
Failures. accidents and near misses can be costly in terms of lives, injuries, damages and lost hours. It is therefore that every such incident is properly investigated to the maximum extent and the right inferences and causes drawn.
Root Cause Analysis is a structured approach to fault analysis. It starts from the incident and thoroughly goes through all possible causes and reasons. Root Cause Analysis ensures that no cause however minor is left out and that all reasons are identified and properly documented. This ensures that the incident does not recur.
Benefits to the organization
Course Contents
What is RCA
Need for Incident Investigation
Investigation Process
How RCA impacts business
Root Causes and Factors
Objective of RCA
Levels of Analysis
Initiation of Investigation
Notification and Emergency Response activities
Initial Incident Reports (IIR) and Corrective Action Reports (CAR)
Classification of Incidents
Team Formation and Management
Criteria for Restarting
Collection and Preservation of Data
Oral Accounts
Physical Data
Paper Data
Position Data
Electronic Data
Data Collection Plan
Data Analysis
Primary Techniques
Tree Analysis (Cause and Effect)
Equipment Issues
Human Performance Issues
External Event Issues
Root Cause Identification Procedure
Root Cause Identification Documentation
Recommendations
Levels of Recommendations
Types of Recommendations
Format and Management of Recommendations
Cost/Benefit Analysis
Investigation Reports
Dissemination of Reports
Plan for Implementation of Recommendations
Investigation Process Evaluation
Identification of Incidents for Investigation
Criteria – Learning Value
Acute and Chronic Incidents
Near Misses
Reporting Near Misses
Importance of Near Misses investigation
Acute Analysis and Chronic Analysis
Pareto Technique
Environmental, Health and Safety Incidents
Reliability and Quality Issues
Trending Program
Data Collection and Data Analysis
Data Visualization
Developing RCA program in organizations
Implementation Process
Legal Consideration
Public Relations Consideration
Cause and Effect Analysis
Introduction
Basic Structure and Procedure
Case studies
AND and OR Gates
Construction of Timelines
Loss, Building blocks and Actors
Charting Details
Case Study
Conclusion and Feedback