Simplifying Cause Analysis : a Structured Approach.
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 yo...
Clasificación: | Libro Electrónico |
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Autor principal: | |
Formato: | Electrónico eBook |
Idioma: | Inglés |
Publicado: |
Brooksfield :
Rothstein Associates, Incorporated,
2017.
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Temas: | |
Acceso en línea: | Texto completo |
Tabla de Contenidos:
- 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 Maps3.1 Human Performance Related Maps; 3.1.1 Cause Road Map â#x80;#x93; Map 2 (Human Errors); 3.1.2 Cause Road Map â#x80;#x93; Map 3 (Error Drivers); 3.1.3 Cause Road Map â#x80;#x93; Map 4 (Flawed Defenses); 3.1.4 Cause Road Map â#x80;#x93; Map 5 (Failed Oversight/Flawed Assessments); 3.1.5 Cause Road Map â#x80;#x93; 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 Map5.1 Using the Cause Road Map; 5.1.1 Step 1; 5.1.2 Step 2 â#x80;#x93; Human Error; 5.1.3 Step 3 â#x80;#x93; Error Drivers; 5.1.4 Step 4 â#x80;#x93; Flawed Organizational or Programmatic Defenses; 5.1.5 Step 5 â#x80;#x93; Flawed Assessment Capability; 5.1.6 Step 6 â#x80;#x93; Latent Management Practice Weaknesses; 5.1.7 Step 7 â#x80;#x93; Repeat for another observation; 5.1.8 Step 8 â#x80;#x93; 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 Evaluation5.3 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 & 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.