Simplifying Cause Analysis : A Structured Approach.

Cover -- Title Page -- Copyright -- Dedication -- Acknowledgments -- Table of Contents -- Introduction -- References -- Chapter 1: Getting Started -- 1.1 Two Tools to Begin the Investigation -- 1.1.1 Investigation Effort and Rigor Assessment Tool -- 1.1.2 Checklist Tool -- Chapter 2: The Cause Road Map Taxonomy -- 2.1 Conceptual Basis for the Cause Road Map -- 2.1.1 Find the Cause Model Compared to Swiss Cheese Model -- 2.2 Introducing the Cause Road Map -- 2.2.1 Major Causal Factor Groups (Map 1) of Cause Road Map -- 2.3 Cause Road Map Defined as a Taxonomy -- 2.4 Cause Road Map as a Data Trending Source -- References -- Chapter 3: Human Performance Related Maps -- 3.1 Human Performance Related Maps -- 3.1.1 Cause Road Map - Map 2 (Human Errors) -- 3.1.2 Cause Road Map - Map 3 (Error Drivers) -- 3.1.3 Cause Road Map - Map 4 (Flawed Defenses) -- 3.1.4 Cause Road Map - Map 5 (Failed Oversight/Flawed Assessments) -- 3.1.5 Cause Road Map - Map 6 (Latent Errors/Flawed Decisions) -- References -- Chapter 4: Machine/Material/Hardware Failure Maps -- 4.1 Machine/Material/Hardware Failure Related Maps -- 4.1.1 Machine/Material/Hardware Failure Related Map A -- 4.1.2 Machine/Material/Hardware Failure Related Map B -- References -- Chapter 5: Using the Cause Road Map -- 5.1 Using the Cause Road Map -- 5.1.1 Step 1 -- 5.1.2 Step 2 - Human Error -- 5.1.3 Step 3 - Error Drivers -- 5.1.4 Step 4 - Flawed Organizational or Programmatic Defenses -- 5.1.5 Step 5 - Flawed Assessment Capability -- 5.1.6 Step 6 - Latent Management Practice Weaknesses -- 5.1.7 Step 7 - Repeat for another observation -- 5.1.8 Step 8 - Safety Culture -- 5.2 Displaying the Results -- 5.2.1 Human Performance Evaluation Briefing Report -- 5.2.2 Hardware/Material/Design Failure Evaluation Briefing Report -- 5.2.3 Human Performance Evaluation driven from previous Failure Evaluation.

5.3 Capturing the Details -- References -- Chapter 6: Human Performance Basics -- 6.1 Theoretical frame -- 6.1.1 Skill-Based -- 6.1.2 Rule-Based -- 6.1.3 Knowledge-Based -- 6.1.4 Slips, Mistakes, and Violations -- 6.2 Tools &amp -- Interventions Supporting this Theoretical Framework -- 6.2.1 Skill-Rule-Knowledge (Balance Beam) Tool -- 6.2.1.1 Corrective Actions Checklist for Skill-Based Errors -- 6.2.1.2 Corrective Actions Checklist for Rule-Based Errors -- 6.2.1.3 Corrective Actions Checklist for Knowledge-Based Errors -- 6.2.2 Substitution Test Tool -- References -- Chapter 7: Effective Interviewing -- 7.1 Planning the Interview -- 7.2 Opening the Interview -- 7.3 Conducting the Interview -- 7.3.1 Open-ended Questions -- 7.3.2 Closed-ended Questions -- 7.3.3 Follow-up Questions or Questioning to the Void -- 7.3.4 Other Tips to a Successful Interview -- 7.4 Closing the Interview -- 7.5 Recording -- References -- Chapter 8: Analysis Tools and Techniques -- 8.1 Tool Types and Use Matrix -- 8.2 Comparative Event Line -- 8.3 Failure Modes and Effects Analysis -- 8.4 Barrier Analysis -- 8.4.1 Classifying Barrier Functions -- 8.4.2 Typical Barrier Analysis Checklist Questions -- 8.4.3 Barrier Analysis Display Format -- 8.4.4 Advantages and Weaknesses of Barrier Analysis Tool -- 8.5 Change Analysis -- 8.5.1 The Five Steps in Change Analysis -- 8.5.2 A Cause Analysis Example -- 8.5.3 Advantages and Weaknesses of Change Analysis Tool -- 8.6 Task Analysis -- 8.6.1 Two Types of Task Analysis -- 8.6.2 Steps in Task Analysis -- 8.6.3 Task Analysis Example -- 8.6.4 Advantages and Weaknesses of Task Analysis Tool -- 8.7 Common Cause Analysis -- 8.7.1 Using Common Cause Analysis: Nuclear Power Station Example -- 8.7.1.1 Approach to the Seven Events -- 8.7.1.2 Suggested Common Cause Analysis Method -- 8.8 The 5 Why's/Why Staircase -- References.

Chapter 9: Event Modeling and Analysis Tools -- 9.1 Causal Factor Trees -- 9.1.1 Advantages and Disadvantages of Causal Factor Tree -- 9.2 Events and Causal Factors (E&amp -- CF) charts -- 9.2.1 Defining Problems -- 9.2.2 Considerations -- 9.2.3 How to Develop the E&amp -- CF Chart -- 9.2.4 Formatting -- 9.2.5 The Dump Truck Accident E&amp -- CF Chart -- 9.2.6 E&amp -- CF Charting Advantages and Disadvantages -- References -- Chapter 10: Event Modeling and Analysis Tools -- 10.1 Investigation Tools Integration Protocol -- 10.2 Commonalities Matrix -- Chapter 11: Extent of Condition and Extent of Cause -- 11.1 Examining the Broader Implications of an Event -- 11.1.1 Three-Step Approach to Implications -- 11.2 Step 1: Define Same and Similar Conditions -- 11.2.1 Extent of Condition Assessment -- 11.2.2 Extent of Cause Assessment -- 11.3 Step 2: Determine the Potential Consequences and Risks -- 11.4 Step 3: Actions Matrix -- Chapter 12: Corrective Actions -- 12.1 Eight Basic Elements of Corrective Actions -- 12.2 Effective Corrective Action Structure Elements -- 12.3 Ten Criteria for Effective Corrective Actions -- 12.4 SMART Corrective Actions -- 12.5 Specific Corrective Actions -- 12.6 Relative Effectiveness of Types of Corrective Actions -- 12.7 Measurable Corrective Actions -- 12.8 Assigned and Accepted Corrective Actions -- 12.9 Realistic Corrective Actions -- 12.10 Timely Corrective Actions -- 12.11 Comprehensive Effectiveness Review Plan -- 12.11.1 Assigning Effectiveness Reviews -- Recommended Reading -- Chapter 13: Documentation and Reporting -- 13.1 Points to Remember when Reporting Investigation Results -- 13.2 Use of Graphics and Pictures in Reports -- 13.3 Report Specifics -- 13.3.1 Executive Summary -- 13.3.2 Problem Statement -- 13.3.3 Investigation Scope -- 13.3.4 Event Discussion -- 13.3.5 Compensatory and Immediate Actions.

13.3.6 Extent of Condition/Cause -- 13.3.7 Event Significance -- 13.3.8 Review of Operating Experience -- 13.3.9 Presenting Results -- 13.3.9.1 Before the Presentation -- 13.3.9.2 Presentation Scenarios -- 13.3.10 Use of Charts and Graphics -- 13.3.11 Commonalities Matrix -- 13.3.12 Human Performance Précis -- References -- Chapter 14: Final Thoughts -- About the Author -- Credits -- How to Get Your Free Download.

When the challenge is to get to the heart of a problem, you need a simple and efficient cause investigation methodology. And what would make a real difference would be an interactive map to lead you to the answer every time. Chester Rowe's Simplifying Cause Analysis: A Structured Approach is your instruction book combined with the included downloadable Interactive Cause Analysis Tool you have been looking for.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.