Products available include:
Consulting on Root Cause Analysis (RCA) of significant events:
- Organizing and Team preparation to perform a RCA.
- Leading RCA Teams
- Remote mentoring of RCA Teams
- Performing Independent Review of RCA reports
Training on Root Cause Analysis- Topics included are:
- Event Theory- why people make mistakes
- Getting started- things to do when an event happens
- Extent of Condition- How broad is an issue
- Interviewing- basics of conducting an event-based interview
- Events & Causal Factors Charts- a process to collect data
- Barrier Analysis- hazard, barrier, target investigative process
- Change Analysis- why previous successes were not repeated
- Task Analysis- a look at how work is performed
- Fault Tree Analysis- identifying how an event happened
- Extent of Cause- How broad is the cause of an issue
- Corrective Actions- identifying effective actions
- Human behavior- a look at how unwanted/unexpected actions are taken
Management training in RCA- what management needs to know to ensure an effective analysis is performed