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Abstract:
No matter what Root Cause Analysis (RCA) process that your firm
has decided upon, "What is considered a successful RCA effort?"
Are we content to eliminate the risk of recurrence of another
such event? Or is there a higher order at play in which the goal
should focus on the knowledge transfer of the success to others
in the company who could benefit? We explore what the expectations
should be for your RCA effort in this article.
Let's set
the scene. We have decided upon a Root Cause Analysis (RCA) methodology
for the corporation. Through whatever evaluation criteria we used,
we established a disciplined approach that will be implemented
throughout the company. This is well intentioned because we want
everyone to be using a consistent and uniform process to improve
the communication of results.
However, our
steering team ponders the question of, "What is our overall
goal for the implementation of this effort?" Many would say
that we seek to eliminate the risk of recurrence of similar events
in the future. This is a quite admirable goal, especially when
the events are the sporadic ones, which typically cause significant
harm and damage within the company.
What about
all of those chronic events such as bearing failures, seal failures,
instrument failures, coupling failures, fan failures, etc.? While
these events on an individual basis may seem less significant,
when we look at their impact on an annual basis, we may reconsider
that opinion. What is more important is these types of events
are often considered a "cost of doing business" and
even lumped into the maintenance budget under some general category
such as "ROUTINE".
When we look
at such chronic events, we should look beyond simply preventing
recurrence and towards how we can let others in the company know
about the RCA that was successfully conducted on the event. If
we conduct a successful RCA on a certain mechanical seal failure
and ensure that through the implemented recommendations that it
will not recur, is that enough?
Such information
should be put at the fingertips of others in the company who can
benefit from it? It is likely that others in the company at remote
locations have similar events and are probably solving the same
issue that we have conquered already. So in essence, as a company,
we are expending valuable resources to solve the same thing over
and over again. This is time and resource consuming when we cannot
afford to waste either.
So how can
this "knowledge transfer" occur efficiently and effectively?
The obvious common denominator to communicating with remote locations
within a single company is the shared network server. Our RCA
reports can be posted in designated areas for others to see. The
next level would involve having such successful RCA's put into
a database format whereas interested parties could search the
database for related analyses to problems they are experiencing.
The overall goal would be to ensure that the people that are having
failures at their sites, also have the information to resolve
these issues at their fingertips.
When implementing
RCA company-wide, our perspective must encompass a bigger picture.
If RCA is only being used for incident investigations of sporadic
events, or the "political failures of the day", then
our scope may not be as broad. Even so, incident investigations
typically do have a certain report distribution route because
of the nature of the events having safety implications. The same
cannot be said for the chronic issues which are often viewed as
insignificant and a cost of doing business.
When you look
at your current RCA effort, are you optimizing the value of the
analysis information within your company?
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