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You are here: Home / Archives for incident investigation

incident investigation

Root Cause Incident Investigation Problems and Solutions

November 27, 2018 By p r

cause-analysis-master-library-rothstein-publishing

Common Root Cause Investigation Problems and Solutions

The following are typical reasons why most root cause incident investigation programs fail to live up to the organization’s expectations, from the book Root Cause Analysis Handbook: A Guide to Efficient and Effective Incident Investigation.

There Is No Business Driver to Change

If the organization is performing acceptably with its current practices, then there is no significant driver to get personnel to change from their current behavior. The organization and the individuals in the organization need a reason to change, as most people do not like change. Investigating and learning from mistakes usually requires a change in the organization’s mind-set or behavior, and a powerful reason is needed to drive such change. This driver must be clearly tied into the rollout of the Root Cause Analysis (RCA) program.

[Read more…] about Root Cause Incident Investigation Problems and Solutions

Filed Under: Root Cause Analysis Tagged With: incident investigation, RCA, Root Cause Analysis

Build Your Cause Analysis Master Library

February 16, 2018 By p r

cause-analysis-master-library-rothstein-publishing

Master Cause Analysis with this comprehensive 3-book cause analysis library, and now save $50.00!

Chester Rowe, Fred Forck and ABS Consulting cover all of the Cause Analysis bases in this 3-book set, regularly $339.97, get all three for $289.99.

Learn from the Masters of Root Cause Analysis!

Here are three industry-defining books for YOUR Cause Analysis Library!

[Read more…] about Build Your Cause Analysis Master Library

Filed Under: Books, Features, Root Cause Analysis, Top Post Tagged With: 978-1-944480-46-2, 978-1-944480-47-9, 978-1-944480-48-6, 9781944480097, ABS Consulting, Acute Analysis, Apparent Cause, apparent cause analyses, Apparent Cause Analysis, Causal Factor Charting, Causal Factor Charts, cause analysis, Cause and Effect Tree, Cause and Effect Tree Analysis, Chester Rowe, Chronic Analysis, Emergency Response, environmental safety, fred forck, hazard analysis, incident investigation, Incident Investigation Process, incident investigation program, Incident Investigation Report, Lee vanden Heuvel, Pareto Analysis, RCA, Risk Management, root cause, Root Cause Analysis, Root Cause Analysis Process, Root Cause Map, safety, SOURCE Investigator's Toolkit, SOURCE Methodology, Structured RCA

Looking For Performance Improvement Solutions? Cause Analysis Manual: Incident Investigation Method & Techniques

August 22, 2017 By p r

cause-analysis-manual-incident-investigation-method-techniques-fred-forck-rothstein-publishing

A failure or accident brings your business to a sudden halt. How did it happen? What is at the root of the problem? What keeps it from happening again? Good detective work is needed — but how do you go about it? In this new book, industry pioneer Fred Forck’s seven-step cause analysis methodology guides you to the root of the incident, enabling you to act effectively to avoid loss of time, money, productivity, and quality.

[Read more…] about Looking For Performance Improvement Solutions? Cause Analysis Manual: Incident Investigation Method & Techniques

Filed Under: Books, Root Cause Analysis Tagged With: 4kconsuling, 9781944480097, cause analysis, fred forck, incident investigation, Performance Improvement, RCA, root cause

Looking For Solutions to Performance Improvement? NEW Cause Analysis Manual: Incident Investigation Method & Techniques

April 4, 2017 By admin

cause-analysis-manual-incident-investigation-method-techniques-fred-forck-rothstein-publishing

A failure or accident brings your business to a sudden halt. How did it happen? What is at the root of the problem? What keeps it from happening again? Good detective work is needed — but how do you go about it? In this new book, industry pioneer Fred Forck’s seven-step cause analysis methodology guides you to the root of the incident, enabling you to act effectively to avoid loss of time, money, productivity, and quality.

One significant difference in Fred’s approach to Cause Analysis is that he starts with Success, not failure. You need to be able to clearly define success using objective criteria, not only in results (dollars, product) but also in behaviors.

– – John D. Schnack, Manager, Nuclear Corporate Oversight, Ameren

The distillation of the wisdom of vast knowledge and experience into a finely tuned instrument for evoking and capturing the invisible influences that shape the human side of events. This sort of virtuosity is routine throughout the book.

– – Ben Whitmer, Event Cause Analyst, STP Nuclear Operating Company

From 30+ years of experience as a performance improvement consultant, self-assessment team leader, and trainer, Fred Forck, CPT, understands what you need to get the job done. He leads you through a clear step-by-step process of root cause evaluation, quality improvement, and corrective action. Using these straightforward tools, you can avoid errors, increase reliability, enhance performance, and improve bottom-line results — while creating a resilient culture that avoids repeat failures. The key phases of this successful cause analysis include:

  • Scoping the Problem
  • Investigating the Factors
  • Reconstructing the Story
  • Establishing Contributing Factors
  • Validating Underlying Factors
  • Planning Corrective Actions
  • Reporting Learnings

At each stage, Cause Analysis Manual: Incident Investigation Method and Techniques, by Fred Forck, CPT (Author), Kristen Noakes-Fry ABCI (Editor), gives you a wealth of real-world examples, models, thought-provoking discussion questions, and ready-to-use checklists and forms.

The author provides:

  • references for further reading
  • hundreds of illustrative figures, tables, and diagrams
  • a full glossary of terms and acronyms
  • professional index

You know that identifying causes and preventing business-disrupting events isn’t always easy. By following Fred Forck’s proven steps you will be able to identify contributing factors, align organizational behaviors, take corrective action, and improve business performance!

About the Author

Fred Forck, CPT, is a highly experienced incident investigator and self-assessment team leader who completed a 25-year career at the Callaway Nuclear Power Plant in Fulton, MO, in May 2007. He offers a rich array of root cause evaluation, quality assurance, quality improvement, facilitation, and teaching skills — including proven abilities to determine and correct the organizational weaknesses linking multiple adverse business incidents.

In 2007, Fred was designated as a Certified Performance Technologist (CPT) in accordance with the International Society of Performance Improvement (ISPI) standards. This certification is a reflection of Fred’s work for over 35 years improving workplace performance by focusing on organizational assessment, incident investigation, continuous improvement, and safety culture.

ISBN: 978-1-944480-09-7 (Print) $99.99

ISBN: 978-1-944480-10-3 (ePub) $69.99

ISBN: 978-1-944480-11-0 (PDF eBook) $69.99

Filed Under: Books, Root Cause Analysis Tagged With: 4kconsuling, 9781944480097, cause analysis, fred forck, incident investigation, Performance Improvement, RCA, root cause

Looking For Solutions to Performance Improvement? NEW Cause Analysis Manual: Incident Investigation Method & Techniques

January 16, 2017 By p r

cause-analysis-manual-incident-investigation-method-techniques-fred-forck-rothstein-publishing

A failure or accident brings your business to a sudden halt. How did it happen? What is at the root of the problem? What keeps it from happening again? Good detective work is needed — but how do you go about it? In this new book, industry pioneer Fred Forck’s seven-step cause analysis methodology guides you to the root of the incident, enabling you to act effectively to avoid loss of time, money, productivity, and quality.

One significant difference in Fred’s approach to Cause Analysis is that he starts with Success, not failure. You need to be able to clearly define success using objective criteria, not only in results (dollars, product) but also in behaviors.

[Read more…] about Looking For Solutions to Performance Improvement? NEW Cause Analysis Manual: Incident Investigation Method & Techniques

Filed Under: Books, Root Cause Analysis Tagged With: 4kconsuling, 9781944480097, cause analysis, fred forck, incident investigation, Performance Improvement, RCA, root cause

Analyze the causes of serious business incidents: NEW Cause Analysis Manual

November 15, 2016 By Fred Forck

cause-analysis-manual-incident-investigation-method-techniques-fred-forck-rothstein-publishing

Hello Fellow Cause Analysis Professionals,

I am very excited and proud to announce the publication of my book Cause Analysis Manual: Incident Investigation Method & Techniques (Rothstein Publishing 2016).

[Read more…] about Analyze the causes of serious business incidents: NEW Cause Analysis Manual

Filed Under: Books, Root Cause Analysis Tagged With: 4kconsuling, 9781944480097, cause analysis, fred forck, incident investigation, Performance Improvement, RCA, root cause

Looking For Solutions to Performance Improvement? NEW Cause Analysis Manual: Incident Investigation Method & Techniques

October 20, 2016 By p r

cause-analysis-manual-incident-investigation-method-techniques-fred-forck-rothstein-publishing

A failure or accident brings your business to a sudden halt. How did it happen? What’s at the root of the problem? What keeps it from happening again? Good detective work is needed — but how do you go about it? In this new book, industry pioneer Fred Forck’s seven-step cause analysis methodology guides you to the root of the incident, enabling you to act effectively to avoid loss of time, money, productivity, and quality.

“One significant difference in Fred’s approach to Cause Analysis is that he starts with Success, not failure. You need to be able to clearly define success using objective criteria, not only in results (dollars, product) but also in behaviors.”

[Read more…] about Looking For Solutions to Performance Improvement? NEW Cause Analysis Manual: Incident Investigation Method & Techniques

Filed Under: Books, Root Cause Analysis Tagged With: 4kconsuling, 9781944480097, cause analysis, fred forck, incident investigation, Performance Improvement, RCA, root cause

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