Root Cause Analysis Handbook: A Guide to Efficient and Effective Incident Investigation, Edition 3

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Are you trying to improve performance, but find that the same problems keep getting in the way? Safety, health, environmental quality, reliability, production, and security are at stake. You need the long-term planning that will keep the same issues from recurring. Root Cause Analysis Handbook: A Guide to Effective Incident Investigation is a powerful tool that gives you a detailed step-by-step process for learning from experience.

Reach for this handbook any time you need field-tested advice for investigating, categorizing, reporting and trending, and ultimately eliminating the root causes of incidents. It includes step-by-step instructions, checklists, and forms for performing an analysis and enables users to effectively incorporate the methodology and apply it to a variety of situations.

Using the structured techniques in the Root Cause Analysis Handbook, you will:

  • Understand why root causes are important.
  • Identify and define inherent problems.
  • Collect data for problem-solving.
  • Analyze data for root causes.
  • Generate practical recommendations.

The third edition of this global classic is the most comprehensive, all-in-one package of book, downloadable resources, color-coded RCA map, and licensed access to online resources currently available for Root Cause Analysis (RCA). Called by users "the best resource on the subject" and "in a league of its own." Based on globally successful, proprietary methodology developed by ABS Consulting, an international firm with 50 years' experience in 35 countries.

Root Cause Analysis Handbook is widely used in corporate training programs and college courses all over the world. If you are responsible for quality, reliability, safety, and/or risk management, you'll want this comprehensive and practical resource at your fingertips. The book has also been selected by the American Society for Quality (ASQ) and the Risk and Insurance Society (RIMS) as a "must have" for their members.

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About the author

Lee N. Vanden Heuvel is Manager of Incident Investigation/Root Cause Analysis Services and the Manager of Training Services for ABS Consulting, with 25+ years of experience in plant operations and analysis. He has assisted organizations in many different industries with the development and implementation of incident investigation and root cause analysis (RCA) programs. He has also led and participated in investigations in many types of industries, including chemical, refining, healthcare, manufacturing, drilling, machining, pharmaceuticals, waste disposal, nuclear power, and food processing. Vanden Heuvel was previously the project manager and lead analyst for a large quantitative risk assessment program at the Oak Ridge National Laboratory. He also worked for 8 years at a nuclear power plant in operations, engineering support, and training. His current responsibilities are in the areas of RCAs, incident investigations, human factors, procedures, safety analyses, and economic/decision analyses.

Donald K. Lorenzo is the Director of Training Services for ABS Consulting. He has 30+ years of experience in hazard analysis and risk assessment. He was previously a development engineer for Union Carbide Corporation. Mr. Lorenzo specializes in safety and environmental applications of ABS Consulting's SOURCETM methodology. He is a registered Professional Engineer in the state of Tennessee and a Certified Technical Trainer.

Laura O. Jackson is a Risk/Reliability Engineer for ABS Consulting. She has been involved in evaluating risks associated with corporate and governmental operations through the development and application of a number of methodologies, including relative risk ranking, risk matrices, enterprise risk management (ERM), project risk management, root cause analysis, and hazard and operability (HAZOP) analysis. She has served on teams that investigated incidents at a variety of commercial facilities, and she has performed comprehensive hazard assessments, including security risk, for the United States Coast Guard and the Department of Homeland Security.

Walter E. Hanson is a Project Manager and Risk/Reliability Engineer for ABS Consulting. He has 25+ years of experience in developing, implementing, and managing loss prevention management systems, including mishap investigation, system safety, policy and procedure, training systems, performance measurement, and human factors. At ABS Consulting he works on various risk management projects for the United States Coast Guard and other transportation and maritime clients. He was a primary developer of ABS Consulting s Marine Root Cause Analysis Technique (MaRCAT).

James J.Rooney is a Senior Risk/Reliability Engineer and Manager of Webinar Training Services for ABS Consulting. He has 25+ years of experience in quality engineering, reliability engineering, risk assessment, and process safety management. He is a Fellow of the American Society for Quality (ASQ), ASQ-certified HACCP auditor, Certified Quality Auditor, Certified Quality Engineer, Certified Quality Improvement Associate, Certified Quality Manager, Certified Reliability Engineer and registered Professional Engineer in the state of Tennessee. He specializes in quality and medical applications of the SOURCETM technique.

David A. Walker has been working in the risk management, process safety, loss prevention, incident investigation/root cause analysis, system reliability, and asset integrity management fields for more than 20 years. He is Vice President of Public Sector for ABS Consulting. He is also an instructor for (1) ABS Consulting Training Services, (2) professional societies such as the American Society of Mechanical Engineers and the American Institute of Chemical Engineers Center for Chemical Process Safety, and (3) specialized centers at universities.

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Additional Information

Publisher
Rothstein Publishing
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Published on
Oct 1, 2014
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Pages
296
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ISBN
9781931332828
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Language
English
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Genres
Business & Economics / Business Ethics
Business & Economics / Insurance / General
Business & Economics / Insurance / Risk Assessment & Management
Business & Economics / Management
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Content Protection
This content is DRM protected.
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Available on Android devices
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Eligible for Family Library

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When the challenge is to get to the heart of a problem, you need a simple and efficient cause investigation methodology. And what would make a real difference would be an interactive map to lead you to the answer every time. Chester Rowe’s Simplifying Cause Analysis: A Structured Approach is your instruction book combined with the included downloadable Interactive Cause Analysis Tool you have been looking for.

The author intends this book for professionals like you, who have some familiarity with cause analysis projects and are looking for a simple and efficient cause investigation methodology –is a more effective and insightful way of asking “why?”

Introducing his multi-function event investigation tool, Chester Rowe says, “There are already many scientific tools to help us understand the physical causes for machine failures; the challenge now is to find a way of investigating human performance failure modes...humans are often a major source of slips, lapses, and mistakes.”

Supporting his instructions with diagrams, charts, and real-world examples from companies like yours, the author takes you step-by-step through planning, completing, and documenting your investigation:

Chapter 1 gives you a process to determine the level of effort that your investigation should encompass, assess the level of effort needed, and determine the rigor needed. Your investigation needs to be as risk-informed as possible. Chapters 2 through 5 presents a new and innovative structure –rigorous yet intuitively easy to remember – to identify the underlying causes for the event (Cause Road Maps) and conduct the investigation. Chapter 6 introduces conceptual human performance models and tells you how to begin focusing on the human behaviors involved. Chapters 7 and 8 present you with methods, tools, and techniques for carefully interviewing personnel. Chapters 9 through 13 “put the pieces together,” showing you how to analyze and model the event, determine corrective action, and document the investigations and findings.

Chester Rowe developed the Cause Road Map over many years to provide a comprehensive taxonomy for every cause investigation. However, fully implementing the Cause Road Map requires the use of other tools to organize, analyze, and present the final results of your investigation. To get you started, Rowe includes his downloadable Interactive Cause Analysis Tool – an easy-to-use tool in familiar spreadsheet format – free with your verified purchase of the book.

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Although there are many books on root cause analysis (RCA), most concentrate on team actions such as brainstorming and using quality tools to discuss the failure under investigation. These may be necessary steps during RCA, but authors often fail to mention the most important member of an RCA team—the failed part.

Root Cause Analysis: A Step-By-Step Guide to Using the Right Tool at the Right Time provides authoritative guidance on how to empirically investigate quality failures using scientific method in the form of cycles of plan-do-check-act (PDCA), supported by the use of quality tools.

Focusing on the use of proven quality tools to empirically investigate issues, the book starts by describing the theoretical background behind using the scientific method and quality tools for RCA. Next, it supplies step-by-step instructions for performing RCA with the tools discussed in the first section. The book’s clear examples illustrate how to integrate PDCA with the scientific method and quality tools when investigating real-world quality failures.

This RCA guide provides root cause investigators with a tool kit for the quick and accurate selection of the appropriate tool during a root cause investigation. It includes an appendix with a guide to tool selection based on the intended use of the tool. There is also an appendix that defines the terminology used in the book.

After reading this book, you will understanding how to integrate the scientific method, quality tools, and statistics, in the form of exploratory data analysis, to build a picture of the actual situation under investigation that will lead you to the true root cause of an event.

The tools and concepts presented in the text are appropriate for professionals in both the manufacturing and service industries.
“Entertaining and informative. Desai takes us on a journey through the fundamentals of finance, from asset pricing to risk and risk management, via options, mergers, debt, and bankruptcy."- John Lanchester, The New Yorker

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In 1688, essayist Josef de la Vega described finance as both “the fairest and most deceitful business . . . the noblest and the most infamous in the world, the finest and most vulgar on earth.”

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