ROOT CAUSE (RCA) AND FAILURE ANALYSIS

More Information

UNIT STANDARD:
TBA
CREDITS:
TBA

Course Details

Organisations establish defences against failure such as routine maintenance, operating procedures, training, incentives, etc. to reduce the risk of failure to tolerable level. Sometimes an unanticipated event triggers a chain of conditions, actions or inactions that allows an event to breach all these defences causing undesirable outcomes.

Sometimes the undesirable outcomes are so small they almost go unnoticed when considered in isolation but they occur at such a high frequency that their cumulative effect can be enormous. Dealing with these chronic events poses the biggest opportunity for an organisation to improve performance.

Solving problems takes the organisation to an optimal state. Improvement lies beyond the optimal state. Root Cause Failure Analysis is a process used to determine what must be done to reduce the risk of reoccurrence of an undesirable outcome.

It aims to identify the Physical Mechanisms of the failure event, the Human Behaviour Actions or Inactions that triggered the event, the Latent (Organisational) factors that contributed to the human behaviour. Having uncovered the root causes within each category, a proposal is made with regard to how the defences can be strength end to reduce risk of reoccurrence.

SHARE