The answer is root cause analysis, a process that allows you to find the cause of single events/problems in the workplace. The Root Cause Analysis Handbook presents a walkthrough example that illustrates the method and shows how to implement it.
Because poor initial problem definition can (and often does) undermine the problem-solving process, Ammerman places special emphasis on this area to build a solid foundation for effective analysis. He also provides guidance on preparing the final report.
The need for clear documentation on dealing with problems makes this book especially valuable for quality managers, engineers, safety managers, and teams implementing the ISO or QS standards. Written in a simple, user-friendly style, you will grasp the core concepts quickly and begin applying them to your work.
Overview of Chapters
Subject Matter / Chapters of Handbook
Scenario for Examples in Handbook
DEFINE PROBLEM / COLLECT DATA
Define the Problem
Paper-and-Pencil Task Analysis
Walk-Through Task Analysis
CONTROL BARRIER ANALYSIS
EVENT AND CAUSAL FACTOR CHARTING
Criteria for Event Description
Cause and Effect Analysis
Techniques for Conducting Interviews
Stage 1: Prepare for the Interview
Stage 2: Open the Interview
Stage 3: Conduct the Interview
Types of Interview Questions
Techniques for Asking Questions and Responding to Answers
The Communication Process
Stage 4: Close the Interview
DETERMINE THE ROOT CAUSE
What Are the Types of Causes?
Causal Factor Category List
Determine Causes of Event
DEVELOP CORRECTIVE ACTIONS
Preparing a Written Report
Presenting to Management
Appendix A: Initial Data Gathering Forms: Personnel Statement
Appendix B: Causal Factor Category List
Appendix C: Other Root Cause Analysis Tools and Techniques