Comments for Root Cause Analysis Blog

Comment on Monday Accident & Lessons Learned: Universal Rule by Maj Afshar

Maj Afshar — Wed, 08 Feb 2012 14:00:41 +0000

Not all accidents are preventable or worth preventing.

Comment on TapRooT® Summit Trivia – Astronaut Trivia by Mark Paradies

Mark Paradies — Wed, 08 Feb 2012 07:12:42 +0000

The city was Gatlinburg and the year was 2000.

Comment on TapRooT® Summit Trivia – Astronaut Trivia by Mark Paradies

Mark Paradies — Wed, 08 Feb 2012 07:10:38 +0000

And the answer is … Mike Mullane!

See:

http://www.mikemullane.com/

Comment on Working on Their SnapCharT®’s at the 2-Day TapRooT® Accident Investigation and Root Cause Analysis Course in Antwerp, Belgium by Chris Vallee

Chris Vallee — Wed, 08 Feb 2012 03:52:58 +0000

Frank,

After years of talking on LinkedIn, it is great to see you in a class.

Chris

Comment on Monday Accident & Lessons Learned: Universal Rule by Daniel Hill

Daniel Hill — Tue, 07 Feb 2012 18:31:46 +0000

“It would have been cheaper to prevent it
than to wait for the accident to learn from it.“

Who could honestly disagree? Maybe, just maybe the stockholders that benefited from the dividend or stock growth that in the short term added to the bottom line. Understand I am very pro business but we need to step back that next level (just like a cause determination) to get the real picture of a business and see that the most vital resource has been over looked, the ones who face the consequence of the “learning event.” Marc is right “try to learn without loss or damage.” Funny how this fits with the definition “Root Cause – the absence of best practices or the failure to apply knowledge that would have prevented the problem (or significantly reduced the likelihood or consequences of the problem).

Comment on Working on Their SnapCharT®’s at the 2-Day TapRooT® Accident Investigation and Root Cause Analysis Course in Antwerp, Belgium by Frank Verschueren

Frank Verschueren — Tue, 07 Feb 2012 16:36:48 +0000

FYI:
We were all looking to something else (the teacher, the snapchart, the booklet)

Still we had a good team and cam to a agreement

Comment on Working on Their SnapCharT®’s at the 2-Day TapRooT® Accident Investigation and Root Cause Analysis Course in Antwerp, Belgium by Frank Verschueren

Frank Verschueren — Tue, 07 Feb 2012 16:32:11 +0000

Thanks (?) for not having the back of my head. I may be wrong

Comment on Rocket Barge Hits Bridge in Kentucky by Jenny

Jenny — Tue, 07 Feb 2012 16:29:40 +0000

I’m from this area. This incident has been all the talk down there!

Comment on Great Human Factors: Wrong Tools, Bad Access by Design, Per “Ingenuity” or All of the Above? by Frank Verschueren

Frank Verschueren — Tue, 07 Feb 2012 16:19:12 +0000

Nice pictures

Comment on Monday Accident & Lessons Learned: Universal Rule by Frank Verschueren

Frank Verschueren — Tue, 07 Feb 2012 15:50:59 +0000

I think it is in general true.

But if your ressources for finding lessons -analysing incidents are limited and you don’t have the means to enlarge them but that is part of the problem
well
you do a ranking and for the major risks you should try to gather as much “learned lessons” and “preventive and proactive risk management” as possible.
If you have enough spare ressource to take the minor risks you do them as well.
So your ranking and risk evaluation is very important.
But in general Marc you are right “try to learn without loss or damage”
Grtz , Frank