Corrective Action Advice
If you use TapRooT® to find the root causes of incidents, quality issues, hospital sentinel events, equipment failures, production issues, and cost overruns, you are way ahead of your competition that is just asking “Why” five times. But what should you do to stop repeat incidents when you fix the causes of your problems?
1. Remove the Hazard and/or the Target.
If you have been to TapRooT® Training you know what a Hazard and a Target are. Did you realize that the most effective fix is to get rid of them (if you can).
If you can get rid of them, you still may want to fix the causes of the root causes you identify. However, is there is no Hazard, you can be pretty sure you won’t have that accident happen again.
2. Install a more reliable Safeguard.
Once again, if you have been to TapRooT® Training, you know what a Safeguard is.
To have your previous incident, all the Safeguards for that incident had to fail. These failed Safeguards were your Causal Factors.
Strengthening your failed Safeguards is what root cause analysis is all about. But how much stronger can you make a weak Safeguard?
Perhaps a better idea is to implement a strong Safeguard?
An example would be to replace several weak Human Action Safeguards with a strong Engineered Safeguard.
3. Fix the root causes of the failed Safeguards.
Use your Corrective Action Helper® Guide/Software Module to develop effective fixes for the root causes of the failed Safeguards that you identified. The Corrective Action Helper® Guide is a great way to get new ideas to fix problems that you previously just couldn’t seem to fix.
4. Get your fixes implemented.
It is no use to develop fixes and put them in a database (the backlog) and never get them implemented. make sure that corrective actions get done!