Dilihat 1795
OBJECTIVES
- Describe the concepts behind Root Cause Analysis thinking
- Describe why most traditional problem solving approaches do not work effectively
- Demonstrate a paradigm shift in their thinking about problem solving and failure analysis
- Demonstrate the skills to solve problems effectively using Root Cause Analysis principles
- Stopping Too Soon
- The "Blame Game"
- The Root Cause Myth
- The Illusion Of Common Sense and One Reality
- Failure To Think "Outside The Box"
- Categorical Thinking
- Story Telling
- What is a "failure"?
- Recurring, Chronic Problem, or one-off Catastrophic Failure?
- Specifying Required Performance -"want" vs "can" vs "did"
- Variability in Processes and Parts -when has a failure occurred?
- Focus on Business Consequences
- Treat the Scene like a Crime Scene: Parts, Position, People Documents, Electronic Records
- Conducting Interviews
- What Can be Done to Overcome the Immediate Consequences of Failure?
- Could This Occur Again While the Investigation is Being Conducted?
- What Can We do to Minimise Further Consequences?
- When is a Team based Analysis Appropriate?
- Who should be Involved?
- Cause-effect Principles
- Physical Root Causes
- Human Root Causes
- System (Latent) Root Causes
- Searching for Patterns and Comparisons
- Brainstorm for Causes
- Preparing a Cause-Effect Diagram
- Run Charts
- Additional Data Requirements
- Brainstorm For Solutions
- Solution Guidelines
- Solution Killers
- Validating Against the Cause-Effect Diagram
- Assessing Alternatives
- Developing a Report
- Developing a Presentation: Agenda, Content, Presentation Skills
- Obtaining Approvals
- Tracking Implementation Progress
- Getting Proactive Work Done in a Reactive Maintenance Environment
- Developing and Implementing Tracking Metrics
- Training
- When to Perform an Analysis
- Tracking Implementation Compliance
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