Root Cause Analysis Handbook

Author: Abs Consulting
Editor: Rothstein Associates Inc
ISBN: 9781931332309
File Size: 18,83 MB
Format: PDF, Kindle
Read: 4706
Download

Root Cause Analysis Handbook: A Guide to Effective Incident Investigation presents a proven system designed for investigating, categorizing, and ultimately eliminating, rootcauses of incidents with safety, health, environmental, quality, reliability, and production-process impacts.Defined as a tool to help investigators describe what happened, to determine how it happened, and to understand why it happened, the Root Cause Analysis System enables businesses to generate specific, concrete recommendations for preventing incident recurrences.Using the factual data of the incident, the system also allows quality, safety, and risk and reliability managers an opportunity to implement more reliable and more cost-effective policies that result in major, long-term opportunities for improvement.Such process improvements increase a business' ability to recover from and prevent disasters with both financial and health-and-safety implications.Special features include a 17 inch by 22 inch pull-out Root Cause Map, a powerful tool for identifying and coding root causes.The book helps readers to understand why root causes are important, to identify and define inherent problems, to collect data for problem solving, to analyze data for root causes, and to generate practical recommendations.- - - - - - This edition is a reprinting of the 199 edition.- - - - - -ORGANIZATION OF THE ROOT CAUSE ANALYSIS HANDBOOKThe focus of this handbook is on the application of the Root Cause Map to the root cause analysis process. The Root Cause Map is used in one of the later steps of the root cause analysis process to identify the underlying management systems that caused the event to occur or made the consequences of the event more severe. The first five chapters of this handbook are an overview of the root cause analysis process. These provide the context for use of the Root Cause Map. Chapter 6 provides references.Chapter 1, "Introduction to Root Cause Analysis," presents a basic overview of the SOURCE (Seeking Out the Underlying Root Causes of Events) root cause analysis process.Chapter 2, "Collecting and Preserving Data for Analysis," outlines the types of data and data sources that are available. Chapters 3, 4, and 5 describe the three major steps in the rootcause analysis process.?Chapter 3, "Data Analysis Using Causal Factor Charting," provides a step-by-step description of causal factor charting techniques. Chapter 4, "Root Cause Identification," explains the organization and use of the Root Cause Map. Chapter 5, "Recommendation Generation and Implementation," provides guidance on developing and implementing corrective actions. The references section, Chapter 6, provides additional information for those interested in learning more about specific items contained in the handbook.Appendix A, "Root Cause Map Node Descriptions," describes each segment of the Root Cause Map and presents detailed descriptions of the individual nodes on the map. AppendixB is the Root Cause Map itself.

Root Cause Analysis Handbook

Author:
Editor:
ISBN:
File Size: 58,82 MB
Format: PDF
Read: 9554
Download


The Root Cause Analysis Handbook

Author: Max Ammerman
Editor:
ISBN: 9781138464117
File Size: 37,28 MB
Format: PDF, Kindle
Read: 2076
Download

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.

Root Cause Analysis

Author: Denise Robitaille
Editor: Paton Professional
ISBN: 1932828540
File Size: 45,96 MB
Format: PDF, ePub, Mobi
Read: 6318
Download

Do you have recurring problems that are costing you time and money? Unresolved problems do more than aggravate. They can increase costs, lower quality, and drive customers away. Plus, quality management processes, such as ISO 9001, require organizations to have a corrective and preventive action process in place. Root cause analysis is integral to the success of any corrective action or problem-solving process. Unfortunately, root cause analysis is an often maligned, misunderstood, and misapplied process. Instead of viewing root cause analysis as an opportunity for improvement, many see it only as an admission that things have gone wrong. Root cause analysis should be seen as an opportunity, not a chore. This practical guide offers proven techniques for using root cause analysis in your organization. Inside you’ll find: What root cause analysis is When (and when not) to use root cause analysis Who should participate in the root cause analysis process How to construct a root cause analysis checklist Examples of how a well-run root cause analysis process works And much more!

Root Cause Analysis In Process Based Industries

Author: Menachem Horev
Editor: Trafford Publishing
ISBN: 1425139779
File Size: 41,61 MB
Format: PDF, ePub
Read: 1959
Download

This book provides a Root Cause Analysis methodology for process and equipment problems with a unique insight on sources and type of problems that appear in process lines.

Root Cause Analysis

Author: Paul F. Wilson
Editor: Asq Press
ISBN:
File Size: 67,93 MB
Format: PDF, Kindle
Read: 3181
Download

This book describes the methods and tools used to develop and implement an effective TQM program. it provides a practical explanation of root cause analysis and discusses the proactive use of analysis techniques for the prediction and prevention of problems. it emphasizes the basic concepts, various analysis techniques, and their common purpose in determining the true cause of problems.

Root Cause Analysis

Author: Bjørn Andersen
Editor: Asq Press
ISBN:
File Size: 16,43 MB
Format: PDF, ePub, Docs
Read: 343
Download

This text builds gradually toward presenting the most-needed basic root analysis skills. These tools are described, and their purpose and typical applications are outlined. Procedures for applying the tools are included, as is a checklist, to ensure that the tools are applied correctly.

The Corrective Action Handbook Second Edition

Author: Denise E. Robitaille
Editor: Paton Professional
ISBN: 0965044572
File Size: 19,57 MB
Format: PDF, Kindle
Read: 2184
Download

If the term "mangement review" conjures up visions of a wasteful and burdensome ordeal, The Management Review Handbook is just what you need to add value to your review process. The Management Review Handbook provides managers with a simple explanation of how to effectively document, implement, and maintain a management review process.Denise Robitaille's book is an excellent guide to management review for anyone involved in the process. The book's precepts hold true for any size company across a wide spectrum of industries and organizations. The tools found in the handbook can be used by top management, ISO 9001 coordinators, production supervisors, customer service managers, quality technicians, or anyone else involved in the management review process.Plus, the book includes sample forms that aid in the management review process. The forms may be photocopied. They include:* Management review agenda* Data analysis planning worksheet* Action item checklist* Customer contact form

The Proact Root Cause Analysis

Author: Kenneth C. Latino
Editor: CRC Press
ISBN: 1000178307
File Size: 70,92 MB
Format: PDF, ePub, Docs
Read: 7476
Download

Root Cause Analysis, or RCA, "What is it?" Everyone uses the term, but everyone does it differently. How can we have any uniformity in our approach, much less accurately compare our results, if we’re applying different definitions? At a high level, we will explain the difference between RCA and Shallow Cause Analysis, because that is the difference between allowing a failure to recur or dramatically reducing the risk of recurrence. In this book, we will get down to basics about RCA, the fundamentals of blocking and tackling, and explain the common steps of any investigative occupation. Common investigation steps include: Preserving evidence (data)/not allowing hearsay to fly as fact Organizing an appropriate team/minimizing potential bias Analyzing the events/reconstructing the incident based on actual evidence Communicating findings and recommendations/ensuring effective recommendations are actually developed and implemented Tracking bottom-line results/ensuring that identified, meaningful metrics were attained We explore, "Why don’t things always go as planned?" When our actual plans deviate from our intended plans, we usually experience some type of undesirable or unintended outcome. We analyze the anatomy of a failure (undesirable outcome) and provide a step-by-step guide to conducting a comprehensive RCA based on our 3+ decades of applying RCA as we have successfully practiced it in the field. This book is written as a how-to guide to effectively apply the PROACT® RCA methodology to any undesirable outcome, is directed at practitioners who have to do the real work, focuses on the core elements of any investigation, and provides a field-proven case as a model for effective application. This book is for anyone charged with having a thorough understanding of why something went wrong, such as those in EH&S, maintenance, reliability, quality, engineering, and operations to name just a few.

Asm Handbook

Author: ASM International. Handbook Committee
Editor: Asm International
ISBN:
File Size: 20,23 MB
Format: PDF, Kindle
Read: 3938
Download

If you are a manufacturing engineer, component designer, a materials failure analyst, or if you have a general interest in the nature and prevention of engineering failures, you will be interested in the new and substantial revision of ASM Handbook, Volume 11, Failure Analysis and Prevention. The new Volume 11, with a focus on the root causes of failure, describes the principles, practices, and analytical techniques of failure analysis, so that root causes are properly identified and corrected for the ultimate objective of failure prevention. The newly reorganized Volume 11 begins with sections on the general engineering aspects of failure prevention, with coverage on fundamental root causes, materials selection, and the role of design reviews in failure prevention and analysis. Additional sections describe failures related to metals manufacturing operations, and the increasingly important role of life assessment methods in failure prevention. This is followed by a series of additional sections on the failure analysis process, as well as the principles, practices, tools, and techniques used to perform and evaluate failure analysis work, and the causes, mechanisms, appearances, and prevention methodology for the four classic types of failure (fracture, corrosion, wear, distortion). Contents include: Engineering Aspects of Failure and Prevention; Manufacturing Aspects of Failure and Prevention; Structural Life Assessment Methods; Principles and Practice of Failure Analysis; Tools and Techniques in Failure Analysis; Fracture; Corrosion Related Failures; Wear Failures; Distortion.

Root Cause Analysis

Author: Mark A. Latino
Editor: CRC Press
ISBN: 0429822111
File Size: 60,33 MB
Format: PDF, ePub, Docs
Read: 8948
Download

This book comprehensively outlines what a holistic and effective Root Cause Analysis (RCA) system looks like. From the designing of the support infrastructure to the measuring of effectiveness on the bottom-line, this book provides the blueprint for making it happen. While traditionally RCA is viewed as a reactive tool, the authors will show how it can be applied proactively to prevent failures from occurring in the first place. RCA is a key element of any successful Reliability Engineering initiative. Such initiatives are comprised of equipment, process and human reliability foundations. Human reliability is critical to the success of a true RCA approach. This book explores the anatomy of a failure (undesirable outcome) as well as a potential failure (high risks). Virtually all failures are triggered by errors of omission or commission by human beings. The methodologies described in this book are applicable to any industry because the focus is on the human being's ability to think through why things go wrong, not on the industry or the nature of the failure. This book correlates reliability to safety as well as human performance improvement efforts. The author has provided a healthy balance between theory and practical application, wrapping up with case studies demonstrating bottom-line results. Features Outlines in detail every aspect of an effective RCA ‘system’ Displays appreciation for the role of understanding the physics of a failure as well as the human and system’s contribution Demonstrates the role of RCA in a comprehensive Asset Performance Management (APM) system Explores the correlation between Reliability Engineering and Safety Integrates the concepts of Human Performance Improvement, Learning Teams, and Human Error Reduction approaches into RCA

Transactions Of The American Nuclear Society

Author: American Nuclear Society
Editor:
ISBN:
File Size: 50,32 MB
Format: PDF, Mobi
Read: 2183
Download

Each volume contains proceedings of the annual conference of the American Nuclear Society.

Corrective Action For The Software Industry

Author: Denise E. Robitaille
Editor: Paton Professional
ISBN: 0971323194
File Size: 42,72 MB
Format: PDF, Kindle
Read: 1481
Download

Many people are confused about corrective action. They know it’s a requirement for compliance to standards such as ISO 9001. In some cases, the mandate is imposed by customers or regulatory agencies. Compounding this misunderstanding is that much of what has been written about the corrective action process is targeted toward manufacturing organizations, with the predictable references to tooling, production equipment, inspection of materials, storage issues, component design and the like. For software organizations, the product is intangible, and the processes may be electronically defined, derived, and controlled. Corrective action and the manner in which it is implemented needs to be explained specifically for software, both in language and supporting documentation. This practical handbook discusses the hows and whys of corrective action, with a particular focus on its application in software environments. It also illustrates how the process is integrated into the various other functions of the organization. Plus, Corrective Action for the Software Industry includes a CD-ROM with PDF forms you can use in your corrective action process. The forms are: Corrective action request form Root cause analysis form Action plan form Follow-up form

The Business Analyst S Handbook

Author: Howard Podeswa
Editor: Course Technology
ISBN:
File Size: 40,55 MB
Format: PDF, ePub, Mobi
Read: 5054
Download

One of the objectives of this book is to incorporate best practices and standards in to the BA role. While a number of standards and guidelines, such as Business Process Modeling Notation (BPMN), have been incorporated, particular emphasis has been placed on the Business Analysis Body of Knowledge (BABOK), the Information Technology Infrastructure Library (ITIL), and the Unified Modeling Language (UML).

Risk Management Handbook For Health Care Organizations

Author: Peggy Nakamura
Editor: Jossey-Bass Incorporated Pub
ISBN: 9780787986728
File Size: 49,98 MB
Format: PDF, ePub
Read: 7542
Download

This is the most current edition of the book that has become a standard in the field. The three-volume set covers the enterprise-wide continuum of care and associated risk and has been thoroughly revised and updated to reflect the current changes in the health care environment. The Risk Management Handbook for Health Care Organizations offers current information, regulatory and legal updates, and assessment tools that will prove invaluable to both new and seasoned risk managers.

Professional Safety

Author:
Editor:
ISBN:
File Size: 78,57 MB
Format: PDF, Mobi
Read: 6255
Download


Handbook Of Investigation And Effective Capa Systems Second Edition

Author: José Rodríguez-Pérez
Editor: Quality Press
ISBN: 0873899261
File Size: 64,79 MB
Format: PDF, Mobi
Read: 3868
Download

Understanding and improving the CAPA system as a whole is the focal point of this book, the only of its kind dealing exclusively with this critical system within highly regulated industries. Features include: Information about the importance of the CAPA system within the quality system for the medical products regulated industry. Fully updated with current versions of regulations (U.S. FDA, EU, ISO 13485, and so on), and a new section covers the regulatory expectation of customer complaint investigations. Investigation and CAPA elements of the 2015 revision of the ISO 9001 standard. New coverage on the investigation plan and the new U.S. FDA quality metric guidance, as well as a section discussing the tight relationship between CAPAs and FMEA. A new chapter fully devoted to human errors and human factors, and their impact in the investigation and CAPA system. Discussion of a dozen of the most common pitfalls commonly encountered in the investigation and CAPA world of regulated companies. An example of an investigation and CAPA expert certification program being used for many companies. Forms and examples of the different elements (investigation report, root causes checklist, human error investigation, CAPA plan, and so on) covered in the book. Fully usable forms are also included in the companion CD in Microsoft Word format. While the first edition of this book was aimed solely at the FDA-regulated industry, the title of this second edition reflects the importance of the investigation/root cause analysis stage as the necessary preceding step of any effective corrective and preventive action system. Investigation and CAPA are concepts used in many sectors besides the FDA-regulated industry, such as: automotive, electronics, aerospace, telecommunications, process industry, and many more. This book will become an essential reference for those in these other industries.

Juran S Quality Handbook The Complete Guide To Performance Excellence Seventh Edition

Author: Joseph A. Defeo
Editor: McGraw Hill Professional
ISBN: 125964362X
File Size: 60,38 MB
Format: PDF, ePub
Read: 4768
Download

The cornerstone text onquality management and performance excellence – thoroughly revised to reflectthe latest challenges and developments The “body of knowledge” for the science ofquality management and performance excellence for more than half-a-century, Juran’s Quality Handbook has been completely updated to meetthe ever-changing needs of today’s business and quality professionals. Underthe guidance of a team of top experts, this authoritative resource demonstrateshow to apply the right methods for delivering superior results and achievingexcellence in any organization, industry, or country. Juran’s Quality Handbook, Seventh Edition provides you with a complete roadmap forthe discipline -- clearly written to make sure you know where you are in theprocess and what you must do to reach the next level. Within its pages, youwill find A-Z coverage – from key concepts, methods, research, and tools topractical applications on the job. Here’s why this is the best edition yet: • Updated chapters on Lean, Six Sigma and the Shingo Prize • NEW chapters on Risk Management and Building a Quality Management System • NEW material on the history of quality management • All ISO and other regulatory standards have been updated • NEW statistical tables, charts, and data • Examples and case studies throughout demonstrate how others have appliedthe methods and tools discussed in real-world situations

The Six Sigma Performance Handbook Chapter 6 Developing A Solution Analyze Phase

Author: Praveen Gupta
Editor: McGraw Hill Professional
ISBN: 0071735305
File Size: 68,92 MB
Format: PDF, ePub, Docs
Read: 6893
Download

The following is a chapter from Praveen Gupta's The Six Sigma Performance Handbook, which gives results-oriented help with Six Sigma initiatives. With this handbook, you will learn how to optimize performance and sustain breakthrough results. This book also gives a quick, straight forward tutorial on the use of the statistical tools which form the bases for Six Sigma project success. The handbook shows you how to simplify Six Sigma methods for cost-effective implementations that work best in your organization.

The Cancer Chemotherapy Handbook

Author: David S. Fischer
Editor: Mosby Incorporated
ISBN:
File Size: 62,45 MB
Format: PDF, Mobi
Read: 865
Download

The sixth edition of this pocket-sized resource for clinicians contains a new chapter on the safety and prevention of chemotherapy medication errors. Except for pain management and ethics, which are unchanged, the remaining chapters have been revised to reflect current information. Much of the volume features descriptions of chemotherapy medications (100 new ones have been added), with description of their pharmacokinetics, dose, administration, toxicity, storage and stability, preparation, incompatibilities, and selected bibliography.