The purpose of causal analysis is to identify and to understand all causes (both individual and organizational) that led to an occurrence in order to correct deficiencies and minimize the likelihood of recurrence. DOE O 232.2A, Occurrence Reporting and Processing of Operations Information, requires the investigation and analysis of occurrences in accordance with local procedures. This technical standard (Standard) can be used to implement the causal analyses necessary in accident investigations, occurrence reports, and Contractor Assurance System (CAS) issues, which are collectively referred to, herein, as incidents. This Standard should be used in conjunction with the corrective action process. Causal analysis of incidents must go beneath the surface to identify how the underlying sources of operational vulnerability combined to produce unintended or undesired results. A causal analysis should explain how failure(s) emerged from a normally stable and reliable system and should also provide the understanding required to improve systems and processes and reduce the risk of future unintended or undesired results.
Office of Environment, Health, Safety & Security
September 19, 2024
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DOE-STD-1197-2024, Causal Analysis
The purpose of causal analysis is to identify and to understand all causes (both individual and organizational) that led to an occurrence in order to correct deficiencies and minimize the likelihood of recurrence. DOE O 232.2A, Occurrence Reporting and Processing of Operations Information, requires the investigation and analysis of occurrences in accordance with local procedures. This technical standard (Standard) can be used to implement the causal analyses necessary in accident investigations, occurrence reports, and Contractor Assurance System (CAS) issues, which are collectively referred to, herein, as incidents. This Standard should be used in conjunction with the corrective action process. Causal analysis of incidents must go beneath the surface to identify how the underlying sources of operational vulnerability combined to produce unintended or undesired results. A causal analysis should explain how failure(s) emerged from a normally stable and reliable system and should also provide the understanding required to improve systems and processes and reduce the risk of future unintended or undesired results.
| Subjects: | Hazard/Accident Analysis, Reporting |
| ID: | DOE-STD-1197-2024 |
| Type: | Standard |
| Senior Line Manager: | Silverman, Josh |
| Senior Line Manager Org: | EH-20 |
| OPI: | EHSS - Office of Environment, Health, Safety and Security |
| Preparing Activity: | Rizwan Shah |
| Status: | Current |
| Approved Date: | Sep 19, 2024 |
| Last Update: | Sep 19, 2024 |
| DNFSB Interest: | Yes |
| Invoked Standard: | No |