Course Duration: 4 Hours The JMDecker Group Hawaii, LLC Training Outline
To provide descriptive guidelines and the latest investigated practices to accurately indentify root causes. With techniques practiced during this seesion the participant will acquire the confidence to lead, conduct, and solve incidents objectively leading to reduction of future system failures and increased profitability.
Participants will utilize the Incident Investigation workbook designed to meet the legislative requirements for incident reporting and investigation outlined in the OSH Act and HIOSH Regulations.
Course Description: This course teaches how to lead investigations and root cause analyses using various techniques such as Causal Factor Charting, cause mapping and Root Cause Charts. This is a “How To” course designed to teach skills.
Course Outcomes: Upon successful completion of the course, participants will be able to recognize and mitigate incidents through a methodic process which leads to a Root Cause to include the following:
Basics of incidents and investigations
Workshop: Identifying near misses (near hits)
Initiating the investigation
Gathering data from people
Gathering data from documentation, parts, and interviews
Analyzing data for ALL causal factors
Workshop: Causal factor charting
Workshop: Using fault tree analysis to find all possible scenarios and determine the most likely one
Determining ALL root causes of each causal factor
Workshop: Identifying root causes using the “Root Cause Chart” technique
Developing conclusions and recommendations
Workshop: Conclusions and recommendations based on facts
Overview of results trending
Preparing for the Case Study
Case Study: Using all rules and methods taught in class to investigate actual incident in real-time setting. Small teams will:
Determine data needs
Gather data (interview role-players, get data from computer control systems, etc.)
Use causal factor charting and fault trees to analyze data and determine ALL causal factors
Draft effective recommendations and make presentation to class