One definition of Root Cause Analysis is:
Root Cause Analysis is any structured process used to understand the causes of past events for the purpose of preventing recurrence.
This basic premise is the reason that the RCA is done.
On the surface, it always appears to be a simple matter, however there are always pitfalls and nuances.
One such pitfall that RCA investigators or facilitators face is something I call the “problem is fixed” syndrome. In my work at plants I would run across situations where a problem occurred and a solution was implemented. The particular solution used may or may not have been arrived at by using RCA. In either case the solution is implemented and the “problem is fixed”. Read More →
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