I’ve recently seen and done a few incident investigations which really fell short of any mark except for ticking the box on the form that says ‘investigation completed’. There are ongoing debates about whether ICAM is better than TapRoot or if that is better than Root Cause Analysis or BowTie or … [Read more...] about A Much Better Way To Think About Incident Investigations
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Detailed Root Cause Analysis Leads to Industrial Manslaughter Charge
Following a recent fatality at a residential construction site, the WorkOver Authority commissioned me to undertake an independent, unbiased root cause investigation to help them confirm what they already knew and to justify further action against those even remotely involved. As a result of my … [Read more...] about Detailed Root Cause Analysis Leads to Industrial Manslaughter Charge
Proprietary Systems for Root Cause Analysis
Proprietary Systems for Root Cause Analysis Root cause analysis is probably one of the most neglected tools for incident investigation. How many times do you see corrective actions like: "I have counseled the employee to be more careful" or "oil spill was cleaned up". Proper root cause … [Read more...] about Proprietary Systems for Root Cause Analysis
