June 18, 2012 | Barb Carr

Why Your Root Cause Analysis Report May Have Been Rejected

There is an interesting article in the June 2012 edition of Maintenance Technology about Kübler-Ross concepts and management response to root cause analysis reports.  You may be familiar with Kübler-Ross’s book, “On Death and Dying,” where she introduced the “Five Stages of Grief” concept.  Randall Noon, the author of the Maintenance Technology article, compared these stages to the stages a committee reviewing a root cause analysis report moves through when a serious problem is uncovered. Noon writes:

“The committee typically includes at least some managers whose departments were involved in the adverse event.  Some of them may even have made decisions that set up conditions for the event, exacerbated its consequences or directly caused it.  Some might have had an opportunity to prevent the event, but didn’t act.  Thus, the committee isn’t impartial:  It’s like a patient with a stake in his/her doctor’s diagnosis of a serious condition.”

Read the article:  Kübler-Ross And Root-Cause Evaluations

Could the initial rejection of a root cause analysis report mean that the committee just needs more time to assimilate the findings on their own terms?  Tell us what you think.


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