OK … I’ve decided that every time I see a BAD article on root cause analysis, I’m going to highlight it here.
This BAD article is in Reliable Plant magazine. See it here:
http://www.reliableplant.com/article.aspx?articleid=19880&pagetitle=What+root+cause+analysis+tool+is+best+for+operators%3F
Why is it bad?
Read this blog link then decide…
http://www.taproot.com/wordpress/2009/08/26/more-bad-root-cause-analysis-advice/
No wonder guys in the plant doubt that root cause analysis will help them with this kind of bad advice!
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on Wednesday, September 9th, 2009 at 9:31 am and is filed under Investigations, Performance Improvement, Root Cause Analysis Tips, Root Causes.
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As a fellow RCA provider, we would agree with TapRooT’s position on this issue of “Bad Advice”. We too see what is being published in the name of “RCA” and recognize how this publicity dilutes the preception of true RCA and its potential effectiveness. While it is rare that competing RCA providers agree on much, I think we have unity in purpose on this topic.
To put this into proper context, if your loved one died unexpectedly in a hospital and you suspected there were errors, would you prefer to use the 5-Whys tool or a more comprehensive tool? Which would you prefer the hospital to use and report back to you?
Bob Latino
In response to Bob Latino’s post, there has to be some sort of graded approach to RCA. Certianly if it’s a life or death issue, I would need to know exactly what happened and why. If one of my employees gets a flat on his truck, I’m not so concerned that I use advanced tools/budget to get there.
By basing investigation magnitude on immediate risk/loss and not near miss risks you actually do yourself a disservice.
Take the flat tire for example…. a flat tire at 10 mph verses 100 mph. I have seen so many light investigations done because no one got hurt and there was no property damage. The next time the tire blows and someone gets hurt then you go okay…it is time to investigate. So when Ford had a couple vehicle of rollovers with certain tires… no big deal right?
Associate the chance and severity of risk not just the initial small time incident.