Personnel Error

Diagnostic Chart

Low Alertness High Stress High Confusion Overconfidence Low Compliance

Boredom Inadequate Inadequate Habit

Illness Fatigue High Cognitive Unawareness Embarrassed
(Non- Tracking Motivation Intrusion
(Inadequate (Mental and
Stimulating
Complexity Overload (Information
(Non-
(Fear of
Deficiency) (Place-Keeping (Inadequate
Exposure)
Action) Physical) (KB Perf. Error) (Repeat Mistakes)
Work) Failure) Attention to Detail) Compliance)

• Mental or • Inadequate • Poor work • Inadequate • Multi-tasking • Lack of • Inadequate • Poor • Reflex • Task too
physical sleep planning knowledge KB teamwork written accountability • Poor complex
weakness • Poor shift • Poor • Not familiar performance • Information instructions • Mindset supervision • Lack of
• Distraction work rotation motivation with task • Inadequate not available • High rate of • Perceived • Perceived procedures
due to illness • Circadian • Goal • Perceived time training or • Not enough distraction time pressure time pressure • Poor
• Excessive fatigue confusion pressure procedures information • Insufficient • Low supervision
work • Post meal/ • Poor • High rate of information consequence • Poor training
schedule mid- procedures interruptions • Wrong
without days afternoon • Poor • Too much info assumptions
to rest and • Repeated teamwork • Perceived time • Low
recover errors at • Spatial pressure expectations
certain times disorientation • Distractive
environment

Poor Tunnel
Low Morale Fear of Failure Underestimated Shortcuts Mindset
Supervision (Fear Results of Vision
(High Stress) Complexity (Information (Actions Based
(Inadequate. Work Error) (Inadequate Info
(Wrong Action) Deficiency) on Reflex)
Assignment) Checking)

• High emotion • Job assignment • Task confusion • Long time on • Poor • Tasks • Tasks
• Job danger error • Poor same job supervision outside of outside of
• Fear of • Staffing error accountability • Low • Poor procedure procedure
unemployment • Poor • Poor management accountability • Reflex • Assumptions
• Lack of accountability supervision standards • Long time on • Poor • Tribal
confidence • Poor command • Perceived time • Poor same job teamwork knowledge
• Poor teamwork • Poor pressure procedures • Perceived time • Perceived • Perceived
• Perceived time communication • Poor teamwork pressure time pressure time pressure
pressure • Inadequate
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