Root Cause Tip: Root Cause = Sabotage? Can There Be a Case Where There Are No Root Causes Under Management’s Control?
Here’s the YouTube Video of the start of the fire (from a security camera) …
Analysis shows that a military flare what shot over the building, exploded, and landed on the building. It started a fire that caused $50 million in damage.
The police say there is no indication that the military fired any flare so they are looking at this fire as a crime. (The Wisconsin fire marshal announced a reward of up to $16,000 for information leading to the arrest and conviction of the person or people responsible for the fire.)
Since no security system for a meat packing plant could reasonably be expected to prevent this kind of attack (thus, no chance for a “Human Performance Difficulty” on the Root Cause Tree®), this type of incident would have a “root cause” that gets no further down the tree that the first level. It would stop at “Sabotage”. Thereafter, the investigation becomes a criminal investigations.
From all reports that I’ve read, the firefighting after the fire started was superb. Thus there are no Causal Factors after the Incident on the SnapCharT®.
That makes this a rare case where there wasn’t anything under management’s control that could have stopped this accident.
Here’s more info about the fire from press coverage:
Here’s video (from a distance) of the firefighting efforts …
And another video about the fire…