1.

U'tl71111Ena•::tilu tNn1'tltiifltaURn1fN
- M;')., ~ ,.~ 7. EGAT SMS
LYlfiiUfl m'l'Ufli'11::11'l'M1~1L'M 'J11'il.:!fp..l IAn'l'lN~fJ1UtJU'l::\J\J 2. tlt::Lilur.~tufnllm'lil'l?i»~!CULitn.nn'hliin1fll111'1:1!
Ol'),""'"'~~·"'l insn,wom"!cv•illn~mmi

Systematic Cause Analysis Technique (SCAT) ® A. ann A.f<

EGAT Safety Management Standard No.&Ciassilication Group
e..m.ns-.. B. trn.ne-w
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i ...,id:<...,>-
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5. tl11t'iU"j.;fU,!1U (Balllc/Underlying Ca uses)
1· ~'lalol......lbk-· l .I l Q) I I0 I i ... I . i I i I j i 6) I () e : I I l® I I I 0 I 0 il
0 I0 ID ID l D !D D I D I D i D ID 0 0 0 D I I I l l I I 0 l ! ~ •. .......,.,..,,• .,......,Miomolblnnn:...
T ie 0 I0 i I I t., I i I 1 J ! I & I 0 1!2 •I I ()

IDID ID i D I D 0 ! D I D D ID 0 0 0 D I l I i I ! DI I ~ >. llwr~m..m \ I 0 0 I I ®! I ! I i i I €)! 0 €! I j : 6! I €! ! @ 0 6.> 0 ' I

0 0 j D 1 D D \ 0 D l D I D D l 0 I 0 0 0 D i 1 I 1 ! f i [ j J •· Plmulnhom<........n.l~'l• ') 0 0 l 0 • 0 0 0 0 · 0 i 0 0 @ I Q ! • • I J i i 01 0 lil I [ 61 & 6 I ® 0 ! 0 0 • irz
0 10 o i o o ' o i o o l o 1o olo o o o o o 1 I o l o i o o l I 1 ~~·-·~~~-~~~~-----------~~-~+-~ ~+1~0~·t·~~·~o~!~+~-+®~.~~-+l-t:~o~.~~~-~~~o~.+o~.+i~o~+i·_~
l o~·~®~.~·~®~.4,_~
i G;·¥g~·+I-~®~.~~~L®~_4.~&~·~o~.+'-P''
10 I 0 i 0 D D l !D 0 D i 0 I 0 D : : I 0 I 0 i D D ! I .......tn.. IR......tnnl\l ! I ® ® 0 I €! I I I ; i I !® l i @ Q) I ! 0 i Q I •

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o wl "'
Q 0 0 ""
I 12 11 12 11 14 10 1:1 12 12 12 11 II 8 1J II 7 8 3 6 10 ' 10 Ul 10 1 6 6 6 ll • • ll 9 I 10 13 5 8 9 15 II 3 ' ' • I 5 !5 6 I I II I 14 5 _I_ .. tl 9 t5 & l 9 ,,
 ~1LVI~"JJw::J'u (Immediate Causes)

0 ... : I

n. n1~n~~~,~~1n~1~1~~31Y

0. l
~
..Y ..J "" •I 'l ,... " ..J
"DLI'I'l'il~l.l'ilf!uO"lN~fl!l I.II.IMU1'n (Operating Equipment without _ 'lU\J1~~1U'-'l'iltJ1~fttl1U01'lN~iin!)L~W1::~1U Ml'i!~Cil'il~iln1'Ml'il'il~ty111L'li1Vh~1UMf911l''il~'il1Pi'!l~
"'. .. ..3
Authority) 'VI~1U01'l'ii\J'li.I'VIn~::fl'l1~"D1U1ty

..a "" .I ~ ~ '"" " ..& .. "...... .. ...a.. - ... • ...

1. "'..Y
~"DLfl'l'il~l.l'ilf!uO"lN~fl!l UJ)J\o!U1'n 'lU\J1~~1U'-''l'ii\J1~fttnU01"lN'rl~O!)L1lW1::~1U '-''l'il'rlfll'il-11~01'l'll'il'il'ft'\111llL'II1'n1~1UM"l'il

(Operating Equipment without Authority) '-'l'ili'ii.:J'il1~ti~~1U01'l'iltJ'l~~n~::l'l'l1~'111U1ty

3. \,iillllrfu 'l,ift'ilfll,iyh'LM'afufi~LL.:a~u."l~t.lt'l'ilflzl!l (Failure to

Secure)

4. tJi)~~1Ut~t!l'lifl'l1)JL;'l~1bJL\o!)J1tft)J L;'lMl9"fi1LOULtJ -
_ 'JitJti1U'n1'-'U::'-''l'il
... ,... .. - ... I , .. Q: ........ 0 lfl !'\ - - I
'IILfl'l'ii~)Jtl~uO'lNfl'ltlfl'l1~L'l'lLOU'V101'-'UiilL'l LU01'l'il90U.tJ\J\-I'l'ilLOUn'l1

(Operating at Improper Speed) l'l'l11.1L;'l~ri1\-IU111H

5. Yhlt.i'~t.ln'lcifl'l1).1Ut~'tlliln!l'l,ift11-11"ltl'l"'i~1ULJi (Making Safety

Device Inoperative)

" ..J .. .I ,_.~

6. 'l'IILfl"l'il~)J'il'elun"lN'rl"D1tfl (Using Defective Equipment)

7. \,.,1"1i'elt.ln"lwf'},.,l'l"lil~l'l'l1).1Ut'l'il&;lzl!lfi'lu\4flflftl'l'li'h.i{!n1jfi (Falling _ ... , .. _

'iltl\J1!19!1LLt'l'l'lUlll'l
to Use PPE Properly) "

_ \J"l"lYJO'llil~L,i\}nfi'tH ~~.;1U'lU 01"lihfiui~'ll'il~ n1'ln"lt~1!1J1MUO Ml'ti'II'U111l'll'il~~~'IJ'il~ ~~\JUt11U

8. \J"l'lYJO i'um'l::J1wun'l,iL'-')J1tfta.. (Improper Loading) .I I "" ,¥ ..J "
'n1MU:: f!uO'lN M"l'il'nU'VILO\J'IIil~

."1 ... 0 "' !!'I .. ..

_ L1JUfi1L'-'"J'l'l'n1 ~'-' ~\-lflU~1U\J1111L~tJ~1001'l!lO~.:J'll'il~ LLft::'VI1
~ • 'l'-'fiU11UlJ111lL~\J
.. ... .. 'VI1 LWVI'lW!l~Uh'l!l\-11!1
0 .. -~
" !S
-

10. !IO'II'il~'l,iL'-'a.l1tft)Jtl,ign1jfi (Improper Lifting)

\-lf'iiO'l::\J'l'U 01"l~ftlloDIII'li'il~L \i'il~a.l1~1nL'nfiUfl 01'1!10\,iL\-IJJ1::ftJJ

- 'l'HiJhLLMU~flUYh~1UMl'tlf!UO"lN1uPhLLMU~~n'tllMLOIIl01'l\J111lL~tJIA'tl~t.li)tm~1UMf'tlfl'U~U ']Li
11. lli1LLMU~'II9~~1u~t.li)u~'l,iLM)J1::ft)J (Improper Position for Task) ·~h'l'l-i"ni'-ntiiuLft!IM1!lMf'ilO"lt\J'lU01"lr.lftiiMfllil'll::~n fl'l1)J!tyLft!l'ti1~Lilur.~a,.,,~,mM~n1'ltliL~w1::
..... ~ -"
M"l9.L0j;}'liU)J1L1JUL'lt'I1U1ULLft'l
...

12. .J ..J - .I "' ..J ..J

•g'iJ)JLfl'l'il~~O"l'eluO'lN LU'IJNt'VILfl"l'il~~O'l"101ft~'VI1~1U'iltj
- o - o • _ 'ntl1t11a.!~~::'li'i1JJ lll'l'l"lfl'iltJ t.lftJu.IJi~ Lf'l1'il~in'lf!t.IO'lN~ri1fi~vh~1U11~ (l,i1.l~llln1'lVh-111U'll'iloll
{Servicing Equipment In Operation) u~l'il~in1'"1n'ilU~"'::'li'ilJJ t.li'uu.Pi~ lll'l'l<tft'iltJ)
_ O"IO'l'la.IL~ 'Jma..~1lli'LUUfhU\-Id.:J'll'il~tJ,-::411111)J\J0~ i~'il1~rl'il'lt.i'LOIJlfttl1U 01'lnlv:~~L ~iio~~iU'l1V
'Clulll1'1tl llllst.ln~u.a'la3'n~::~uuLlt:~o~~'llui'u '-'U'ilnft'il Ls1LL'-'li

14. 'tl~ll1!l'lfJiii"nfi'nft'll'il~U.'ilftO'illl'iltlMl'tlti1;U ")~ilr.!fttR'ilt!'llll1W ... ,.., .. .. • ... ..~ .. ...& ........ "'I,..
- 'l'la..!Cl-11 11!l1LOU'IIU111l LnUn'l1'VIUW'nti~.:J 1''lJJCl~t'l11''iiU ")VIa.I01'lfl'l\Jf!JJ01'lL11
(Under the Influence of Alcohol and/or Other Drugs)

15. l"'iLfl'4'il~ii'il~t.ln"lN1,;L'-'~1::fl~tl,jgn1j6 (Using Equipment

Improperly)

Barrier)

17. f!t.I01'Ntl''il~nu'Clul111'1!1l,iL.W!l~-n-atl,iL\-IaJ1::ft~o~ (Inadequate or - 'l'lJJii~'l,iifll\-li:i PPE 11lf'il'l,iiVI1111'lM'LYl-an1'1ifJJfl'l'il-ll~•hu'~u

Improper PPE)

18 Ll'll'il~ii'il 'ilt.ln'lN ,..;11i''llfi\Jnw-i11~ (Defective Tools, Equipment ...., ~ ...., •

. ' ' - 'il1~~::LUUn1'lft0\-l'l'i11Jl1JJt.lnii 01'l'l,mflt.l'i::Ul'VI \-lf'iln1'l'il'iiOLL\J\J'VIUJLfl!l~vt'il 'li'lliJVILa.l~'llta..l1::i'IJJ
or Material)

19. lJ1-L'lN~ll£iu~~1U.;1nlll '-';'ilL~'iliflfitJLLfi\J (Congestion or

Restricted Action)

20. 'l::uuiqJqj1NLiii'ilu'l,iLYlti~W111l,iyh~1U (Inadequate Warning

System)

21. ilt~mw'Clulll1'1U~'il1<tn'ii'Lt.i'Lnlll'l'rll\-lai/'i::Lijlll'llli {Fire and

Explosion Hazards)

22. \J;L'lN~Yi1~1UL,iLUU'l::LUtltJL;!ItJfiltl (5ft.) (Poor _ 'l'la..l~~ili~t.luLif'ilu i~'ll'il~~\,i41LUU 'l1~t.l::t.lu'l::Ln:: 'l::n:: \,iLUU"l::LU!I\J L~\JLI'Il'il~ii'il olflli)
Housekeeping/Disorder) 'flt.IMNm"fi~1UL,i\lli
_ 'l::!lltJ'i111.:JLif!lo~~lli~~ft,,.,,,a\'i,'liLi411,ft~,.'lflm-nn,,\!Wu LOIIlfl'l1JJLfllslil .,,,.,iio~~m,-i,.,rrfiLil!l~Lilu
... • .... • - ~ "' ....
'l::!l::L'lft1U1U "JLOUn'l1'nn1\-IUiil 'l::fltJLntl~'n'l\JO'lU01'ltl'ilft1'l\-l'l'ilftt'\lt'\11NLntl~~.., ..
.. ~ !S :::.. u

_ i~rl'ft'i::iufo~~if(fo~~ilu.lllnlli'l u.ft::'l,iu.flnlli'l) L"'lu u.fi.:J'-'f'ilfl'l1~i''ilu ~.:Jft1~1'iaYi1'lM'LnM1'llJ1filL~tJ

'-'f11fl'l1)JLflltlfltR'iltJflflft <iiUO'lN i'fllll 'l'la..iii~n1'li~rl'ttLUU'l::ti::L'lil1U1Y '1
• • •
_ i~rl''llfl'l1~f'ilu'-'l'ilfl'l1~Liiu 'lu'il1fl1'i U'ilO'i11fl1'l 'i::EJ::L'ltnlu '-'f'il'l::ti::L'lft1U1U 'l ('l'lJJ...to~~
~N11l.tJil'll'il-ll'i11011'1 'ilt.IO'lN i''ll'!)~'il1o<t\'i1'LM'Lnllln1'l\J1111L~\J111;11Lfttl\-11!l
_ L~ tl'l'li'ii-110\Jil LLfi.:Jft~1-ll LoW !l.:JW'i11Ji'il011'Yi1~1U '-'111ij LLft.:Jft~1~JJ1 n LnUL,j ( U.ft~ ~1 )vl'ltJ O'l U01'1\11-111 'U

Illumination)
:jj~'i11"l'th'\t.i'LOIIl011'\J111lL~\J\-Il'i!LOflfl'l1a.ILflltllll
_ 'l'l~~~01;'l::tJ'ltllliltlfi'l'lJJ'II1iiLLft:: 01'l'l::tJ1!l91011'llliltloWiilt'la..l :jj~'\Mil'il'ilO=iL~ULfltJ~W'il LLft::t.lmJ'il~
27. iln11'1'::lJ1!l'i11011'1'l,iLYl!!~W'il (Inadequate Ventilation)
JJftll1'l::'V11.:J'i11011'1\-lf'iiU.rlft L"'iU fl1f\J11UJJ11;l'ilnL'li.J

28. iiftll1'WU.'lfilft'ila..I~LUU'Clulll'l1!J {Hazardous Environmental _ 'l'l~~~ft11'Lflil i'lll1W (U.a..lft~ ftPioloW'II LL\Jfl-viL;tl 'bfft 1'1 "1ft"1) l't'l1JJjUft::~.vi'ilU(\J1~t'i'lU11l~'il'JO
Conditions) fi'lU'il11~11~n1ti)U.ft::~<titi'VI1~Ji'1U01'ltl1'11ftl1lf
 ii1L"fll;f'U_!1'U (Basic Causes)

n. u~4'!1~1nfi'U (Personal Factor)

1. i'U.I'i'itlll1V.'VI1~11•iln1!JI~1f::hiLYi!J~V.'i1/h:iLt.Uol1::tU.I 4. iiA'l1SoiLflf!J111'V11~'i11fa.Jtlh.,;'i1<\PiL"I
1.1 fl'l1U1!~ tl1tnrn '11\.11111;,~01!1 fl'l1ULLcD~LL'i~ f::!J::L~'ila.l "1tl'1 \sJL~a.a1::~a.a 4.1 'i111a.aN1tii'ueJt~n'l::'VIua.a1nLnu\u
1.2
1.3
..
7::!J::'Ii'l~n1'lLflfl'iiUL~'l'll'il~;,~m!Jan<i1011
A'l1Uft1U1'ltlLU01'linti1~1U~U~'ll'il~;,~n1!lgn<i1nlll
4.2
4.3
Fl'l1Solft1"11001'1Yh~1UYin'l::'VI'lJIJi'il~lll'l<ta.a1n~1'il<t10n1'11'lJLol~Yh~1U
LFif!JIIl<t1nn1'1i11iul<tYifJ1n 'JIA1ft~~1'il'li''ilL1tJni'il~snna.a1!JVif1i'il~ui)~
1.4 Ufl'l1a.a3inl'l~1t:~uvitt1'lLflii 1-lttfl 4.4 ~1UU'l::<i1, ~1U•.h1110, f1i''ii~Uf'l~1UY!thLil'il \s.iiif!~n'l'iN,Iil ')
1.5 iim'llll'il~i'lut:~~l:a.a1nllit:~m'li'ufl'l1a.afiniuuft (f!N~-Qil Lifl~ "1ft"1) 4.5 Lflf!JfiYIPit:~~Htta.a15u1niPi'ii~Hm'li'ui\ilut:~t.h~a.a1n
1.6 01'iUtl~L ~\.1\JOV.'ltl~ 4.6 n<tn'l'lUllh~ ')Yilsliifl'l1U~U1!Jtl::L'iiLft~Ln!J'lPi~1t:~~'iltlflNfh
1.7 m'lllliiuunwit:~~ 4.7 1'11ft'~Yift'utu rhmu '
1.8 n1'ii'tJ~'l1ui'ftnunw-it:~~ (n1'1UIIl::ft'uitt. 01'liu'ltt, niiu. 017'VI'l~i'l) 4.8 l'i1l~Yiiii11tlli'uli~~;'il.ulllnu
1.9 n1'l~1!J'l<tiiuf::i'VItimv.fA1 4.9 ~~~~nn~'lflll\JU'lj~1
1.1 fNn1!JY!WWftll1Wtl1'l'l(Wn11') 4.10 il11~-r~ illl'Cilll.tuul'iu'l<t
1.1 'VlWWftll1WoU'lfl'l'l'l 4.11 ii'i11n1fu'l!J'VI1.:~~~~~
2. \la.J'l'ltlll1W<il1l'l" 'i11'la.JN1s.iL;;!J~WtlJls.iL~U1::~U 5. 'D1JII'I')1SJ7 ..
2.1 ~'l111lOfl')~f'ilii01fLOfl!JIIIOft'l\J1~i~\J1~'illh~ 5.1 'll1111u'7::ttum'lcl
2.2 tl1'1Ualft\Jft'lol ;u~U'il~ 5.2 n11UJU\lL'VII'ILslLYifJ~Wtl
2.3 ii'il1n1'lu'lfJ'VI1~~~~~ 5.3 n1filnfltJ'IULi1t:~~Piu\sJLYifl~W'il
2.4 'l::iuL'111'lUU'\I'l!1Ph 5.4 n'l'l'ii\J'iU'VI \J'VI'l'UL~~UftsJ!J\s.i LYi !J~V.tl
2.5
2.6
ls.iiifl'l1Uft1U1'7a'lun1nhA'l1UL'Ii1'L<t
n1'lillliu'L<t~'ilu'li'1~~1
5.5
6. "11111-.im:t:: I fl'l1U'JhU1'lj
.
L'li1'Luilll'lu•hl~1-lfllatl'l::ft~A

2.7 m,u,::tt1U~1u1'luiit:~nu@)ufi'ilu'li1~rA1 6.1 01'lfttlU~1UlULL'IOL1uls.iLW!J~W'il

2.8 tli)M!J111lt:~\JtlU'il~fit:~u'li1~'1i1 6.2 n11ilntli)Uiii~lslLW!J~V.fl
2.9 A'l1a.Jft1SJ1'7a'lu01'l'l'll'Lfl1'il~nftln~'i1U'Ii'1~1Jh 6.3 u1u 'I <t::tli)Uiiinflf~
2.1 fl'l1Solft1So11'7tlLU01'1Lf!JU~1 6.4 'll111101'lilnttsu'ilth~'lnt~~lll
2.1 fl'l1U<i1Lsl~t:~!Jii(ftU~1!J) 6.5 01'l'VI\J'VI'lU~ih.Ji)u"i\!J~ls.iLYi!J~V.tl
3. ilA'l1S.ILflf!JIIIIIi'1U;,~01!J~ftlftf'l:: .. ..
7. 'il111lLL'i~<t~L~~1t:~LL'I~<t~L~Ls.iL~SJ1::ftU
'l~11~-lRnum7tli)u"i\Yils.iL~u1::~u(l~"'~-rt~'ls.i\1n~fl~)
3.1 \J11ilL~'lJ~1t:~L~\J\h!J 7.1
3.2
-
iifl'l1Solft1L\1t:~~-.1nmnh~1U~Un~'f'il,;1~1ULUU7::fJ:Mt11U1U ')
- .
7.2 ..
tl~t'VIt:tnumrui)UiiYianPit:~~(tl~t'VIt:tls.ianPit:~~) ..
3.3 ~ U'ii~-.10'U1fii01'7WOel'iiU
Sol fl'l1Solti1L ~ 7.3 "111111LL'l~-.~'l"
3.4 ii l'l'l1Solft1L\lt:~~-.1 n 01'i'l'liu'l::ft1'VIftSo1Ufta.J1n Ln ULU 7.4 Ul'l'l1SJiuLLI'iu'l-.lls.i;;~w'ill"tLUUflth~u1n
3.5 iuiftnui~YILilu1iulll11!JIIi'il~'lln1w 7.5 iift'ntiN::LL;i~nfl'l~1t:~'l'lirhft'~Vi'ls.iL~SJ1::fi)J
3.6 iuu~rl\JtlN~nili''ilu{lll~l'ilLUU{Il 7.6 V.!J1!J1Sol'il!h~il Ill ')LYi'ilu'l::~!JIIlL'lti1LLtl::tlflft~;l,j'il~,;1
3.7 mn1 lili~n=iiL~u~1tlit:~ n'dL"tulJ.i LWti~V.fl 7.7 W!J1!J1Utah~ufl., 'lumo;~fim~tJ~i~Y!t11n ')lls.i~::mnfitJ1fJ
3.8 01'7LUfltJuLLt.ltNfl'l1UOIJllli'U\J'I'l!J1011'1 7.8 'l'lifl'l1S.IW !J1ti1UYI\s.i L~SJ1::i'l u LYl11 LYi Sol fl'l1UftU'L-.lfl'l1 S-11117::\IIUn
3.9 01'1Lflfit:~ul~'l'llt:~~h~m!Jan<i1nlll 7.9 ii'i::Liifl\J~U!JLS.iLYi!J~W'il
i - • ~ 7.10 Ufl'l1S.IOiilf1i'Ufi'il LWt:~Ui'lU~1ULs.iL~U1::fiSJ
3.1 0 U111l1ftlULtl'ilfllll1
3.11 eJtln'i::'VItJ"t1nfJ1Vil'll' 7.11 a-\J;~1'llafl'l\JflU~1ULUUPl'l'il!h~ms.iL~Sol1::fiU
7.12 m'lllltltJftu'il~n&ulli'ilm'lui)Uiiti~ls.iLYlt~~w'il
7.13
7.14
.
L~LL'l~4\~L<tLU01'1UftPii~ls.iL~SJ1::i'lu
..
n1'ift~Lft';Ut'lU\Ji'lUUWqPin'I'ISJYian.i'il~i~ls.iLW!J~Wfl

"ll. 11'~4'!1~10-31'1.1 (Job Factor)

8. m'l::~1LLft:: /~f'il01'll'l'l\JfiU'!ILLftLs.iLW!J~Wtl 12. LA1t:~~U'ilLLft::~t.ln'IN1s.iLW!.I~W'il
8.1 .. 11!J~1UYILO!J'l'li'il~kuls.i<i'lllL"tU~1t:~iiiiLUi~nu 12.1 01'1tf'l::LilUelftfl'l1SJIJi''il~n1'1LLft::fi')1S.IL~fJ~lJ.iLoW!J.:iW'il
8.2 017U'il\J~Soi1!JI'I'l1SJitJulll~tl\JLs.i<i'lllL"'U~1t:~illluti~nu 12.2 01'7Yi-.1'1N1fi'1 \.1 L'EI'ilin'il U'EI il fl ft'll'il~ Ll'l'i'ii~U'ilf!U n'ialS~lJ.i LoW !J~W'il
8.3 n17Utl\J~So11!1'lt.i'@)u,;1LL'VIUS~ls.iLW!J~Wtl~111i~ls.iL~SJ1::ftu 12.3 U111l'iJ1U ~'i11flNftnt:tN::L'ilW1:: 'll'il~LI'lY'il~il'il~Un7N1s.iLoW!I~V.'il
8.4 01'l'l~ul!JtJ1!J, .fulll'ilutli)Uii. it~w~tli)Uii. ~1tlfhLLu::thls.iLYlfl~v.t:~ 12.4 LflY'il~i:ifl ~t.Jn7N1s.iLoWfJ~W'ilfifl017'l'li'~1U
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