Bill, Cause codes are just that, codes to aid in trending nothing more nothing less. We should not let cause codes dictate or bend the truth. We should state...
Steve, The only caution I'd have is that the "other" code tends to get overused without close monitoring. Back when I used to do Nuclear Plant Reliability Data...
Glen, As Marge, the police officer in "Fargo," often said, "Could you be any more specific?" http://en.wikiquote.org/wiki/Fargo Take care, Bill Corcoran W. R....
Is one a subset of the other? If so which is which? If they are discrete sets, do they have common factors? What are they? The PAAA "Extent of Condition"...
I am assuming that this was a question about Extent of Condition & Cause... this is the definition of Extent of Condition we use: * Extent of Condition - An...
This is Mix-up # 52 in http://tech.groups.yahoo.com/group/Root_Cause_State_of_the_Practice/database 1.. Is your favorite mix-up there? If not please send it...
Scroll down for a December 8, 2006 article that just surfaced in another web venue. What are the safety culture lessons to be learned? What are the root cause...
Scroll down for a puzzling NY Times Op-Ed. Can it be true? Have you seen this phenomenon? Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation...
Yes, in an odd way, I have seen this phenomenon but fortunately, in reverse in my own family some years ago. When our son (now in his mid-thirties) was in...
Aviation mix-ups: It's been over 35 years ago, so a lot of the details are gone, but "one dark and cloudy night" I was landing in an F-8 Crusader at Point...
Bruce, Congratulations on being flexible enough to accept a starboard-to-starboard passage. One might hope that the Navy would investigate such a near miss. ...
Scroll down for the story. For elaboration go to http://en.wikipedia.org/wiki/Iran_Air_Flight_655 For more mix-ups go to the following web site, where you can...
Is this an example of failing to learn from previous experience? Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21 Broadleaf Circle ...
So you're tired of definitions of "root cause." So am I. Humor me this once, please. I have pasted below the section of The Rootician's Dictionary that...
Bill C., Back in 2002, when discussions of root cause definitions were becoming irksome to many, you and I continued them off-line for awhile. At that time, I...
Is this staying too close to individual error? - it is easy to state the individual did not do something correct because they have been trained or did not...
Colleague, I need a reference for the error rate experience for skill-based, rule-based, and knowledge-based performance. Please respond to this message with...
Bill, An INPO document titled "HUMAN PERFORMANCE REFERENCE MANUAL" (INPO 06-003) contains the following: SB ~ 1/10,000 - citation 47 of chaper 2 of INPO 06-003...
Ryan, Steve
SMR5@...
Jul 12, 2007 11:07 pm
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Sidney Dekker's "The Field Guide to Understanding Human Error" and my personal experience indicate that the next step should have been to try to determine what...
Bill: I have been doing some research on barrier and reliability analyses as they might apply to healthcare process design. This DOE publication has some data...
I would have to say "yes". Planning to take this as an example for RCA classes both for discussion on effective corrective actions and exploring extent of...
I need resources to better understand this area. We have a number of 'new information,' change management, design scope, communication between groups and basic...
Here's one you can use in a root cause class. Ask the Eight Questions. Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21 Broadleaf...
Glen, I too have long been concerned and baffled by the causes and avoidance of engineering errors. When I was an assistant design engineer many decades ago,...
As part of a training program I am working an RCA of a severe condenser tube rupture at a BWR on a major inland river. I need some way of estimating some of...
Bill, The only things I'm aware of regarding chemistry and fuel failures are in EPRI and INPO documents (although I'm pretty sure the fuel vendors have this...