How did this phenomenon apply to Challenger, Columbia, Davis-Besse (at the NRC), etc? How does it relate to Moral Psychology, e.g., loyalty and obedience? How...
Multiplying the effect of several cross-discipline folks in Cause Analysis Team environment about a single or a few perceptions of an event in the past, and no...
I was recently working with a root cause analysis team on an event involving widgets. The essence of the problem was that a regulatory person found a large ...
Dr. Bill, I ran into this with an ongoing rash of radiological consequences stemming from non-conformances. What I did eventually was a Common Cause...
Debbie, Â I do it your way. Â A factor is something that affects an effect. (Plain English) Â Effects can be consequences. (Plain English) Â Effects can...
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Root_Cause_State_of_t...
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Nov 6, 2008 3:57 pm
5434
Hello, This email message is a notification to let you know that a file has been uploaded to the Files area of the Root_Cause_State_of_the_Practice group. File...
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Nov 6, 2008 10:15 pm
5435
Debbie, Â Thanks for the kind words. Â You have no idea how reinforcing a little recognition can be. Â I have attached some jpg files that might be of some...
Debbie,  Rather than helping the beginner avoid leaving important things out ,exclusive use of the Picklists, Category Trees, and Cause Codes guarantee that...
TO; Bill and Bill, What was the old saying: "A distinction without a difference.", or was it: "A difference without a distinction." ? At our facility, we...
Jerald, Jack P
Jack.P.Jerald@...
Nov 7, 2008 3:22 pm
5440
Solutions cause problems? Change is the mother of trouble? What is your favorite "killed by a safety device" event? If you have more information on this event...
Update: If you were investigating this one what would be in your Lines of Inquiry? Solutions cause problems? Change is the mother of trouble? Here are some...
Exacerbating factors: Not enough emergency air breathing devices because the augmented complement, including shipyard workers, exceeded the design basis of the...
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Nov 9, 2008 1:46 pm
5445
Hello, Bill, et. al., It sounds to me that some designers in Russia are not aware that Freon is a poor choice of gas to be used as a fire retardant. Yes,...
Any well written test plan would have addressed EABs for the augmented crew. I'll bet that we have NFPA code requirements that address this. Jack Stanford ......
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Nov 11, 2008 12:36 pm
5448
Jack, Thanks. Scroll down for the Lessons to be Learned Matrix. It resides at ...
Dr. Bill, Interestingly, as I reflected on the LTBL matrix, I noted similarities to the lack of adequate lifeboats for the Titanic. Often in Safety Analysis...
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Nov 12, 2008 12:19 pm
5452
This story is at http://www.russiatoday.com/news/news/33032 <http://www.russiatoday.com/news/news/33032> ...
Do you have a template for doing Event and Causal Factors Charts in a common software such as VISIO, PowerPoint, or Excel? Â If so would you be so kind as to...
An example chart is attached in Visio format. Andy Hobbs UT-BATTELLE Oak Ridge National Laboratory Quality Systems & Services / Quality Programs Issues...
Hobbs, Andrew F.
hobbsaf@...
Nov 12, 2008 8:42 pm
5455
Thanks 1.0E+6 Â I'll try it out. Take care, Â Bill Corcoran Mission: Saving lives, pain, assets, and careers through thoughtful inquiry. Motto: If you want...