Root Cause Analysis Workshop, RCA Presentation and Reporting
Root Cause Analysis Workshop is a 2-day workshop focusing on Root Cause Analysis Presentation and Reporting. It is a comprehensive dynamic RCA Workshop addressing challenges in root cause analysis reporting and presentations.
Root cause analysis (RCA) is a systematic process and approach to identify “root causes” of problems or events and a process for presenting and responding to them. RCA is based on the basic idea that effective management requires more than merely “putting out fires” for problems that develop, but finding a way to prevent them.
RCA Workshop helps pinpoint contributing factors to a problem or event and helps organizations avoid the tendency to single out one factor to arrive at the most expedient (but generally incomplete) resolution.
RCA workshop helps to avoid treating symptoms rather than true, underlying problems that contribute to a problem or event. While RCA is used in a generic sense, there is an implication that a methodology is used in the analysis.
Learn from RCA experts about achievement of total prevention by a single intervention is not always possible and use RCA as an ongoing process that strives for continuous improvement.
By participating in this workshop, participants will be able to:
- Define the difference between a problem, symptom, cause, and root cause
- Find root causes, differentiate between people, processes, procedures and policies, select and use RCA methodologies , RCA presentation, RCA reporting, implement corrective actions, prevent any recurrence, and recommend process improvements
- Implement support for Root Cause Failure Analysis problem elimination
- Focus on tools for brainstorming, problem solving, reporting, presentation, decision making and corrective measures
- Evaluate, decide and maximize available alternatives, and generate decisions in the absence of viable alternatives
- Techniques to understand the “why” of loss events in order to prevent their reoccurrence
- Tips for Performing a Successful Root Cause Analysis
- Evaluate and use RCA methods to identify all and multiple contributing factors to a problem or event through an analysis method
- Identify barriers and the causes of problems, so that permanent solutions can be found.
- Develop a logical approach to problem-solving, using data that already exists in the organization
- Identify current and future needs for organizational improvement.
- Establish repeatable, step-by-step processes, in which one process can confirm the results of another
- Tips for RCA presentation and reporting
Topics
Fundamentals of Root Cause Analysis
- Roots, Root Causes and Root Cause analysis RCA Basic Definitions
- What is Root Cause Analysis?
RCA as a Business Process Improvement Tool
RCA is Safety and Risk Management - RCA Benefits and Goals
- The Primary Goal of using RCA Tools and Methods
- What Happened
- How it Happened
- Initiating the RCA
- Implementing RCA
- Presenting and Reporting in RCA
RCA Techniques
- Root cause analysis is not a one-size-fits-all methodology
- Tools, processes, and philosophies of accomplishing RCA.
- Fact Finding Techniques
- Advanced Interviewing
- Problem Resolution
- Critical Thinking Skills
- Management and Oversight Risk Tree
- Decision Making Skills
- Creative and critical thinking and how it applies
- Effective problem solving
- Investigation skills
- Presentation Skills
- Reporting Skills
- Influencing Skills
- Conversations and interactions with skeptical stakeholders, colleagues, and customers
- Collaboration skills
- Accident analysis and occupational safety and health
- Quality control
- Efficient business process
- Engineering and maintenance failure analysis
- Various systems-based processes, including change management and risk management
- Applying RCA
Implementing Root Cause Analysis
- Identifying Problems
- Failure analysis techniques and tools
- Methods and Tools for Problem Solving
- Roles and Responsibilities in Problem Solving
- Setting Up a Problem-Solving Team
- Describing the Problem
- Symptoms vs. Causes
- Methods for describing the problem
- Recognize Potential Root Causes
- Identifying possible causes
- Process Maps
- Using tools
RCA Presentation and Reporting
- Examples of events where RCA is used to solve problems and provide preventive actions
- Major accidents
- Everyday incidents
- Minor near-misses
- Human errors
- Maintenance problems
- Medical mistakes
- Productivity issues
- Manufacturing mistakes
- Environmental releases
- Risk analysis, risk mapping
- Basic methods to use
- Define the problem
- Gather information, data and evidence
- Identify all issues and events that contributed to the problem
- Determine root causes
- Identify recommendations for eliminating or mitigating the reoccurrence of problems or events
- Report and Present RCA
- Implement the identified solutions
RCA Process Checklist
- Project Risk Management
- Cause Identification
- How is the cause identified?
- Cause and Effect
- Solution to the Problem
- Action Plan Implementation
- Process changes or improvement
- Product improvement
- Monitoring the Implemented Action Items
- Tools to be used for tracking the action items
- System-based reports to monitor the action items
- How to Avoid Recurrence of the Problem
- Corrective Actions/Measurement
- CAPA (corrective action and preventive action)
- Guide to Cognitive Process and Error Proofing
- Hierarchy of Corrective Actions
- Implementation Plan Template
- Case Studies/Scenarios
- Documenting Root Cause Analysis Findings
- Presenting Root Cause Analysis Findings
- Tips for Documenting and Presenting Root Cause Analysis Findings
RCA Methods
- The nature of RCA
- Tools to identify all and multiple contributing factors to a problem or event
- Analysis methods used in RCA
- The “5-Whys” Analysis”
- Barrier Analysis
- Change Analysis
- Causal Factor Tree Analysis
- Failure Mode and Effects Analysis (FMEA)
- Fish-Bone Diagram or Ishikawa Diagram
- Pareto Analysis
- Fault Tree Analysis (FTA)
Root Cause Analysis, Audit, Presentation and Audit
- RCA and structured problem solving
- Continuous improvement and rewarding evidence-based decision making
- RCA and implementation of responsive actions
- RCA as a way to improve overall audit quality
- Audit underlying causes of significant problems or successes
- Auditing solutions with immediate and lasting impact
Workshop (Hands-on Exercises)
- Teaming
- Define Communication
- Establish Team Roles
- Review the case study against Schneider procedure
- Develop an action plan
- Document review and data collection
- Apply RCA techniques
- Identify information gaps and how to fill them
- People you need to interview and discuss
- Develop questions to “close the loops”
- Presenting and Reporting processes in RCA
Participants will conduct a root cause analysis using problem-solving tools presented and demonstrated. Both internal and external failure, customer complaints is reviewed. Teams use these tools to identify, analyze and determine root cause and ultimately solve the issues. Understanding is gained through practical, hands-on exercises using common measurement gauges. Problems are introduced to demonstrate the typical formats for reporting the findings, applying solutions, corrections and improvements.