Introduction to Root Cause Analysis
There’s a lot of information on Root Cause Analysis available on the web. Unfortunately, if you’re a beginner, finding useful, easy-to-use information can be difficult....
Category: Root Cause Analysis
Phases of Root Cause Analysis
Root Cause Analysis (RCA) is generally conducted in several phases. I’ve seen some methodologies that break down the RCA process into as many as a...
The Fortunate Near-Miss Event
What do you consider to be an event worthy of investigation? Do you look only at events that had serious consequences, or do you consider...
RCA Tool Comparison
As a discipline, Root Cause Analysis (RCA) has been approached from several different areas, but two of the major ones are industrial safety and performance...
The BOGUS Test
The fields of incident investigation and root cause analysis are over-abundantly supplied with acronyms, like E&CF, ETBA, MORT, MES, etc. After much investigation, I’ve determined...
Airport Terminal Collapse
Terminal 2E of the Charles De Gaulle International Airport (Paris) collapsed unexpectedly in the early morning of Sunday, 23-May-2004. Four unsuspecting travelers died in the...
Event Frequency and Severity
In 1931, HW Heinrich published his findings from a review of hundreds of thousands of safety incidents. His data showed that on average, for every 300...
Four Ignoble Truths
Before you decide how to fix a problem, you should probably seek first to understand it… perhaps with a root cause analysis. That is, unless...