Course Outline
Root Cause Analysis and Incident Investigation
Day One - 8:00 a.m. to 5:00 p.m.
Basics of incidents and investigations
Workshop: Identifying causal factors and root causes
Analyzing data (causal factor charting)
Workshop: Causal factor charting
Day Two - 8:00 a.m. to 5:00 p.m.
Analyzing data (cause and effect tree analysis)
Workshop: Using cause and effect tree analysis
Analyzing data (change analysis)
Determining root causes
Workshop: Identifying root causes using the Root Cause Map technique
Developing conclusions and recommendations
Day Three - 8:00 a.m. to 5:00 p.m.
Completing the investigation
Initiating the investigation
Gathering people, physical, paper, and position data
Overview of results trending
Selecting problems for analysis
Overview of developing and implementing an incident investigation program
Workshop: Simulated incident investigation
Using the RootCause LEADER software (optional)
Certification examination (optional)
Human Error Prevention
Day One
Introduction
Goal of human error analysis
Understanding human error and its influences
What is human error?
Human error categories
Workshop: Categorizing human errors
Simple model of human behavior
Day Two
Analysis techniques
Error-likely situation checklist analysis
Walkthrough analysis
Workshop: Applying the walkthrough analysis technique
Guide word analysis
Workshop: Applying the guide word analysis technique
Prevention and mitigation strategies
Common human error prevention techniques
Organizational responsibilities for human error prevention and mitigation
Overview of human factors codes and standards
Workshop: Developing effective recommendations
|
