Synopsis
Root Cause Analysis Handbook: A Guide to Effective Incident Investigation presents a proven system designed for investigating, categorizing, and ultimately eliminating, root causes of incidents with safety, health, environmental, quality, reliability, and production-process impacts. Defined as a tool to help investigators describe what happened, to determine how it happened, and to understand why it happened, the Root Cause Analysis System enables businesses to generate specific, concrete recommendations for preventing incident recurrences. Using the factual data of the incident, the system also allows quality, safety, and risk and reliability managers an opportunity to implement more reliable and more cost-effective policies that result in major, long-term opportunities for improvement. Such process improvements increase a business' ability to recover from and prevent disasters with both financial and health-and-safety implications. Special features include a 17 inch by 22 inch pull-out Root Cause Map, a powerful tool for identifying and coding root causes. The book helps readers to understand why root causes are important, to identify and define inherent problems, to collect data for problem solving, to analyze data for root causes, and to generate practical recommendations. This is a new printing of the 2000 edition of this book. August, 2008: The Third Edition of this book is now available. Search on ISBN # 1931332517.
About the Author
ABS Consulting is an engineering firm that specializes in reliablity, system safety, environmental engineering, process safety management, risk management planning and communication, and quantitative risk assessment. ABS Consulting's training department provides more than 200 courses each year in more than 35 topics. The division's principal engineers are internationally recognized experts who have extensive experience in all areas of safety, reliability and risk assessment. Over 2000 alumni of their courses are practicing the root cause analysis methods illustrated in this handbook. Mr. Lee Vanden Heuvel is the Manager of incident investigation/root cause analysis (RCA) services and the Manager of training services at ABS Consulting Knoxville. He has over 20 years of experience in plant operations and analysis. Mr. Vanden Heuvel has assisted organizations in many different industries with the development and implementation of incident investigation and RCA programs. He also led and participated in investigations in many different types of industries including chemical, refining, healthcare, manufacturing, machining, waste disposal, nuclear power and food processing. He was previously the project manager and lead analyst for a large QRA program at the Oak Ridge National Laboratory. He worked for eight years at a nuclear power plant in operations, engineering support and training. His current responsibilities are in the areas of RCAs, incident investigations, human factors, safety analyses and economic/decision analyses. Mr. Lorenzo is director of training services at ABS Consulting Knoxville. He has 25 years of experience in hazard analysis and risk assessment. He was previously a development engineer for Union Carbide Corporation. He is author of the ACC books, A Manager's Guide to Reducing Human Errors and A Manager's Guide to Quantitative Risk Assessment and is also coauthor of CCPS's Guidelines for Hazard Evaluation Procedures, Second Edition with Worked Examples. Mr. Lorenzo has developed a series of instructional videotapes on PHA techniques. In addition, he lectures in AIChE risk assessment courses. Mr. Lorenzo is a registered P.E. in the state of Tennessee and a Certified Technical Trainer. Mr. Randal Montgomery is Manager of Business and System Performance Solutions at the Knoxville office of ABS Consulting. His experience includes conducting RCM analyses and developing planned maintenance programs for industry and government clients. In addition, he has developed PSM and MI programs, written maintenance procedures, and performed PSM audits/assessments for the petroleum, chemical and paper industries. He is coauthor of CCPS's Guidelines to Effective Mechanical Integrity Programs. Mr. Montgomery previously worked at Henkel Corporation, where he served as MI coordinator, implemented management systems to meet PSM regulations and managed production and maintenance groups. Mr. Walt Hanson is a Project Manager and Risk/Reliability Engineer for ABS Consulting's Knoxville office. He has more than 15 years of experience in developing, implementing, and managing loss prevention management systems, including mishap investigation, system safety, policy and procedure, training systems, performance measurement, and human factors. At ABS Consulting, he works on various risk management projects for the U.S. Coast Guard (Coast Guard) and other transportation and maritime clients. Before joining ABS Consulting, Mr. Hanson had 13 years of safety management responsibilities as a commissioned officer of the Coast Guard. He completed nearly 25 years commissioned service and attained the rank of captain. For five years, Mr. Hanson served as the Coast Guard's Afloat Safety Division Chief at Coast Guard Headquarters. For eight years, he served as a safety officer (i.e. executive officer) on Coast Guard medium- and high-en
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