Printer-friendly versionThanks to Bob Bouts for this one. I added this as an entry to the Comparative TimeLine (CTL) in our web site. This might be a good time...
Steve, From time to time I am asked to play that role. They give me a fancy title like "Senior Advisor to the RCA Team Leader." One of the challenges I am...
Do you have a set of instructions for preparing Problem Statements and/or Other Statements of What the Corrective Actions Are Intended to Prevent? Would you...
At Corven, Inc (management consulting) we have a structured, yet simple approach to problem statements. We use it for workforce engagement. In particular, it's...
Colleague, Recently I had the pleasure of dining with one of our members, Bill Rigot, Savannah River Site. Bill mentioned a book: The Logic of Failure:...
I will be out of the office starting 11/02/2007 and will not return until 11/06/2007. I will respond to your message when I return. If this is an emergency, ...
Larry, Thanks ever so much. That looks like a useful approach. I'm grateful for what you provided and it is a superb interpretation of what one might mean by a...
I'm looking for some guidance on writing problem statements. Does your organization require problem statements as part of its root cause analysis expectations....
Hello Bill I understand that you have recently had a conversation with Larry Leach about how he uses the TOC’s Thinking Processes. So I thought that it might...
The article Bill C. cites is a good, albeit lengthy, recap of Dorner's book. He brought up a few cconcepts that I had forgotten from the book. But his point...
Bill C., I think defining "problem statements" may be as controversial as defining "stakeholders" and "root causes". The first comment in your matrix below...
We are just beginning to try out some basic guidance for crafting problem statements: First, try stating the problem in object-deviation form (a la KT...). ...
Bill C, As Steve Marrs points out, management buy off of problem statements is a factor to be considered. I think it is critical. Add it to your matrix. Bill...
I would appreciate any policies that your companies might have, or your comments/experiences, concerning the timing of discipline of employees and the...
Bruce, I am aware of sad cases where disciplining employees was immediate, without waiting for results of causal analysis. Obviously the two efforts either...
Just one principle, do not punish until you can PROVE they were not setup for the decision. Otherwise you are very counterproductive, not only for that...
My personal view is that discipline is an inappropriate outcome of an investigation in almost all cases. I encourage the companies that I work for to give a...
Steve, Well said!!! Question for clarification: When you do "enforce (discipline) as a result of monitoring/supervision/auditing", is there any need for an ...
Bill C., You said you are reminded of the ISO 9000 logic. I would add that I am reminded of what the ISO 9000 logic demonstrates. Combine the two and you get:...
Hello - thought I would chime in here with regard to a topic that is near and dear to my professional heart. The first thing that I tell all our Safety /...
I have one comment, I believe that what discipline is done (or not done) has a huge impact on future safety. While "investigators" have little control over...
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Glen and all, I am enjoying the discussion of "discipline," which, I think, is a euphemism for punishment. I have not seen any studies of the effectiveness of...
A reader of the last issue of "The Firebird Forum" passed this along. Scroll down for the story. You can use it in root cause analysis training. Just ask the...
The more I think about this simple event the richer it gets. It is also an example of the ambiguity of the triggering factor. Was the triggering factor: a.....
Bill, you missed an important triggering factor: the desire to HIDE the lemon bars from her family so that they would be around come the tour. Psychologists...
This updates the message per Randy Fromm's input. The more I think about this simple event the richer it gets. It is also an example of the ambiguity of the...
Thanks ever so much to Bill Salot for his last posting with the same topic. Here are some slides you can use, thanks to Bill Salot. In nukespeak Bill Salot's...
Hmmm, didn't I learn from one of your classes that the triggering factor was the human action that occurred right before the negative consequence? That would...
Glen, Past discussions never achieved a consensus on a triggering factor definition. Many claimed that a catastrophic event has only one triggering factor. I...
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