It seems that this is a simple example supporting evolution or "survival of the fittest". The organism best suited to the environment, whether physically or...
Another major league root cause analysis is underway. The press has hinted that a definitive cause may not be in the coming. This is understandable since...
Obi-Wan San, It is very interesting that the insulation hit the wing two flights ago. OBTW: A cause, in plain English, is anything that made the consequences...
Does anyone know if STS-107 was the first launch after the entire fleet was grounded due to cracks found in the gas lines at the end of last year? Seems they...
Colleague, Sometimes a root cause analysis can be helped by good initial input from the people who got there first. Pasted below is advice to EMT's. How does...
Paul, Dave has done a fine service by providing these details. One troubling aspect of the "red tide" issue is, "How could anyone at FENOC, NRC, INPO or NEI...
See this article.... http://www.space.com/missionlaunches/sts107_delay_020624.html STS-107 was delayed for months for inspections due to this issue. The...
FYI. Best Regards, Bill Corcoran W. R. Corcoran, Ph.D., P.E. Nuclear Safety Review Concepts 21 Broadleaf Circle Windsor, CT 06095-1634 860-285-8779 Fax:...
If one adopts a simple definition of (root) cause such as anything that made the consequences more severe or probability more likely then all we are really...
With regard to questioning of NASA by the press: I think Ron Dittemore is being very receptive of the questions. He is not ruling anything out. In fact, it...
Obi-Wan San, Let's get down to really plain English. Take a consequence, e.g., potential meltdown at Davis-Besse. (We don't have enough data to discuss...
Bill C., You said: OBTW: In order to get a consequence you need three types of causes, each of which has underlying root causes: 1. Set-up (or vulnerability)...
Dear John, I agree. If you look at the Independent Investigation Team put together for this analysis, you will find few people of science. Most are Generals...
Bob, I started an e-group at http://groups.yahoo.com/group/Columbia_LTBL/ to gather information that might be helpful to official investigation efforts. Please...
Dear Bill, Thanks for the invitation. I would like to participate in this type of forum because it is of special interest to me. I followed the Challenger...
Bob, As co-moderator you will receive notification when a message is posted. The notification will have the message attached. You can read the attachment and...
Thanks Bill, I will give it a shot. If I feel that I am not able to the duties as they need to be done, I will let you know. Take care, Bob Latino ... go out ...
Heads up. Best Regards, Bill Corcoran W. R. Corcoran, Ph.D., P.E. Nuclear Safety Review Concepts 21 Broadleaf Circle Windsor, CT 06095-1634 860-285-8779 Fax:...
You will find pasted below a quotation from Ron Dittemore at the NASA Press Conference on "Columbia". It should be memorized by every root cause analyst and...
Scroll down for the latest update. Best Regards, Bill Corcoran W. R. Corcoran, Ph.D., P.E. Nuclear Safety Review Concepts 21 Broadleaf Circle Windsor, CT...
Bill, Do you remember Malcolm's and my discussions about calling up one of those telephone numbers from the mandated posters (DOL, OSHA, state agencies) on the...
Mike, Unfortunately we are all accountable for the results of what we do. It is not possible to give up accountability, but it is possible to give up control. ...
Could members here please point me to reviews and comparative evaluations of RCA tools? I appreciate that effectiveness is not a technology or a process driven...
Please drop me from your group. Too many E-mails tying up my in-box. I tried to quit yesterday but the web-site you are supposed to use doesn't say how to...
Bill Wilson, I'm replying on the group because there may be other members who are not aware of the options. If you log in to the web site you will see a left...
Denham, Tell your colleagues not to buy a tool until they know what they want the tool to do. Have them start by going to the links section and the files...
One other piece of advice before going on a "tool hunt". Particularly if you have a large organization, or are trying to combine multiple organizations due to...
Bill, I apologize for being late on this one, but I have been unusually tied up. It's a great story and it is so prototypical. It is the story of the...
A couple of thoughts (I have so few) - I have attended a lot of POD meetings, during startups, during outages and during normal plant ops. This doesn't make...