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Thursday, April 28, 2011

Root Cause Analysis

Many companies repeatedly experience the same type of incidents. Investigations indicate what seem to be the right solutions, yet the same type of incident occurs again and again! What are needed are investigation methods that, used in the right combination, will always leads to the right solutions, regardless of industry or setting.

Investigating Incidents
Incident investigation, whether for safety, quality, or production, can be simple or complex depending upon the severity of the event. In principle, investigators would be trained to [a] discover the facts, [b] collect evidence, [3] ascertain the root cause(s), and [4] make recommendations in a written report. However, many investigators often seize on the first set of ‘symptoms’ as the Root Cause, rather than the Root Cause(s) themselves. This is why the same type(s) of incidents are often repeated.

Root Cause Analysis
Root Cause Analyses helps you get to the 'bottom' of events to prevent recurrence. A Root Cause is the most basic cause (s) identified as contributing to an incident, and that is within peoples control to fix. A number of tried and tested methods are available to help identify these most’ basic’ causes. These include ‘Influence & Causal Factor’ Charting, the ‘5 Why’s’, ‘Fishbone’ or ‘Ishikawa’ Cause & Effect Diagrams and Applied Behavioral Analysis (ABA). Each of these methods is in widespread use throughout industry with their pedigrees going back to the early 1970’s. BSMS trains investigators how to use each of these methods in various combinations to ensure all the angles have been covered.

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