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This material is derived from SAE AS9101F (technically equivalent to EN9101:2016 and SJAC9101F) which is

copyrighted property of SAE International. SAE is not responsible for outcomes resulting from use of this
material. The format and fields shall not be changed in this unlocked file. Only changes to the functionality of
fields and boxes are allowable.

9101 FORM 4 (19 Jun 2017)


This material is derived from SAE AS9101F (technically equivalent to EN9101:2016 and SJAC9101F) which is
copyrighted property of SAE International. SAE is not responsible for outcomes resulting from use of this
material. The format and fields shall not be changed in this unlocked file. Only changes to the functionality of
fields and boxes are allowable.

9101 Form 4 - Annex A

Cause Codes
Resources Management Methods Human Factors

Code Title Defnition Code Title Defnition Code Title Defnition Code Title Defnition

Identified training and


Appropriate education, competency requirements The organization did not
training or experience was not were not adequately deployed adequately deploy planning
Inadequate people Lack of training Lack of operational Lack of attention or A state of being unfocused or
RE1 adequately determined, or MG1 and/or sustained to meet the ME1 and control activities to ensure HF1
capability. provision. planning and control. concentration. uninterested in the task.
competent people were not ongoing needs of the that operational tasks were
available. organization. conducted in accordance with
requirements.

Operating infrastructure such Authorities, responsibilities or


Documented information did A state of being overloaded or
as utilities, information duties lacked clarity or were
Inadequate not clearly describe the pressurised by urgent and
Inadequate operating technology, buildings, Unclear roles and not fully understood. As a
RE2 MG2 ME2 documented applicable requirements for HF2 Pressure and stress. changing or conflicting
infrastructure. transportation was not responsibilities. result operational tasks and
information. the process, product or demands. A lack of time or
adequate to support related authorities/approvals
service. resource to perform the task.
operational requirements. were improperly assigned.

The organization did not


Operating environment determine or implement
elements such as sufficient arrangements to Documented information was A state caused by being
Inadequate Inadequate control of
Inadequate operating temperature, humidity, ensure continued application not adequately maintained, disturbed or side-tracked by
RE3 MG3 organizational ME3 documented HF3 Distraction.
environment. lighting, noise and cleanliness and effectiveness of the QMS retained or made available to other people or by any other
governance. information.
were not adequate to support and its processes. demonstrate effective control. disruption in the workplace.
operational requirements.

Key information was not


A state caused by being
Equipment was not capable of adequately communicated
Verification / validation physically and / or mentally
meeting and sustaining within the organization within a Inadequate verification
Inadequate provision of Inadequate activities were not conducted tired as a result of workplace
RE4 operational requirements, or MG4 timeframe that makes the ME4 or validation of process, HF4 Fatigue.
equipment. communication. in accordance with the stated ergonomics, workload,
was not adequately controlled information relevant and product or service.
requirements. working hours, personal
or available. allows for feedback as
situations etc.
required.

9101 FORM 4 (19 Jun 2017)

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