Safety KPI Dashboard

Incident Root Cause & Causal Factor Analysis — Chemical Manufacturing Facility (1,540 personnel)

Incident Recurrence Rate
22%
+4% vs target
Root Cause Alignment
68%
Below 85% target
Avg Time to Corrective Action
52d
+7 days vs target
Investigation Quality Score
7.2
+0.4 vs prior quarter
Near-Miss Pattern Match
41%
Stable
Supervisor Accountability Index
6.8
+0.6 vs Q1

Root Cause Category Distribution

Causal Factor Co-occurrence Rate

Incident Root Cause Flow — Top 4 Categories to Causal Factors

Recent Investigation Records (Top 8)

Incident ID Date Department Severity Root Cause Quality Score Recurrence
INC-2024-0087 Mar 14, 2024 Reactor Maint. DAFW Procedural Deficiency 8.1 Yes
INC-2024-0082 Mar 6, 2024 Packaging Recordable Human Error 6.9 No
INC-2024-0078 Feb 28, 2024 Reactor Maint. DAFW Procedural Deficiency 7.8 Yes
INC-2024-0071 Feb 19, 2024 Warehouse Near-Miss Equipment Failure 7.4 No
INC-2024-0065 Feb 10, 2024 Quality Lab Recordable Training Gap 6.5 No
INC-2024-0058 Jan 30, 2024 Reactor Maint. Recordable Procedural Deficiency 7.6 Yes
INC-2024-0051 Jan 22, 2024 Process Operations DAFW Equipment Failure 8.3 No
INC-2024-0043 Jan 12, 2024 Packaging Near-Miss Human Error 7.1 No

Corrective Action Completion by Root Cause

Regulatory Citation Causal Overlap

Procedural Deficiency 34%
Training Gap 28%
Equipment Failure 19%
Human Error 12%
Other 7%

Incident Severity by Causal Factor

Top Causal Factor Pairs

Procedural + Supervision 18
Training + Human Error 14
Equipment + Maintenance 11
Procedural + Training 9
Human Error + Supervision 7

Department Recurrence Rate

Reactor Maintenance 38%
Packaging 22%
Process Operations 18%
Warehouse 9%

Root Cause Recurrence Timeline — 14 Month Trend

Investigation Quality Score Trend

Month 8 Cluster — Procedural Root Cause

Event: 4 recordable incidents in Reactor Maintenance in 6 weeks (Feb-Mar 2024)

Root Cause: Procedure revision not cascaded to shift crews; supervision accountability gap

Corrective Action: Implemented change management protocol with sign-off verification (42-day completion)

Result: Zero procedural incidents in Reactor Maint. for 8 weeks post-implementation

Procedural incidents (14-mo)
27
30% of all incidents