Is your root cause analysis software hindering your investigations?
Have you ever found that you’re spending time you should be investigating a problem arguing about how to document a problem? Have you spent valuable time in meetings explaining your documentation method or software? Rather than discussing how to prevent the problem from recurring, are you trying to fit the incident into a neat check-box to enter it into your software program? If you’re nodding “yes” to any of the above, you may need a new root cause analysis...
The Connection Between Work Process and Cause-and-Effect
For those that have attended a Cause Mapping Workshop, you may recall that we spend a significant amount of time talking about the connection between work process and cause-and-effect. It is fundamental to any problem investigation. After all, if a work process is a series of steps to produce a desired result, then you have problem anytime you don’t get the expected results from your processes. In order to solve the problem, you must identify the causes of the...
Botched Inspection and Missed Airline Flight
ThinkReliability often investigates big explosions or multi-million dollar supply chain break downs. Cause Mapping is a process that reveals simple solutions to complex problems so we are usually called in to help companies with large scale incidents. But I have found that the process of Cause Mapping can be a useful tool in solving very simple, minor problems and truths about the process of Cause Mapping can be revealed by practicing it in miniature. I take many flights every...
Clever Ideas and Prevention
As I am ever the pessimist, hazard recognition is constantly foremost in my mind. Successful preventive Root Cause Analysis can hinge on the effectiveness of identifying potential hazards. Job Safety Analysis (JSA) forms often have a template line item: Any slip or trip hazards present? Recognition of a hazard is the first step toward mitigation. At a recent workshop we spread out the cords on the floor for the projector and PC and once again I was faced with...
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ThinkReliability focuses on problems and processes. As consultants, we lead and document complete investigations of specific client issues. In our Cause Mapping – root cause analysis workshops, we teach individuals how to thoroughly investigate and prevent everything from day-to-day recurring problems to catastrophic events. Our consultants and instructors all have strong technical backgrounds with extensive practical experience from the field.We provide fundamental skills that simplify the concepts of root cause analysis, incident investigation and problem solving. We improve the way people communicate details of what they know to discover better solutions. High reliability requires a basic understanding of problems and processes and involves both management and the people who perform the work. We start with whatever fits the client’s specific needs. That may be one problem, one group, one site or even a complete strategy to establish a reliability culture across the organization.
The Cause Mapping method is an extremely effective systems-thinking approach to root cause analysis that improves the way people collect and organize information. It miminizes terminology and buzzwords by focusing on basic principles. Clear communication is required for solving problems effectively. The Cause Mapping method teaches individuals how to documenting information with pen and paper, using dry-erase boards, on chart paper or electronically in Microsoft Excel. The Cause Mapping method is used in a variety of industries by front line employees and management to prevent problems and improve results.