Root Cause Map Maritime Version
| Maritime Node No. | Maritime Node Name |
|---|---|
| Current Node: 2,Equipment/Software Issue | |
| 1 | Structural |
| 2 | Machinery/Equipment |
| 3 | Outfitting |
| Current Node: 3,Front-line Personnel Issue | |
| 4 | Human |
| Current Node: 4,External Factors | |
| 5 | External Factors |
| Current Node: 5,Tolerable Risk | |
| 262 | Tolerable Risk |
| Current Node: 6,Cause Cannot Be Determined | |
| 19 | Other |
| Current Node: 7,Process/Manufacturing Equipment Issue | |
| 2 | Machinery/Equipment |
| Current Node: 8,Software Issue | |
| Not applicable. | |
| Current Node: 9,Material/Product Issue | |
| Not applicable. | |
| Current Node: 10,Utility/Support Equipment Issue | |
| 3 | Outfitting |
| Current Node: 11,Other Equipment Issue | |
| 1 | Structural |
| Current Node: 12,Company Personnel Issue | |
| 10 | Permanent/Returning Officers/Crew |
| 11 | Newly Assigned/Contract/Temporary Officers/Crew |
| 12 | Company Employee |
| Current Node: 13,Contract Personnel Issue | |
| 11 | Newly Assigned/Contract/Temporary Officers/Crew |
| Current Node: 14,Third-party Personnel Issue | |
| 13 | Other (Third-party Employee) |
| Current Node: 15,Natural Phenomena | |
| 14 | Uncharted/Unknown Hazard to Navigation |
| 15 | Sea/Weather Condition |
| Current Node: 16,External Events | |
| 18 | External Events |
| Current Node: 17,External Sabotage and Other Criminal Activity | |
| 16 | Sabotage/Terrorism/War |
| 17 | Suicide/Homicide |
| Current Node: 18,Design Issue | |
| 6 | Design Problem |
| 20 | Design Input/Output |
| 31 | Design Review/Verification |
| Current Node: 19,Design Input Issue | |
| 21 | Design Input Issue |
| Current Node: 20,Design Scope Issue | |
| 22 | Design Scope Unclear |
| Current Node: 21,Design Input Data Issue | |
| 23 | Design Input Obsolete |
| 24 | Design Input Incorrect |
| 25 | Necessary Design Input Not Available |
| Current Node: 22,Design Output Issue | |
| 26 | Design Output Issue |
| Current Node: 23,Design Output Incorrect | |
| 28 | Design Output Incorrect |
| 30 | Design Input Not Addressed in Design Output |
| Current Node: 24,Design Output Unclear or Inconsistent | |
| 27 | Design Output Unclear |
| 29 | Design Output Inconsistent |
| Current Node: 25,Design Review/Verification Issue | |
| 31 | Design Review/Verification |
| Current Node: 26,No Review/Verification | |
| 32 | No Independent Review/Verification |
| Current Node: 27,Review/Verification Issue | |
| 33 | Review/Verification Issue |
| Current Node: 28,Equipment Reliability Program Issue | |
| 7 | Reliability Program Problem |
| 34 | Maintenance Program Design |
| 40 | Maintenance Program Implementation |
| Current Node: 29,Equipment Reliability Program Design Issue | |
| 7 | Reliability Program Problem |
| 34 | Maintenance Program Design |
| Current Node: 30,Critical Equipment Not Identified | |
| 37 | Critical Equipment/System Not Identified |
| Current Node: 31,No or Inappropriate Maintenance Selected | |
| 35 | No Program |
| 36 | Program Inadequacy |
| 38 | Inappropriate Maintenance Type Applied |
| Current Node: 32,Risk Acceptance Issue | |
| 39 | Acceptance Criteria Inadequate |
| Current Node: 33,Periodic Maintenance Issue | |
| 41 | Planned Maintenance Issue |
| Current Node: 34,Scope Issue | |
| 43 | Scope Issue |
| Current Node: 35,Frequency Specification Issue | |
| 42 | Scheduling Issue |
| Current Node: 36,Implementation Issue | |
| 44 | Implementation Issue |
| Current Node: 37,Event-based Maintenance Issue | |
| 51 | Shore-based Maintenance Issue |
| Current Node: 38,Scope Issue | |
| 54 | Scope Issue |
| Current Node: 39,Event Specification Issue | |
| 52 | Event Specification Issue |
| 53 | Scheduling Issue |
| Current Node: 40,Monitoring Issue | |
| Not applicable. | |
| Current Node: 41,Implementation Issue | |
| 55 | Implementation Issue |
| Current Node: 42,Condition-based Maintenance Issue | |
| 45 | Condition Monitoring Maintenance Issue |
| Current Node: 43,Scope Issue | |
| Not applicable. | |
| Current Node: 44,Detection Method Issue | |
| 47 | Detection Issue |
| Current Node: 45,Monitoring Issue | |
| 46 | Scheduling Issue |
| 48 | Monitoring Issue |
| Current Node: 46,Data Interpretation Issue | |
| 49 | Troubleshooting/Corrective Action Issue |
| Current Node: 47,Fault-finding Maintenance and Inspection Issue | |
| 59 | Failure Finding Maintenance Issue |
| Current Node: 48,Scope Issue | |
| 61 | Scope Issue |
| Current Node: 49,Scheduling/Frequency Issue | |
| 60 | Scheduling Issue |
| Current Node: 50,Implementation Issue | |
| 63 | Implementation Issue |
| Current Node: 51,Corrective Maintenance Issue | |
| 56 | Corrective Maintenance Issue |
| Current Node: 52,Troubleshooting/Corrective Action Issue | |
| 57 | Troubleshooting/Corrective Action Issue |
| 62 | Troubleshooting/Corrective Action Issue |
| Current Node: 53,Repair Implementation Issue | |
| 50 | Implementation Issue |
| 55 | Implementation Issue |
| 58 | Repair Implementation Issue |
| Current Node: 54,Routine Inspection and Servicing Issue | |
| 64 | Servicing and Routine Inspection Issue |
| Current Node: 55,Scope Issue | |
| 66 | Scope Issue |
| Current Node: 56,Scheduling/Frequency Issue | |
| 65 | Scheduling/Frequency Issue |
| Current Node: 57,Troubleshooting/Corrective Action Issue | |
| 67 | Implementation Issue |
| Current Node: 58,Documentation and Records Issue | |
| 68 | Equipment Records |
| Current Node: 59,Equipment Records and Manuals Issue | |
| 69 | Equipment Design Records |
| 70 | Manufacturer's Manuals |
| 100 | Document/Drawing Control Issue |
| Current Node: 60,Documentation Content Inaccurate or Incomplete | |
| Not applicable. | |
| Current Node: 61,Documents Not Available or Missing | |
| Not applicable. | |
| Current Node: 62,Out-of-date Documents Used | |
| Not applicable. | |
| Current Node: 63,Operational and Maintenance History Issue | |
| 71 | Equipment Operating/Maintenance History |
| Current Node: 64,Documentation Content Inaccurate or Incomplete | |
| 71 | Equipment Operating/Maintenance History |
| 101 | Documentation Content Inaccurate or Incomplete |
| Current Node: 65,Documents Not Available or Missing | |
| 71 | Equipment Operating/Maintenance History |
| 102 | Required Documents Not Available or Missing |
| Current Node: 66,Out-of-date Documents Used | |
| 103 | Obsolete Documents Being Used |
| Current Node: 67,Risk Assessment Records Issue | |
| 71 | Equipment Operating/Maintenance History |
| Current Node: 68,Documentation Content Inaccurate or Incomplete | |
| 101 | Documentation Content Inaccurate or Incomplete |
| Current Node: 69,Documents Not Available or Missing | |
| 102 | Required Documents Not Available or Missing |
| Current Node: 70,Out-of-date Documents Used | |
| 103 | Obsolete Documents Being Used |
| Current Node: 71,Personnel Records Issue | |
| 184 | Training Records System Issue |
| Current Node: 72,Documentation Content Inaccurate or Incomplete | |
| 184 | Training Records System Issue |
| Current Node: 73,Documents Not Available or Missing | |
| 102 | Required Documents Not Available or Missing |
| Current Node: 74,Out-of-date Documents Used | |
| 186 | Training Certificate/Endorsement Expired/Invalid |
| Current Node: 75,Other Documents and Records Issue | |
| 115 | Supplier/Contractor Selection Issue |
| Current Node: 76,Documentation Content Inaccurate or Incomplete | |
| 101 | Documentation Content Inaccurate or Incomplete |
| Current Node: 77,Documents Not Available or Missing | |
| 102 | Required Documents Not Available or Missing |
| Current Node: 78,Out-of-date Documents Used | |
| 103 | Obsolete Documents Being Used |
| Current Node: 79,Material/Parts and Product Issue | |
| 105 | Vessel Spares/Stores Issue |
| 112 | Purchasing Issue |
| Current Node: 80,Material/Parts Issue | |
| 99 | Change Not Documented |
| Current Node: 81,Purchasing Specification Issue | |
| 113 | Purchasing Specifications Issue |
| 114 | Changes to Purchasing Specifications |
| Current Node: 82,Packaging/Transportation Issue | |
| 108 | Packaging/Transport Issue |
| Current Node: 83,Acceptance Criteria Issue | |
| Not applicable. | |
| Current Node: 84,Acceptance Testing Implementation Issue | |
| 109 | Substitution Issue |
| 111 | Inspection on Receipt Issue |
| 116 | Receipt Issue |
| Current Node: 85,Handling and Storage Issue | |
| 106 | Handling Issue |
| 107 | Storage Issue |
| Current Node: 86,Inventory Level Issue | |
| 105 | Vessel Spares/Stores Issue |
| Current Node: 87,Product Control and Acceptance Issue | |
| Not applicable. | |
| Current Node: 88,Product Specification Issue | |
| Not applicable. | |
| Current Node: 89,Product Acceptance Criteria Issue | |
| Not applicable. | |
| Current Node: 90,Inspection Issue | |
| Not applicable. | |
| Current Node: 91,Packaging, Handling, Transportation Issue | |
| 108 | Packaging/Transport Issue |
| Current Node: 92,Storage Issue | |
| Not applicable. | |
| Current Node: 93,Inventory Level Issue | |
| Not applicable. | |
| Current Node: 94,Hazard/Defect Identification and Analysis Issue | |
| 84 | Safety/Hazard/Risk/Security Review Issue |
| Current Node: 95,Readiness Review Issue | |
| Not applicable. | |
| Current Node: 96,Review Not Performed | |
| Not applicable. | |
| Current Node: 97,Implementation Issue | |
| Not applicable. | |
| Current Node: 98,Change Control Issue | |
| 95 | Change Control Issue |
| Current Node: 99,Change Identification Issue | |
| 96 | Change Not Identified |
| Current Node: 100,No Change Assessment Performed | |
| 97 | Change Review Issue |
| Current Node: 101,Change Assessment Issue | |
| 97 | Change Review Issue |
| Current Node: 102,Change Assessment Timing/Implementation Issue | |
| 97 | Change Review Issue |
| Current Node: 103,Risk Acceptance Issue | |
| 87 | Risk Acceptance Criteria Issue |
| Current Node: 104,Proactive Risk/Safety/Reliability/Quality/Security Analysis Issue | |
| 84 | Safety/Hazard/Risk/Security Review Issue |
| Current Node: 105,Analysis Not Performed | |
| 79 | No/Inadequate Job Safety Analyses |
| 85 | Review Skipped or Incomplete |
| Current Node: 106,Analysis Issue | |
| 88 | Ineffective Review |
| Current Node: 107,Recommendation Identification Issue | |
| 88 | Ineffective Review |
| Current Node: 108,Recommendation Implementation Issue | |
| 86 | Recommendations Not Yet Implemented |
| Current Node: 109,Risk Acceptance Issue | |
| 87 | Risk Acceptance Criteria Issue |
| Current Node: 110,Reactive Risk/Safety/Reliability/Quality/Security Analysis Issue | |
| 89 | Problem Identification/Control Issue |
| Current Node: 111,Problem/Incident Reporting/Identification Issue | |
| 90 | Problem Reporting Issue |
| Current Node: 112,Investigation Issue | |
| 91 | Problem Analysis Issue |
| Current Node: 113,Recommendation Identification Issue | |
| 93 | Corrective Actions Ineffective |
| Current Node: 114,Recommendation Implementation Issue | |
| 94 | Corrective Actions Not Implemented |
| Current Node: 115,Risk Acceptance Issue | |
| Not applicable. | |
| Current Node: 116,Inspection/Audit/Measurement Issue | |
| 92 | Audit Issue |
| Current Node: 117,Requirements Not Identified | |
| 92 | Audit Issue |
| Current Node: 118,Implementation Issue | |
| 92 | Audit Issue |
| Current Node: 119,Recommendation Identification Issue | |
| 92 | Audit Issue |
| Current Node: 120,Issue Tracking/Implementation Issue | |
| 92 | Audit Issue |
| Current Node: 121,Risk Acceptance Issue | |
| Not applicable. | |
| Current Node: 122,Procedure Issue | |
| 80 | No/Inadequate Safe Work Practices |
| 120 | Procedures |
| Current Node: 123,Correct Procedure Not Used | |
| 121 | Not Used |
| Current Node: 124,No Procedure for Task/Operation | |
| 122 | No Procedure for Task/Operation |
| Current Node: 125,Procedure Difficult to Obtain | |
| 123 | Procedure Not Readily Available or Inconvenient to Obtain |
| Current Node: 126,Procedure Use Discouraged | |
| Not applicable. | |
| Current Node: 127,Procedure Difficult to Use | |
| Not applicable. | |
| Current Node: 128,Language Issue | |
| 124 | Language Difficulty |
| Current Node: 129,Procedure Difficult to Identify | |
| 134 | Procedure Difficult to Identify |
| Current Node: 130,Wrong Revision Used | |
| 139 | Obsolete Version Used |
| Current Node: 131,Correct Procedure Used Incorrectly | |
| 125 | Misleading/Confusing |
| Current Node: 132,Format Inappropriate | |
| 126 | Format Confusing/Complex/Difficult to Use |
| Current Node: 133,Confusing/Complex/Difficult to Use | |
| 127 | Multiple Actions per Step |
| 129 | Content Issue |
| Current Node: 134,More Than One Action Per Step | |
| 127 | Multiple Actions per Step |
| Current Node: 135,Inadequate Checklist | |
| 128 | No Checkoff Space Provided but Should Be |
| Current Node: 136,Graphics/Drawing Issue | |
| 130 | Graphics/Drawing Issue |
| Current Node: 137,Language/Wording Issue | |
| 124 | Language Difficulty |
| Current Node: 138,Insufficient or Excessive References | |
| 132 | Insufficient or Excessive References |
| Current Node: 139,Too Much/Too Little Detail | |
| 133 | Too Much/Little Detail |
| Current Node: 140,Appropriate Procedure Incorrect/Incomplete | |
| 135 | Wrong/Incomplete |
| Current Node: 141,Wrong Action Sequence/Ordering | |
| 137 | Wrong Action Sequence |
| Current Node: 142,Facts Wrong, Requirements Incorrect, or Content Not Updated | |
| 136 | Typographical Error |
| 138 | Facts Wrong/Requirements Incorrect |
| Current Node: 143,Inconsistent Procedural Requirements | |
| 140 | Inconsistency Between Requirements |
| Current Node: 144,Missing Steps/Content/Situation Not Covered | |
| 141 | Incomplete/Situation Not Covered |
| Current Node: 145,Overlap or Gaps Between Procedures | |
| 142 | Overlap or Gaps Between Procedures |
| Current Node: 146,Human Factors Issue | |
| 143 | Human Factors |
| Current Node: 147,Tools/Equipment Issue | |
| 159 | Ambient Conditions Issue |
| Current Node: 148,Appropriate Tools/Equipment Not Used | |
| 159 | Ambient Conditions Issue |
| Current Node: 149,Tools/Equipment Not Functioning Properly | |
| 159 | Ambient Conditions Issue |
| Current Node: 150,Workplace Layout Issue | |
| 165 | Workplace Layout |
| Current Node: 151,Individual Control/Display/Alarm Issue | |
| 155 | Alarm/Signal Issue |
| 166 | Individual Control/Display/Alarm Issue |
| Current Node: 152,Control/Display/Alarm Integration/Arrangement Issue | |
| 167 | Control/Display/Alarm Integration/Arrangement Issue |
| Current Node: 153,Awkward/Inconvenient/Inaccessible Location of Control/Display/Alarm | |
| 167 | Control/Display/Alarm Integration/Arrangement Issue |
| 168 | Awkward/Inconvenient/Inaccessible Location of Control/Display/Alarm |
| 169 | Inconsistent/Mirrored Layout |
| Current Node: 154,Awkward/Inconvenient/Inaccessible Equipment Location | |
| 170 | Awkward/Inconvenient/Inaccessible Equipment Location |
| 173 | Poor Accessibility |
| 174 | Inadequate Visibility/Line of Sight |
| Current Node: 155,Poor/Illegible Labeling of Control/Display/Alarm or Equipment | |
| 171 | Poor/Illegible Labeling of Equipment or Space |
| 172 | Labeling Language Issue |
| Current Node: 156,Work Environment Issue | |
| 158 | Work Environment |
| Current Node: 157,Housekeeping Issue | |
| 161 | Slippery/Unsteady Work Surfaces |
| 162 | Housekeeping Issue |
| Current Node: 158,Ambient Conditions Issue | |
| 159 | Ambient Conditions Issue |
| 163 | Tool Issue |
| Current Node: 159,Protective Clothing/Equipment Issue | |
| 160 | Protective Clothing/Equipment Issue |
| Current Node: 160,Physical Workload Issue | |
| 144 | Workload |
| Current Node: 161,Sustained High Workload/Fatigue | |
| 145 | Sustained High Workload/Fatigue |
| Current Node: 162,High Transient Workload | |
| 149 | High Transient Workload |
| Current Node: 163,Mental Workload Issue | |
| 144 | Workload |
| Current Node: 164,Knowledge-based Behavior Issue | |
| 156 | Excessive/Complex Calculations Required |
| 157 | Knowledge-based Decision Required |
| Current Node: 165,Rule-based Behavior Issue | |
| Not applicable. | |
| Current Node: 166,Skill-based Behavior Issue | |
| Not applicable. | |
| Current Node: 167,Unrealistic Monitoring Requirement | |
| 147 | Unrealistic Monitoring Requirements |
| Current Node: 168,Error Mitigation Issue | |
| 175 | Intolerant System |
| Current Node: 169,Errors Not Detectable | |
| 176 | Errors Not Detectable |
| Current Node: 170,Errors Could Not Be Corrected/Mitigated | |
| 148 | Insufficient Time to Respond |
| 177 | Errors Cannot Be Corrected/Mitigated |
| Current Node: 171,Training/Personnel Qualification Issue | |
| 178 | Training/Personnel Qualifications |
| 193 | Emergency Preparedness Training Issue |
| 194 | Special Operations Training Issue |
| Current Node: 172,No Training | |
| 179 | No Training |
| 181 | MS Familiarization Not Provided |
| Current Node: 173,Decision Not to Train | |
| 180 | Decision Not to Train |
| Current Node: 174,Training Need Not Identified | |
| 183 | Training Need Not Identified |
| Current Node: 175,Training Requirements Not Completed | |
| 182 | Training Requirements Not Fulfilled |
| Current Node: 176,Training Implementation Issue | |
| 187 | Training Issue |
| Current Node: 177,Training Program Design/Development Issue | |
| 188 | Training Program Design/Objectives Issue |
| 189 | Content Issue |
| Current Node: 178,Classroom Training Issue | |
| Not applicable. | |
| Current Node: 179,Laboratory/Practical Training Issue | |
| Not applicable. | |
| Current Node: 180,On-the-job Training Issue | |
| 190 | On-the-job Training Issue |
| Current Node: 181,Self Study and Computer-based Training Issue | |
| Not applicable. | |
| Current Node: 182,Continuing Training Issue | |
| 192 | Continuing Training Issue |
| Current Node: 183,Training Resources Issue | |
| Not applicable. | |
| Current Node: 184,Qualification Issue | |
| 191 | Qualification Testing Issue |
| 195 | Qualifications Issue |
| 196 | No License/Certificate |
| 197 | Expired License/Certificate |
| 198 | Forged Document |
| 199 | Unclear License/Certificate/Endorsement Requirement |
| Current Node: 185,Supervision Issue | |
| 206 | Operations/Job Supervision |
| Current Node: 186,Preparation Issue | |
| 207 | Preparation |
| Current Node: 187,Job Plan/Instructions to Workers Issue | |
| 209 | No Preparation |
| 210 | Unclear Instructions to Personnel |
| Current Node: 188,Ineffective Walkthrough | |
| 211 | Ineffective Walkthrough |
| Current Node: 189,Job Scheduling Issue | |
| 208 | Planning, Scheduling, or Tracking of Work Activities Issue |
| Current Node: 190,Personnel Selection/Assignment/Scheduling Issue | |
| 212 | Scheduling/Rotation Issue |
| 213 | Personnel Selection/Assignment Issue |
| Current Node: 191,Responsibility/Authority Issue | |
| 200 | Responsibility/Authority |
| 201 | Responsibility/Authority Not Defined |
| 202 | Responsibility/Authority Unclear |
| 203 | Ambiguous |
| 204 | Conflicting/Overlapping |
| 205 | Not Documented |
| Current Node: 192,Supervision During Work Issue | |
| 214 | Supervision During Work |
| 218 | Fatigue Management Issue |
| Current Node: 193,Improper Performance Not Corrected | |
| 216 | Improper Performance Not Corrected |
| Current Node: 194,Teamwork/Coordination Issue | |
| 217 | Crew Coordination Issue |
| 219 | Ineffective Teamwork |
| Current Node: 195,Too Much/Too Little Supervision | |
| 215 | Insufficient Supervision |
| Current Node: 196,Verbal and Informal Written Communication Issue | |
| 220 | Communications |
| Current Node: 197,No Communication or Not Timely | |
| 221 | No Communications or Untimely |
| 237 | Information Not Communicated |
| 238 | Information Ignored |
| Current Node: 198,Method Unavailable or Inadequate | |
| 222 | Method Unavailable or Inadequate |
| Current Node: 199,Communication Not Timely/Not Performed | |
| 221 | No Communications or Untimely |
| Current Node: 200,Communication Misunderstood/Incorrect | |
| 228 | Communication Misunderstood/Incorrect |
| 236 | Unclear Communications |
| Current Node: 201,Standard Terminology Not Used | |
| 229 | Standard Terminology Not Used |
| 239 | Ambiguous Information |
Back to top