The Root Cause Analysis Handbook

INTRODUCTION Overview of Chapters Background Terms Subject Matter / Chapters of Handbook Format Comments Scenario for Examples in HandbookCHAPTER 1 DEFINE PROBLEM / COLLECT DATA Define the Problem Collect DataCHAPTER 2 TASK ANALYSIS Paper-and-Pencil Task Analysis Walk-Through Task AnalysisCHAPTER 3 CHANGE ANALYSISCHAPTER 4 CONTROL BARRIER ANALYSISCHAPTER 5 EVENT AND CAUSAL FACTOR CHARTING Criteria for Event Description Cause and Effect AnalysisCHAPTER 6 INTERVIEWS Techniques for Conducting Interviews Stage 1: Prepare for the Interview Stage 2: Open the Interview Stage 3: Conduct the Interview Types of Interview Questions Techniques for Asking Questions and Responding to Answers The Communication Process Stage 4: Close the InterviewCHAPTER 7 DETERMINE THE ROOT CAUSE What Are the Types of Causes? Causal Factor Category List Determine Causes of EventCHAPTER 8 DEVELOP CORRECTIVE ACTIONSCHAPTER 9REPORT Preparing a Written Report Presenting to Management Glossary Appendix A: Initial Data Gathering Forms: Personnel Statement Appendix B: Causal Factor Category List Appendix C: Other Root Cause Analysis Tools and Techniques