TOR ANALYSIS TECHNIQUE OF OPERATIONS REVIEW EXAMINES SUPERVISOR/MANAGEMENT CONTRIBUTIONS INTENDED FOR AFTER THE ACCIDENT

TOR ANALYSIS CAN BE USED BY SINGLE PERSON OR A GROUP FOLLOWS A LOGIC PATH TO IDENTIFY PROBLEM AREAS

COMPLETING A TOR ANALYSIS BEGIN WITH THE PROXIMATE CAUSE – THE “KEY” REASON FOR THE ACCIDENT

PROXIMATE CAUSE USING THE PROXIMATE CAUSE AS A STARTING POINT, – REVIEW EACH OF THE ITEMS ASSOCIATED WITH THE PROXIMATE CAUSE – CONTINUE PROCESS UNTIL ALL APPLICABLE ITEMS HAVE BEEN EXAMINED

COMPLETING THE TRACE FIRST TIME THROUGH – SIMPLE YES/NO, DID IT APPLY? SECOND TIME THROUGH – MORE DETAILED EXAMINATION OF THE ITEMS TRACE GUIDE – Center of the chart – Mark off numbers that have been addressed

COMPLETED TOR FORCES USER TO ASK CERTAIN QUESTIONS EXAMINES ALL POSSIBLE AREAS OF ACCIDENT INVOLVEMENT

OUTCOMES OF A TOR TOR ANALYSIS RESULTS IN A LIST OF CONTRIBUTING FACTORS DEVELOP COUNTERMEASURES FOR THOSE FACTORS IDENTIFIED