Bill C., Regarding your first question: 1.. Do you agree that failure to connect the dots was an intermediate cause of the Davis-Besse reactor head degradation...
Have you investigated both? What do you see as the important differences in how the RCA is done? Are there different pitfalls in one versus the other? I have...
Thes events might suggest that there is a need to get back to the basics. What's your take? Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC...
John, Thanks ever so much for your thought-provoking response. Did your supervisor create an atmosphere in which you were reluctant to bring up the conflict...
Tish, In order to make a case for rankism, the following are probably needed: 1.. What was the situation? 2.. Who were the players? 3.. How do they rank? 4.....
For your use the next time you teach Barrier Analysis. There is a picture inserted here. You might not see it unless your membership is keyed for individual...
What should be changed? Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21 Broadleaf Circle Windsor, CT 06095-1634 Voice and voice mail:...
Many falied barriers and missed opportunities. Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21 Broadleaf Circle Windsor, CT 06095-1634...
Bill C., Your batting average for arousing interest in new subjects is pretty good. But judging from the non-response, you struck out on this one. You asked,...
Bill Salot, Yes, I did strike out. And thanks ever so much for responding. But I take the Rodney Schwarzenegger approach: I get no respect; but, I'll be back. ...
Bill C., It appears that your objective on this thread is to describe ways to identify factors that belong on a cause/effect tree. For those factors that are...
Bill Salot, I think that you are probably missing the point. And it is my shortfall for not being more clear to begin with. Here is the major point: The...
Colleague, This addresses a parable to which a colleague provided a URL link. http://www.cs.virginia.edu/~evans/cs655-S00/readings/ewd594.html I love it and I...
Bill, You said earlier today: "OBTW: One of the things I like about parables is that they usually have all five elements of a learning-friendly story. (If you...
I was afraid no one would ask. Here they are. ... Elements of a Learning-friendly Story What makes a story something we are likely to learn from? Element of...
Now the question is when is story-telling in a formal RCA report justified (or not justified)? ... From: Root_Cause_State_of_the_Practice@yahoogroups.com ...
Bill and others: 1) I would merge or better state the two columns "How element prmotes learning" and "Remarks". Some of the best stuff is in "Remarks", which...
John, Thanks ever so much for your thoughtful comments. My experience, which is merely personal, is that people need to hear (read) stories from the beginning...
IMHO it is a good idea to tell the story when it supports a.. organizational learning from the event, or b.. transparency. Is "telling the story' the same as...
I am aware of RealityCharting (r) , PROACT (r), REASON (r), and TapRoot(c) software. I have used the first two and the last. If anyone would share an actual...
I found this in a client's procedure for RCA and thought that it was so great that you should know about it right away. ... The root cause investigation should...
Here's an article that relates to our earlier thread. I am beginning to recommend that management always ask, "What were the earlier, safer, better, cheaper...
Bill C, You stated your "major point" as follows: T "The failures to detect and/or address previously latent causes are, themselves, always among the...
Bill Salot, Thanks ever so much for your thoughtful reply. I did not take the advice of Dr. Frango Nebrasa well enough. He advises," Scrutinize your premises...
Bill C., I believe we have agreed on the concept from the beginning. We are just looking for the semantics that will best communicate the concept. I see that...
I must need an attitude adjustment . . . straighten me out. Get me charged up. Recently, while on company business, an employee hurt their back when lifting a...
Kent, If one of my nephews were in your shoes I would advise the following. Do what you have to do to keep your job, then think the problem through. Here are...
MessageBob, I understand your abhorrence of the term "root cause." My emotional venom (:<) ) is restricted mainly to the term "the root cause." But I don't...
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