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Cause Analysis Manual : Incident Investigation Method & Techniques.
A failure or accident brings your business to a sudden halt. How did it happen? What's at the root of the problem? What keeps it from happening again? Good detective work is needed -- but how do you go about it? In this new book, industry pioneer Fred Forck's seven-step cause analysis meth...
| Clasificación: | Libro Electrónico |
|---|---|
| Autor principal: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Brookfield :
Rothstein Associates, Incorporated,
2016.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Cover; Title; Copyright; Table of Contents; Acknowledgments; Preface; Foreword by Ben Whitmer; Foreword by John D. Schnack; Foreword by Mark Reidmeyer; Introduction: Getting Started with Cause Analysis; 0.1 Defining Cause Analysis; 0.1.1 Purpose; 0.1.2 Method; 0.2 Successful and Unsuccessful Results; 0.2.1 Success (Positive Results); 0.2.2 Failure (Negative Results); 0.3 Human Behavior; 0.3.1 Behavior Model 1; 0.3.2 Behavior Model 2; 0.3.3 Behavior Model 3; 0.3.4 Behavior Model 4; 0.4 Accountability; 0.4.1 Personal and Organizational Accountability; 0.5 Investigator Attitude (Mindset).
- 0.6 Investigation Steps0.6.1 Job Task Analysis; 0.6.2 The Seven-Step Methodology; Step 1: Scope the Problem; 1.1 Problem Statement; 1.1.1 Problem Statement Examples; 1.2 Problem Description; 1.2.1 Problem Description Examples; 1.3 Difference Mapping; 1.3.1 Difference Mapping Examples; 1.4 Extent of Condition Review; 1.4.1 Extent of Condition Review Examples; Step 2: Investigate the Factors; 2.1 Evidence Preservation; 2.1.1 Preserve and Control Evidence; 2.1.2 Collect Physical Evidence; 2.1.3 Collect Documentary Evidence; 2.1.4 Collect Human Evidence; 2.2 Witness Recollection Statement.
- 2.3 Interviewing2.3.1 Lines of Inquiry: Question Generators; 2.3.2 Question Generator: Individual Mindset; 2.3.3 Question Generator: Personal and Organizational Accountability; 2.3.4 Question Generator: Management Control Elements; 2.4 Pareto Analysis; 2.4.1 Pareto Chart Template; 2.4.2 Pareto Analysis Examples; Step 3: Reconstruct the Story; 3.1 Fault Tree Analysis; 3.1.1 Fault Tree Example; 3.2 Task Analysis; 3.2.1 Task Analysis Example; 3.3 Critical Activity Charting(Critical Incident Technique); 3.3.1 Critical Activity Chart Example; 3.4 Actions and Factors Charting.
- 3.4.1 Actions and Factors Chart Example3.4.2 Notes; Step 4: Establish Contributing Factors; 4.1 Contributing Factor Test; 4.2 â#x80;#x9C;Fiveâ#x80;#x9D; WHYs; 4.2.1 â#x80;#x9C;Fiveâ#x80;#x9D; WHYs Example; 4.2.2 Exxon-Valdez Oil Spill Example; 4.2.3 Tokai-Mura Criticality Incident Example; 4.2.4 Reactor Trip Example; 4.3 Cause and Effect Trees; 4.3.1 Cause and Effect Tree Examples; 4.4 Difference Analysis (a.k.a. Change Analysis); 4.4.1 Broken Back Example; 4.4.2 Falling Objects Example; 4.4.3 Breaker Trip Example; 4.5 Defense Analysis (a.k.a. Barrier Analysis); 4.5.1 Breaker Fire Example; 4.6 Structure Tree Diagrams.
- 4.6.1 Fishbone (Ishikawa) Diagram4.6.1.1 Forearm Fracture Example; 4.6.1.2 Poor Safety Culture Example; 4.6.2 Defense-in-Depth Analysis; 4.6.3 MORT Analysis; 4.6.3.1 MORT Maintenance Example; 4.6.4 Production/Protection Strategy Analysis; 4.6.5 Safety Culture Analysis; Step 5: Validate Underlying Factors; 5.1 Support/Refute Methodology; 5.1.1 Truck Will Not Start Example; 5.1.2 Crane Incident Example; 5.2 WHY Factor Staircase; 5.2.1 Lost Time Away Injury Example; 5.2.2 Criticality Incident Example; 5.2.3 Broken Back Example; 5.3 Root Cause Test; 5.4 Cause Evaluation Matrix.