Many organizations consider a filled-out report form to be a completed incident investigation. Too often these report forms only identify general issues like human error, equipment failure and training less than adequate
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Investigation Basics :: Getting to the Root Cause :: Think Reliability | investigationbasics.com Reviews
https://investigationbasics.com
Many organizations consider a filled-out report form to be a completed incident investigation. Too often these report forms only identify general issues like human error, equipment failure and training less than adequate
investigationbasics.com
Determine Solutions :: Cause Map
http://www.investigationbasics.com/Determine-Solutions.aspx
Upcoming Cause Mapping Public Workshops. September 6-8, 2016. Most of the work takes place in the outline and in the analysis step when the Cause Map is being constructed. Since the Cause Map. A Cause Map of the Fire Triangle.
Conclusion Cause Mapping :: Fishbone diagrams :: Think Reliability
http://www.investigationbasics.com/Conclusion.aspx
Upcoming Cause Mapping Public Workshops. September 6-8, 2016. The Cause Mapping method of root cause analysis. Builds upon and refines some of the fishbone diagram’s. For more information on the Cause Mapping method visit www.thinkreliability.com. To view free examples, templates, articles and videos.
Apply Cause Mapping :: Incident Investigation :: Root Cause Analysis
http://www.investigationbasics.com/Apply-Cause-Effect.aspx
Upcoming Cause Mapping Public Workshops. September 6-8, 2016. An effective tool for you. In fact avoiding the term root cause will be a big help. Instead, discuss causes and solutions. Regardless of what business you are in, cause and effect will apply. Until you know the causes of an incident and control them you are at the mercy of the stuff happens mentality.
Problem Outline :: Cause Map :: Overall Goals
http://www.investigationbasics.com/Outline.aspx
Upcoming Cause Mapping Public Workshops. September 6-8, 2016. The outline of the issues is just that, an outline. Root Cause Analysis. And Impact to the Goals? When did it happen? Where did it happen? Ref 6) and How did it impact the overall Goals of the organization? Asking a group of people "What is the problem?
Cause Mapping :: Root Causes :: Think Reliabilty
http://www.investigationbasics.com/Cause-Mapping.aspx
Upcoming Cause Mapping Public Workshops. September 6-8, 2016.
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Aircraft Industry Accident :: Root Cause Analysis
http://www.rootcauseanalysisbook.com/deHavilland-Comet-aircraft-Accident.aspx
Next Cause Mapping Public Workshops. September 6-8, 2016. Now we will cause map the various root causes that led to the break-ups. Although there were two separate plane breakups, the cause maps are the same (based on the root cause analysis. Next, the actual stress was above the predicted stress. This occurred because 1) the square shaped windows caused pressure stresses to be distributed unevenly and 2) because the actual stress increased in localized areas. The local stress at rivet holes is f...A las...
Hindenburg Crash :: Root Cause Analysis
http://www.rootcauseanalysisbook.com/Hindenburg-Crash.aspx
Next Cause Mapping Public Workshops. September 6-8, 2016. This is an example of how the Cause Mapping process can be applied to a specific incident. In this case the Hindenburg crash is captured as an example of the Cause Mapping method. A thorough root cause analysis. Built as a Cause Map can capture all of the causes in a simple, intuitive format that fits on one page. The three steps are. 1) Define the problem. 2) Conduct the analysis. 3) Identify the best solutions. Each step will be discussed below.
Fatal Nuclear Reactor Accident :: Root Cause Analysis
http://www.rootcauseanalysisbook.com/SL-1-Nuclear-Reactor-Explosion.aspx
Next Cause Mapping Public Workshops. September 6-8, 2016. Fatal Nuclear Reactor Accident. The only fatal reactor accident in the United States occurred on January 3, 1961, when an Army prototype known as SL-1 (for stationary, low power reactor, unit 1) exploded, killing the 3 operators who were present. Well use the SL-1 tragedy as an example of how the Cause Mapping process can be applied to a specific incident and determine the root cause analysis. The three steps are:. 1) Define the problem,. The anal...
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Investigation Basics :: Getting to the Root Cause :: Think Reliability
Upcoming Cause Mapping Public Workshops. August 25-27, 2015. Many organizations consider a filled-out report form to be a completed incident investigation. The search for a single root cause contradicts the systems approach to analyzing an incident effectively. This paper will cover the three fundamental steps for investigating an incident:. 1) how to outline the magnitude of the incident,. 2) how to map the specific cause and effect relationships and. 3) how to evaluate solutions to prevent recurrence.
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