Outline
- The problem solving process – The seven steps in the RCA process
- Initial Evidence Collection and Analysis – how to begin with the RCA
- Defining a problem – Making sure that you have sufficient information to fully understand and appreciate the situation and not jump to premature conclusions
- Information Sources and Resources – Preparing a plan to gather information and where to find it
- Pareto Analysis – Your problem solving efforts should be directed where they will have the most effect. This section helps you to priorities projects
- The flow process diagram – How to do a graphic presentation of a process or a sequence of events
- Control barrier analysis – How effective are the aids we put in place to stop failure from happening
- Change analysis – Determining how a failed process differs from one that hasn’t failed
- Five why analysis – A cause and effect determination process which forms the basis of most problem solving techniques
- Logic tree – An extension of the 5-why process which is useful for more complex problems
- Corrective Actions and the PDCA process – What actions are required to prevent the problem from recurring and how to get commitment to these actions?
- Communicating your findings – The written and verbal communication of the team’s findings to management colleagues and other interested parties
- Organizing for root cause analysis – How do we go about making sure that RCA is done throughout the organization in a structured, sustained manner? Who decides which problems to solve?
- The RCA team – Selecting team members and the effective operation of a team
