,7,8,) 11 Posisi tugas tdk tepat (See B.C's: 1,2,3,4,5,6 (See B.C's: 5,7,8,9,10,12,13) 25 Temperature Extremes (See B.C's: 1,2,3,8,9,11,12
5 Membuat peralatan pengaman tdk berfungsi (See B.C's 7,8,9,12,13,15) 18 Bahan, peralatan atau tools dalam kondisi rusak (See
2,3,4,5,6,7,8,9,12,13,15) 12 Menservis peralatan dalam kondisi beroperasi (See B.C's:2,3,4,5 B.C's: 8,9,10,11,12,13,14,15)
6 Menggunakan peralatan rusak (See B'C's: 2,3,4,5,6 6,7,8,9,12,13,15) 19 Kemacetan atau tindakan terbatas (See B.C's:
7,8,9,10,11,12,13,14,15) 8,9,13)

(BC's) Basic / Underlying Causes (BC's)

PERSONAL FACTORS
1 Kemampuan Fisik / Fisiologis tdk memadai 4 Mental atau psikologis Stres 7.11. Contoh dari supervisor yg tdk benar 10 Pembelian yang tdk Memadai
(See CAN: 6,9,12,15,18) (See CAN: 1,4,5,6,10,11,12,15,16,18,20) 7.12. Feedback (umpan balik) kinerja yg tdk tepat (See CAN: 1,3,4,6,9,12,13,14,15,19)
1.1 Tinggi, berat, ukuran, kekuatan, pencapaian, dll 4.1 Kelebihan beban emosional 7.13. Kurangnya penekanan pada perilaku yg benar 10.1
tdk memadai 4.2 Kelelahan mental karena beban tugas 7.14. Insentif produksi yg kurang memadai 10.2
1.2 Keterbatasan gerak badan 4.3 Tuntutan penilaian / keputusan yang ekstrim 10.3
1.3 Keterbatasan kemampuan untuk mempertahankan posisi tubuh 4.4 Rutin, monoton, penjagaan membosankan Faktor Pekerjaan 10.4
1.4 Alergi atau sensitif terhadap bahan kimia 8 Kepemimpinan/supervisi yang tidak memadai 10.5
1.5 Sensivitas yang ekstrem dari sistem sensorik 4.5 Tuntutan konsentrasi / persepsi yang ekstrim 8.1 Sistem pelaporan yang tidak jelas atau bertentangan
(temperature, suara, etc) 4.6 Aktivitas tdk berarti atau menurun 8.2 Penugasan atau tanggung jawab yang tdk jelas atau bertentangan 10.6
1.6 Defisiensi penglihatan 4.7 Arahan / tuntutan yang membingungkan 8.3 Pendelegasi yang tidak benar atau tidak memadai
1.7 Defisiensi pendengaran 4.8 Tuntutan/arahan yang bertentangan 8.4 Kebijakan, prosedur, praktek, guideline 10.7
1.8 Defisiensi sistem sensor yang lain (raba, 4.9 Penuh dengan masalah yang tdk memadai 10.8
rasa, bau, keseimbangan) 4.10. Frustasi 8.5 Memberikan target, sasaran, tujuan atau standar yang konflik 10.9
1.9 Ketidakmampuan sistem pernapasan 4.11. Sakit mental 8.6 Program atau perencanaan kerja yang tdk memadai 10.10.
1.10. Ketidakmampuan permanen fisik lainnya 8.7 Training, orientasi dan instruksi yang tdk memadai
1.11. Cacat sementara 5 Lack of Knowledge 8.8 Dokumen referensi, peraturan, petunjuk 10.11
(See CAN:2,4,5,6,7,8,9,10,11,12,13,15,16,18,20) yang tdk memadai 10.12
2 Kemampuan mental/psikologis yang tdk memadai 5.1 Kurang pengalaman 8.9 Identifikasi dan evaluasi paparan kerugian
(See CAN: 6,9,10,15,18) 5.2 Orientasi tdk mencukupi yang tdk memadai 11 Perawatan yg tdk memadai
2.1 Ketakutan dan probias 5.3 Training awal tdk memadai 8.10. Kekurangan dalam hal pengetahuan manajemen pekerjaan ( See CAN: 1,3,4,5,9,10,13,15,19)
2.2 Gangguan Emosional 5.4 Update training tdk memadai dan pengawasan. 11.1
2.3 Sakit Mental 5.5 Kesalahpahaman thd arahan / instruksi 8.11 Kualifikasi pekerja yg tdk cocok dengan persyaratan
2.4 Tingkat intelenjensia pekerjaan atau tugas
2.5 Ketidakmampuan untuk memahami 6 Lack of Skill 8.12 Evaluasi dan pengukuran kinerja pekerja
2.6 Penilaian yg buruk (See CAN: 2,4,5,6,7,9,10,13,15,18) yang tdk memadai
2.7 Koordinasi yg buruk 6.1 Instruksi awal tidak memadai 8.13 Umpan balik kinerja yang tdk memadai dan tdk benar 11.2
2.8 Waktu reaksi yg lambat 6.2 Praktek tdk memadai
2.9 Bakat mekanik rendah 6.3 Kinerja rendah 9 System Engineering yg tdk memadai
2.10. Bakat belajar rendah 6.4 Kurang pengawasan/bimbingan (See CAN: 1,2,3,4,9,12,13,14)
2.11. Kegagalan ingatan 6.5 Peninjaun intsruksi tdk memadai 9.1 Penilaian potensi kerugian paparan yg tdk memadai
9.2 Pertimbangan faktor manusia atau ergonomik
3 Stres fisik atau fisiologis 7 Motivasi yang tidak benar yg tdk memadai 12 Peralatan dan tools yg tdk memadai
(See CAN: 4,6,9,11,12,13,15,18,20) (See CAN: 1,2,4,5,6,8,10,11,13,15,17,18) 9.3 Standar, spesifikasi atau kriteria disain (See CAN: 1,3,4,6,7,9,11,12,13,14,15,19)
3.1 Cedera penyakit 7.1 Kinerja yg tdk benar dihargai yg tdk memadai 12.1
3.2 Kelelahan karena beban tugas atau durasi 7.2 Kinerja yang tidak benar dihukum 9.4 Monitoring konstruksi yg tdk memadai
3.3 Kelelahan karena kurang istirahat 7.3 Insentive kurang 9.5 Penilaian kesiapan pengoperasian yg tdk memadai 12.2
3.4 Kelelahan karena overload sensorik 7.4 Frustasi yang berlebihan
3.5 Paparan bahaya kesehatan 7.5 Agresi yg tdk pantas 9.6 Kontrol yg tdk tepat atau tdk memadai 12.3
3.6 Paparan suhu ekstrim 7.6 Upaya yang tidak benar untuk menghemat waktu atau usaha 9.7 Monitoring awal pengoperasian yg tdk memadai 12.4
3.7 Kekurangan oksigen 7.7 Upaya yang tidak benar untuk menghindari ketidaknyamanan 9.8 Evaluasi perubahan yg tdk memadai 12.5
3.8 Variasi tekanan atmosfer 7.8 Upaya yang tidak tepat untuk mendapatkan perhatian 12.6
3.9 Insufisiensi gula darah 7.9 Disiplin yang tidak memadai 12.7
3.10. Obat-obatan 7.10. Tekanan dari rekan kerja yang tdk benar

(CAN) Control Action Needs (CAN)

1 LEADERSHIP AND ADMINISTRATION
Program Present (P), Standards (S), Compliance ( C )
1.1 General Policy
1.2 Program Coordinator
1.3 Senior and Middle Management Participation
1.4 Management Performance Standards
1.5 Management Participation
1.6 Presentation at Management Meeting
1.7 Management Reference Manual
1.8 Management Audits Conducted
1.9 Individual Responsibility for Safety and health
/Loss Control Objectives
1.10. Establishment of Annual Safety and Health
/Loss Control Objectives
1.11 Joint safety & Health Committees and/or
Safety and Health Representatives
1.12 Refusal to Work on Grounds of safety &
Health Hazard (s) procedure
1.13 reference Library
2 MANAGEMENT TRAINING
Program Present (P), Standards (S), Compliance ( C )
2.1 Management Orientation/Induction Program
2.2 Formal Initial Training of Senior Management
personnel
2.3 Formal Review and update Training of senior
Management Personnel
2.4 Formal iInitial Training of Supervisory and
Middle Management Personnel
2.5 Formal Review and Update Training of
Supervisory and Middle Management
personnel
2.6 Formal Training of program coordinator
3 PLANNED INSPECTIONS
Program Present (P), Standards (S), Compliance ( C )
3.1 Planned General Inspections
3.2 Follow-up Procedures
3.3 Inspection report Analysis
3.4 Critical Parts/Items Inspection Program
3.5 Preventive Maintenance Program
3.6 Mobile and Material-Handling Pre-Use
Equipment Inspections
3.7 Alternative Conditions Reporting System
3.8 Planned general Inspection Report
Maintenance
3.9 regular Program Monitoring
4 TASK ANALYSIS AND PROCEDURES
Program Present (P), Standards (S), Compliance ( C )
4.1 Management Directive on Importance
4.2 Critical Task Inventory
4.3 Task Analysis and Task Procedure
Objectives
4.4 Task Analysis and Procedures for
Critical Task Completed and regularly
Updated
4.5 Safety and Health Hazards in Critical
task Analyses and procedures
4.6 Regular program Monitoring
5 ACCIDENT AND INCIDENT INVESTIGATION 10 EMPLOYEE TRAINING 16 GROUP MEETING
Program Present (P), Standards (S), Compliance ( C ) P S C Program Present (P), Standards (S), Compliance ( C ) P S C Program Present (P), Standards (S), Compliance ( C )
P S C
5.1 Accident/Incident Investigation Procedure 10.1 Training Needs Analysis 16.1
5.2 Scope of Investigations Established 10.2 Employee Training Program 16.2
5.3 Remedial Follow-up and Action 10.3 Training Program evaluation
5.4 Major Accident Announcement Used 16.3
5.5 High Potential Incident Information Used 11 PERSONAL PROTECTIVE EQUIPMENT 16.4
5.6 Operating management Participation Program Present (P), Standards (S), Compliance ( C ) P S C
5.7 Incident Reporting and Investigation 11.1 Personal Protective Equipment Standards 17. GENERAL PROMOTION
5.8 Accident/Incident Report Maintenance 11.2 Personal Protective Equipment Program Present (P), Standards (S), Compliance ( C )
5.9 Regular Program Monitoring Recordkeeping 17.1
11.3 Enforcement of Standards 17.2
6 TASK OBSERVATION 11.4 Regular Program Monitoring 17.3
Program Present (P), Standards (S), Compliance ( C ) P S C 17.4
6.1 Management Directive on Importance 12 HEALTH CONTROL 17.5
6.2 Complete Task Observation Program Program Present (P), Standards (S), Compliance ( C ) P S C 17.6
6.3 Level of Complete Task Observations 12.1 Health Hazard Identification 17.7
6.4 Partial Task Observation Program 12.2 Health hazard Control 17.8
6.5 Task Observation Report Analysis 12.3 Information/Training/education
6.6 Regular Program Monitoring 12.4 Industrial Hygiene Monitoring 18 HIRING AND PLACEMENT
12.5 Health Maintenance program Program Present (P), Standards (S), Compliance ( C )
P S C 7 EMERGENCY PREPAREDNESS 12.6 Professional Medical Assistance 18.1
Program Present (P), Standards (S), Compliance ( C ) P S C 12.7 Health Communications to Worker 18.2
7.1 Coordinator Appointed 12.8 Record Maintenance 18.3
7.2 emergency Plan in Writing 18.4
7.3 Supervisory Training in First Aid 13 PROGRAM EVALUATION SYSTEM
P S C
7.4 Employee Training in First Aid (10%) Program Present (P), Standards (S), Compliance ( C )
7.5 Emergency Lighting and Power 13.1 Comprehensive Audit of Compliance with 19 PURCHASING CONTROLS
Adequate Program standards Program Present (P), Standards (S), Compliance ( C )
7.6 Master Controls Color Coded and 13.2 Comprehensive Audit of Compliance with 19.1
Labeled Physical Conditions standards
7.7 Protective and Rescue Equipment 13.3 Comprehensive Audit of Compliance with 19.2
7.8 Emergency Team Training and Drills Fire Prevention and Control Standards
7.9 Qualified First Aid Attendants 13.4 Comprehensive Audit of Compliance with 20 OFF-THE-JOB SAFETY
7.10. Organized Outside Help and Mutual Occupational Health Standards Program Present (P), Standards (S), Compliance ( C )
P S C Aid 13.5 Program Evaluation Systems Record 20.1
7.11 Protection of Vital Records Keeping
7.12 Post Event Planning 20.2
7.13 Emergency Communication Provided 14 ENGINEERING CONTROL
7.14 Public Safety Communications Planned Program Present (P), Standards (S), Compliance ( C ) P S C
14.1 Design Engineering Safety and Health Con-
8 ORGANIZATIONAL RULES siderations at conception and Design
Program Present (P), Standards (S), Compliance ( C ) P S C 14.2 process Engineeing Safety and Health
8.1 General safety and Health Rules Consideration at Conception and Design LEGEND
8.2 Specialized Work Rules 14.3 Regular Program Monitoring
8.3 Work Permit and specialized procedures P
Systems 15 PERSONAL COMMUNICATIONS
P S C
8.4 Rule education and Review Program Program Present (P), Standards (S), Compliance ( C ) S
8.5 Rule Compliance Effort 15.1 Training in Personal Communication
P S C 8.6 Use of Educational Signs and Color Technique C
Codes 15.2 Job Orientation/Induction New/Transferred
8.7 Regular program Monitoring People
15.3 Proper Task Instruction Traning and Use
9 ACCIDENT/INCIDENT ANALYSIS 15.4 Planned Personal Contact Program
Program Present (P), Standards (S), Compliance ( C ) P S C 15.5 Regular Program Monitoring
9.1 performance statistics Computed and used
9.2 Occupational Injury and Illness Analysis
9.3 Property and Equipment Damage
Identification and analysis
9.4 Problem Solving project Teams
ran
O Sedang ( B ) O Rendah( C )

Terperangkap diantra atau dibawah (Hancur Or diamputasi)

(See I.C's: 1,2,5,6,9,11,12,13,14,15,16,22,28) 20,21,23,24,25,27,28)
Kontak dengan (Listrik, Panas, Dingin, Radiasi, Kaustik, 9 Tekanan berlebih, Kelelahan
Racun, Bising)(See I.C's:5,6,7,11,12,13,14,15,16,17,18, (See I.C's:8,9,10,11,13,14,15)

Sistem peringatan yang tidak memadai (See B.C's:8,9,10,11 26 Penerangan yang tidak memadai atau berlebihan
Bahaya kebakaran dan ledakan (See B.C's:5,6,7,8,9,10,11,12, (See B.C's:8,9,10,11,12,13)
27 Ventilasi tdk memadai (see B.C's:)
Housekeeping yang buruk/berantakan (See B.C's: 5,6,7,8,9,10,11 8,9,10,11,12)
12,13,15) 28 Kondisi lingkungan yang berbahaya
Paparan kebisingan (See B.C's: 5,6,7,8,9,10,11,12,13,14) (See B.C's:8,9,10,11,12,13)
Paparan radiasi (See B.C's: 5,6,7,8,9,10,11,12,13,14)

Temperature Extremes (See B.C's: 1,2,3,8,9,11,12

Pembelian yang tdk Memadai 13 Standar Kerja Tdk Memadai

(See CAN: 1,3,4,6,9,12,13,14,15,19)
Spesifikasi yg tdk sesuai permintaan
Penelitian yang tidak memadai pada bahan / perala 13.1 Pengembangan standar yg tdk memadai;
Spesifikasi tdk memadai untuk vendor
Mode atau rute pengiriman yg tdk memadai
Inspeksi penerimaan yang tidak memadai
Komunikasi data keselamatan dan kesehatan
yang tdk memadai
Penanganan material yg tdk tepat
Penyimpanan Material yg tdk tepat
Pengiriman material yg tdk tepat
Identifikasi item-item berbahaya yg tdk memadai
items
Penyelamatan atau pembuangan limbah yg tdk tepat
Pemilihan kontraktor yg tdk tepat
Perawatan yg tdk memadai
( See CAN: 1,3,4,5,9,10,13,15,19)
Pencegahan yg tdk memadai
11.1.1. Penilaian kebutuhan
11.1.2. Lubrikasi and servis
11.1.3. Penyesuaian / perakitan
11.1.4. Pembersihan
Perbaikan yg tdk memadai
11.2.1. Komunikasi kebutuhan
11.2.2. Jadual pekerjaan
11.2.3. Pengujian unit
11.2.3. Pengantian part
Peralatan dan tools yg tdk memadai
(See CAN: 1,3,4,6,7,9,11,12,13,14,15,19)
Penilain kebutuhan dan risiko
yg tdk memadai
Pertimbangan faktor kesalahan manusia
/ergonomik yg tdk memadai
Standar atau spesifikasi yg tdk memadai
Ketersediaan yg tdk memadai
Perawatan / penyesuaian yg tdk memadai
Reklamasi dan penyelamatan yg tdk memadai
Penggantian dan pemindahan item-item
yg cocok tdk memadai
(See CAN: 1,2,3,4,5,6,7,8,9,10,11,
12,13,14,15,16,19)
13.1.1. Evaluasi dan inventory dari
kebutuhan dan paparan
13.1.2. Koordinasi disain proses
13.1.3. Keterlibatan karyawan
13.1.4. Procedures/practices/rules
13.2 Komunikasi standar yg tdk memadai;
13.2.1. Publikasi
13.2.2. Distribusi
13.2.3. Terjemahan untuk bahasa
yg sesuai
13.2.4. Training
13.2.5. Memperkuat dengan tanda, warna,
kode dan alat bantu pekerjaan
13.3 Standar perawatan tdk memadai;
13.3.1. Penelusuran alur kerja
13.3.2. Memperbarui/update
13.3.3. Memonitor penggunaan prosedur/
peraturan atau praktek kerja.
13.4 Monitoring kepatuhan tdk memadai
14 Exercise Wear and Tear
(See CAN: 3,4,6,9,10,13,14,15)
14.1 Perencanaan penggunaan yg tdk memadai
14.2 Perpanjangan waktu service yg tdk tepat
14.3 Inspeksi atau monitor yg tdk memadai
14.4 Beban atau tingkat pengunaan yg tdk tepat
14.5 Perawatan yg tdk memadai
14.6 Digunakan oleh orang yg tdk ditraining
14.7 Digunakan utk tujuan yg salah
15 Penyalahgunaan
15.1 Perilaku yang tidak benar yang dibiarkan
15.1.1. Sengaja
15.1.2. Tdk Sengaja
15.2 Perilaku yang tidak benar yang tydk dibiarkan
15.2.1. Sengaja
15.2.2. Tdk Sengaja
 GROUP MEETING
Program Present (P), Standards (S), Compliance ( C ) P S C
Group Meeting Held
Record of Subject, Visual Aid, Attendance,
Problems Discussed
Middle and Top Management Involvement
Regular Program Monitoring

7. GENERAL PROMOTION
Program Present (P), Standards (S), Compliance ( C ) P S C
safety Bulletin Board Program
Use of program statistics and facts
Critical Topic Promotion
Use of Awards or Recognition
Program Information Publication
Group Performance Promotion
Housekeeping Promotion
Records of Program Promotion Activities

HIRING AND PLACEMENT

Program Present (P), Standards (S), Compliance ( C ) P S C
Physical Capability Analyses
Pre-Employment Physical examination
General Orientation/Induction Program
Pre-Employment/Pre-Placement Qualifica-
tion Checks

PURCHASING CONTROLS
P S C
Program Present (P), Standards (S), Compliance ( C )
Purchasing Includes safety and health in
Specifications and Procurement
Selection and Control of Contractor

OFF-THE-JOB SAFETY
Program Present (P), Standards (S), Compliance ( C ) P S C
Reporting System Established and statistics
Analyzed
Off-the-job safety Information Communi-
cated

LEGEND

Do we have program standards for this activity?

Are existing standards adequate?

Is there full compliance with standards?