William-- My apologies for the sloppy response. As a newbie to the website, I expected the "reply" function to provide a clean slate. Anyway, thanks for your...
Jim, I take this to mean you would investigate a near miss electrocution because it had high potential consequences? But consequences is not the whole story. ...
In response to the question - "Do you have thresholds on investigating incidents?" Answer- Definitely! In my division of our company we are responsible for...
RE: [Root_Cause_State_of_the_Practice] Digest Number 732Robert, Thanks ever so much for the very helpful post. Since you are a "Digest" member, you missed the...
Dear Anonymous NRC Person, ... As I think I mentioned to you in XXXXX, I am on an NRC group trying to assess what changes should be made (if any) to our...
I would say safety culture is the divergence between the absolute perfect characterization of a complex system and the workers–managers expression's of the ...
Bill, Safety Culture exists to the extent the organization and its members' actions demonstrate risk aversion. For any given set of conditions, actions that...
Scroll down for the story. Can someone tell us what really went on? This seems to say that it took a Unit 3 plant scram to find out that there are Emergency...
PROBLEM STATEMENTS I was recently asked to help frame a "problem statement." Apparently, the organization has a requirement to get the "problem statement"...
Bill C., At my station, we require the RCA "owner" (typically the assigned manager) to present to our Condition Review Group (made up of station managers) ...
Terry, Thanks ever so much. OBTW: An old friend of mine has just started working in Safety next door to Fitzpatrick Station at the Independence Station. I told...
Bill C., You said, "I am going to throw this question out to a bunch of people who are smarter than me". How do you expect to get answers with a crack like ...
yep, I could freely give the all of my being into an organization like that...it could be a very satisfying life.... mike mulligan Hinsdale, NH ... ...
Bill and Mike, Thanks ever so much. Try Googling on "Army culture" and see what you get. It looks like they are struggling with it like we are. Most of the...
In a message dated 7/10/2005 11:15:47 AM Eastern Standard Time, Root_Cause_State_of_the_Practice@yahoogroups.com writes: Dear Anonymous NRC Person, You wrote: ...
Our Problem statement in the transmission arena are statements which we call "reason for improvement" include when, where and how much pain was felt by the...
We require a clear and simple problem statement for all cause analyses. The scope of the problem statement is usually an object and defect followed by a brief...
Bill C., Have your friend give me a call. I'm pretty buried with an investigation right now, this should be mostly behind me in a couple of weeks. As for the...
Bill You may have already gotten a response from Steve Davis on this question. If not, he and I teach that a Problem Statement needs three things. 1. Object...
A colleague needs some good guidance and standard formatting for failure modes analysis. Would you be so kind as to pass along your favorites and/or give us a...
The next time you catch me proposing obvious corrective actions, please remind me of this story. July 17, 2005 The Lethal Water Wells of BangladeshBy DAVID...
Terry, Thanks for the example. It seems pretty light on significance, unless I'm reading it wrong. What would be the significance of such an event? Would the...
Chet, Thanks ever so much. What guidance do you have for writing the significance portion of the problem statement? Take care, Bill Corcoran W. R. Corcoran,...
Bill C., You consider $500,000 a day light on significance??? I guess the cost of lost generation isn't something most people have a good feel for. Also, ...
Hello Dr. Bill, I agree with the significance of specifying the problem statement, sometimes even before getting to the causes we have problems stating on what...
Terry, Some people find it helpful to distinguish between consequences and significance. Some highly consequential events can have low significance and some...
Rolly, Thanks ever so much. What do you put in a problem statement? Do you have some real or fictitious answers to your own question, "What is the problem in...
Terry, Thanks. Let's see what the e-group says. A long time ago, Mike Mulligan proposed security cameras in control rooms. Take care, Bill Corcoran W. R....
That RO went into that control room under a head of steam -it didn’t just happen under a spur of the moment thing. What we know for sure now is technological...
Name:Â Â Rules for Creating a Comparative TimeLine (CTL) This table is for making a CTL. We all hate rules, especially ones that we have not agreed upon....
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