Root Cause Analysis

Kelvin TOP-SET Incident Investigation & Root Cause Analysis helps you understand causes and find solutions that prevent problem recurrence. What is Incident Investigation and Root Cause Analysis Training? Kelvin TOP-SET Incident Investigation and Root Cause Analysis Training teaches a systematic approach to plan incident investigations, gather info... rmation in a structured way, how to carry out root cause analyses to determine problem causes and to develop solutions to prevent recurrence. Incident Investigation and Root Cause Analysis Training helps organisations to perform routine investigations and root cause analyses rather than employing outside investigators each time a root cause analysis is required. Root Cause Analysis (RCA) is one of the most commonly misunderstood terms worldwide. Many companies and individuals request Root Cause Analysis training when what they actually want is a comprehensive accident investigation system. Kelvin TOP-SET provides this system, and the Root Cause Analysis is only part of this package. The Root Cause Analysis is part of the reporting procedure. It is a logic flow diagram, summarising the events and failures uncovered in the investigation, and linking the incident through Immediate and Underlying Causes to the Root Cause(s) of the problem. As a consequence, the RCA should only be started when an investigation is completely finished. For various reasons, an Investigator may be encouraged to come up with an RCA and make recommendations, based on limited information. We have all heard the phrase, We all know what has happened here, and the temptation is to make the RCA fit this early conclusion. To achieve this would require the Investigator/Team to ignore other areas where problems may lie, and perhaps even to ignore evidence simply to make things fit the early diagnosis. What is the value of an RCA? 1. It provides a straightforward summary of the events leading up to an incident, starting from the Root Causes, through the Underlying Causes to the Immediate Causes which ...Read More