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UNITED STATES
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Exxon Valdez Disaster — Root Cause Analysis | valdezrca.com Reviews
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Root Cause Analysis
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Root Cause Analysis :: Exxon Valdez Disaster
http://www.valdezrca.com/root-cause-analysis
Step 1: Define the Problem. Step 2: Identify the Causes (Analysis). Step 2: Analysis (continued). Step 3: Select the Best Solutions. Because it is so well known, the VALDEZ Oil Spill is an excellent example of a thorough root cause analysis investigation. It’s unclear why the vessel was continuing to transit at “all ahead full” during a period of difficult navigation. But it is clear that the crew of the VALDEZ suffered from fatigue, which has been shown to lead to difficulty perfor...Can be applied to a...
Step 2: Identify the Causes (Analysis)
http://www.valdezrca.com/step-2-identify-the-causes-analysis
Step 1: Define the Problem. Step 2: Identify the Causes (Analysis). Step 2: Analysis (continued). Step 3: Select the Best Solutions. Step 2: Identify the Causes (Analysis). The analysis step is where the incident is broken down into causes which are captured on the Cause Map. A thorough root cause analysis. The analysis can continue by asking Why questions and moving to the right of either of the cause-and-effect relationships above. In this example we’ll start with the cleanup costs, the punitive da...
Step 2: Analysis (continued)
http://www.valdezrca.com/step-2-analysis-continued
Step 1: Define the Problem. Step 2: Identify the Causes (Analysis). Step 2: Analysis (continued). Step 3: Select the Best Solutions. Step 2: Analysis (continued). The root cause analysis. Continues until the Cause Map reaches the desired level of detail. The level of detail should be commensurate with the impact to the goals. Because of the high impact on the goals of the Oil Spill, the Cause Map should be very detailed. Even more detail can be added to this Cause Map as the root cause analysis. This exa...
Step 3: Select the Best Solutions
http://www.valdezrca.com/step-3-select-the-best-solutions
Step 1: Define the Problem. Step 2: Identify the Causes (Analysis). Step 2: Analysis (continued). Step 3: Select the Best Solutions. Step 3: Select the Best Solutions. Level root cause analysis. Of “VALDEZ hit the reef because they were outside the traffic lanes.”. Below is an example of some solutions added to the VALDEZ oil spill Cause Map. Shown below is the VALDEZ oil spill Cause Map with 41 causes, evidence and solutions. Once the best solutions are selected, they are recorded in the action items li...
Step 1: Define the Problem
http://www.valdezrca.com/valdez-oil-spill-root-cause-analysis-step-1-define-the-problem
Step 1: Define the Problem. Step 2: Identify the Causes (Analysis). Step 2: Analysis (continued). Step 3: Select the Best Solutions. Step 1: Define the Problem. The first step of the Cause Mapping approach is to define the problem by asking the four questions: What is the problem? When did it happen? Where did it happen? And how did it impact the goals? One person may say that the problem was the grounding of VALDEZ. Another person might say that the problem was that over 10 million gallons. Step 2. ...
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Exxon Valdez Disaster — Root Cause Analysis
Step 1: Define the Problem. Step 2: Identify the Causes (Analysis). Step 2: Analysis (continued). Step 3: Select the Best Solutions. Because it is so well known, the VALDEZ Oil Spill is an excellent example of a thorough root cause analysis investigation. It’s unclear why the vessel was continuing to transit at “all ahead full” during a period of difficult navigation. But it is clear that the crew of the VALDEZ suffered from fatigue, which has been shown to lead to difficulty perfor...Can be applied to a...
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