Course Description This 4½ day course is an advanced version of our 3-day course. In addition to all the topics covered in our 3-day course, you will participate in additional workshops related to causal factor charting, cause and effect trees, interviewing, physical data analysis plans, near miss definitions and reporting, trending and metrics. Learn to use the license-fee free SOURCE™ root cause analysis methodology for investigating incidents. You Will Learn to: Initiate a root cause analysis/incident investigation and gather data for investigating process and nonprocess incidents Collect data through interviews and physical data analyses – numerous workshops are used to reinforce these topics Apply powerful techniques for causal factor identification, including causal factor charting, cause and effect trees, change analysis and timelines Use ABS Consulting's Root Cause Map™ to aid in root cause identification Avoid future incidents by developing appropriate recommendations to address causal factors and root causes Structure reports for optimum effectiveness Develop your data trending process to identify systemic problem areas The SOURCE™ Root Cause Analysis Methodology You will learn the powerful tools and techniques that are part of the SOURCE™ (Seeking Out the Underlying Root Causes of Events) methodology. The SOURCE methodology is based on tools commonly used throughout industry for incident investigation. ABS Consulting's unique application of these tools will guide your investigation, making each investigation efficient and effective. We teach effective interviewing skills along with methods for collecting other types of data. You will participate in several workshops related to data gathering to allow you to practice your skills. You will use causal factor charting (event and condition charting), cause and effect tree analysis, change analysis, and timelines in workshops. ABS Consulting's Root Cause Map will be used to perform root cause identification. Realistic industry examples and workshops are used extensively throughout the course to illustrate key points and to allow you practice your new skills. Software to Document Your Root Cause Analysis You will also learn how to use ABS Consulting's RootCause LEADER™ software and FREE Excel™ template to document your investigations and perform analyses of trends. Visit the RootCause LEADER 2.0 software page for a more complete description. Developing Your Program Besides learning incident investigation skills, you will learn how to fully meet the requirements of standards and regulations for investigations of incidents with health, reliability, environment and quality impacts. You will also get an overview of how to structure an effective investigation program for your company, including how to define near misses, train others to recognize and report incidents, classify incidents for assigning the appropriate investigator(s) and trend data. You will take back to your company an example of a successful incident reporting and investigation program. How You Will Benefit You will be equipped to investigate serious, complex incidents You will learn the importance of: Near-miss investigations Incident classification Data trending You will learn how to identify root causes (not just causal factors) using proven techniques You will come away from the course with these valuable materials: Complete solutions to example problems The SOURCE™ Investigator's Toolkit to help you gather and organize your data A Root Cause Map for your company to use A 300-page Root Cause Analysis Handbook that includes details on the use of the Root Cause Map A FREE Excel template for documenting causal factor charts and cause and effect trees A certificate of completion Accreditation: 3.1 CEUs, 3.1 COCs, 5.01 CMs, ABIH approval #10-232 For more information on this course, contact Customer Service at 1-800-769-1199. Course Outline Day One – All day Basics of Incidents and Investigations (Course 106/123 Tab 1) Three principles for achieving operations excellence Root cause/management system approach to root cause analysis (RCA) Goals of incident investigation/RCA Terminology: causal factor, root cause, management system, safeguard Workshop: Identifying causal factors and root causes Correlation, causation and sequence relationships Overall incident investigation management system and overview of the course Summary of structured techniques Analyzing Data (Course 106/123, Tab 4) Overview of the three analysis techniques – cause and effect trees, causal factor charts and change analysis Cause and effect tree analysis Workshop: Developing simplified cause and effect trees – instructor-led example Workshop: Developing simplified cause and effect trees – student groups #1 Workshop: Developing simplified cause and effect trees – student groups #2 Incident timelines       • Relationship to causal factor charts Workshop: Developing timelines Day Two – All Day Analyzing Data (Course 106/123, Tab 4) – (cont.) Causal factor charting Workshop: Developing causal factor charts – instructor-led example Workshop: Developing causal factor charts – student groups (complete instructor-led example) Workshop: Developing causal factor charts – student groups Day Three – All Day Change analysis Workshop: Change analysis Supplementary data analysis techniques Identifying Root Causes (Course 106/123, Tab 5) What is a root cause? Common root cause analysis traps Procedure for identifying root causes Techniques for root cause identification The Root Cause Map Workshop: Identifying root causes Developing Recommendations (Course 106/123, Tab 6) Key recommendation concepts Four levels of recommendations Recommendation hierarchy Special recommendation areas including restart/resumption criteria Workshop: Developing Recommendations Completing the Investigation (Course 106/123, Tab 7) Writing investigation reports Resolving recommendations Evaluating the investigation process Initiating Investigations (Course 106/123, Tab 2) Securing the site Beginning the investigation Incident classification Incident management tasks Investigation teams Gathering resources Workshop: Forming your team and identifying initial investigation issues Day Four – Full Day Gathering Data (Course 106/123, Tab 3) Types of data: The four P's: people, physical, paper and position Fragility of data Data from people       • Interviewing techniques Workshop: Identifying types of interview questions Workshop: Developing interview questions Workshop: Performing Interviews – small groups Physical data       • Planning for analysis of physical data       • Use of physical data analysis plans Workshop: Developing a Physical Data Analysis Plan Paper data       • Sources of potential data Position data       • Tools for collecting position data Workshop: Identifying data needs Selecting Problems for Analysis (Course 106/123, Tab 8) Acute versus chronic investigations Near-miss and accident investigations Workshop: Near-miss quiz Classifying incidents Results Trending and Assessment (Course 106/123, Tab 9)       • Deciding What Data to Collect       • Data Analysis General Resources (Course 106, Tabs 11) SOURCE™ Toolkit – useful data collection forms Pocket guide to investigation Course study guide Workshop: Simulated incident investigation - start Day Five – Half Day Workshop: Simulated incident investigation finish Additional time spent on using both data analysis techniques, performing group interviews and completing the investigation Investigation Programs (Course 106/123, Tab 10) 5-step program implementation Key program considerations Common incident investigation/RCA program problems 10 laws of incident investigation For more information on this course, contact Customer Service at 1-800-769-1199.     Lee Vanden Heuvel 1-865-671-5848 lnv@absconsulting.com Don Lorenzo 1-865-671-5842 dlorenzo@absconsulting.com James Rooney 1-865-671-5814 jrooney@absconsulting.com You may also fax your questions to 1-865-671-5851 For more information on this course, contact Customer Service at 1-800-769-1199.

Related Courses Root Cause Analysis and Incident Investigation Root Cause Analysis for Supervisors Human Error Prevention Maritime RCA/Incident Investigation Onsite Course This course can be taught at your facility. Find out more. Related Software RootCause LEADER. Quickly identify the root causes of any type of incident, event, accident, near miss, reliability problem, quality impact, or business loss. Related Services ABS Consulting assists with investigations of safety, reliability, quality, production, or environmental losses with proven, structured analysis techniques. Call our 24-hour help line at (865) 368-4357. Related Resources Download the SOURCE Investigator's Toolkit and Excel templates. Used in conjunction with our SOURCE methodology and our training course, these FREE tools will help you perform efficient and effective analyses. Purchase the Root Cause Analysis Handbook directly from our publisher. A companion to the SOURCE technique and Root Cause Map.