119: Recommendation Identification Issue
Definition/Typical Issues
Were recommendations unsuccessful in preventing recurrence of the issues? Should other recommendations have been identified? Did recommendations fail to correct the causes of the problem?
Were recommendations identified for adverse metric trends?
Examples
Example 1
- A process safety management program audit was performed and numerous findings were issued. However, no recommendations were included in the report. As a result, plant staff did not do anything to resolve the findings. They were waiting for recommendations to be assigned to them.
Example 2
- Inspections of metal grid straps were performed on all incoming parts. About 10% of the grid straps were rejected as not meeting acceptance criteria. As a result, a recommendation was implemented to provide a second inspection of the parts, because the reject rate was so high. A more effective strategy would have been to work with the supplier to reduce the reject rate. It turned out that many of the straps were bending during shipment to the facility. A simple change in packaging would have prevented the parts from being deformed.
Typical Recommendations
- Involve a multidisciplinary team in identifying recommendations to ensure that the problem has been fully analyzed.
- Refer design/development of recommendations to specialists when the team has difficulty identifying practical solutions.
- Develop measures to determine the effectiveness of recommendations.
- Trend problem characteristics and problem causes to determine whether recommendations are effective in preventing recurrence.
Cross-References
| Version 10 Element(s) | |
|---|---|
| Node ID | Node Name |
| 82 | Audits LTA |
| Maritime Element(s) | |
|---|---|
| Node ID | Node Name |
| 92 | Audit Issue |