RE: [Root_Cause_State_of_the_Practice] Re: Obvious, not Self-Revealing
Bob L,
Yes, I like the analogy. The fever
is obvious. The infection is hidden. Find the infection.
Bill Salot
From:Root_Cause_State_of_the_Practice@yahoogroups.com
[mailto:Root_Cause_State_of_the_Practice@yahoogroups.com]
On Behalf Of Bob Latino Sent: Tuesday, July 07, 2009 1:34
PM To:Root_Cause_State_of_the_Practice@yahoogroups.com Subject: RE:
[Root_Cause_State_of_the_Practice] Re: Obvious, not Self-Revealing
Bill S.
Is there an analogy here to precursors and symptoms? I
remember a thread on this a ways back where I believe you used an analogy where
a precursor was like an infection and a symptom was the fever. I responded
with, to me, I divided precursors into being “non-observable” and
symptoms as “observable”.
From this thread could the same be said for obvious (obvious
factors) and not obvious (hidden factors)? Am I off the mark with trying
this link?
Bob L.
From:Root_Cause_State_of_the_Practice@yahoogroups.com
[mailto:Root_Cause_State_of_the_Practice@yahoogroups.com]
On Behalf Of Salot, William Sent: Tuesday, July 07, 2009 12:16
PM To:Root_Cause_State_of_the_Practice@yahoogroups.com Subject: RE: [Root_Cause_State_of_the_Practice]
Re: Obvious, not Self-Revealing
Bill C,
Yes, “poor P&IR” could be a hidden factor.
But an investigation that identifies only obvious factors, and
misses the hidden factors, is of little or no value.
The Texas
City explosion investigation
may have revealed only obvious factors, but that doesn’t mean there were
no hidden factors. It only means the investigation was inadequate.
Bill Salot, Â When a consequence results from obvious factors is one of the not-so-obvious factors that the organization is not very good at PI&R? Â If so,...
After an effective investigation reveals, them they are all, obvious factors. Tedd ________________________________ From:...
Dillard, Tedd A (E S ...
tedd.dillard@...
Jul 7, 2009 4:10 pm
Bill C, Yes, "poor P&IR" could be a hidden factor. But an investigation that identifies only obvious factors, and misses the hidden factors, is of little or no...
Bill S. Is there an analogy here to precursors and symptoms? I remember a thread on this a ways back where I believe you used an analogy where a precursor was...
Bob L, Yes, I like the analogy. The fever is obvious. The infection is hidden. Find the infection. Bill Salot ________________________________ From:...
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