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Chronic Events: Panning for Gold


When we look at the widely used and misunderstood tool of root cause analysis (RCA), we should reflect its interpretation in our own environments. Think about it: when is RCA typically requested and applied in your environment?

Based on the author’s experience, it is requested and applied when:

  • Someone is injured
  • There is a catastrophic damage
  • There is an environmental incident
  • There is a “near miss”
  • There is public scrutiny over an issue at the site
  • There is a quality issue that a customer is complaining about.
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