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The Root Cause Analysis Handbook


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Table of Contents

INTRODUCTION Overview of Chapters Background Terms Subject Matter / Chapters of Handbook Format Comments Scenario for Examples in Handbook CHAPTER 1 DEFINE PROBLEM / COLLECT DATA Define the Problem Collect Data CHAPTER 2 TASK ANALYSIS Paper-and-Pencil Task Analysis Walk-Through Task Analysis CHAPTER 3 CHANGE ANALYSIS CHAPTER 4 CONTROL BARRIER ANALYSIS CHAPTER 5 EVENT AND CAUSAL FACTOR CHARTING Criteria for Event Description Cause and Effect Analysis CHAPTER 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 Interview CHAPTER 7 DETERMINE THE ROOT CAUSE What Are the Types of Causes? Causal Factor Category List Determine Causes of Event CHAPTER 8 DEVELOP CORRECTIVE ACTIONS CHAPTER 9 REPORT 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

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