WorkPlace Cornerstone

EVENT INVESTIGATION TRAINING COURSE

for Root Cause Analysts/ Rooticians 

In this comprehensive five-day, Phoenix-based course, participants will learn and use proven techniques used by high reliability organizations (HROs) for conducting focused and effective causal analysis reports for events, conditions or trends that have high consequences and/ or high significance outcomes. 

The participant will learn about and engage the essential investigation skills necessary
to enable that the direct and underlying event and organizational factors have been sufficiently and
effectively investigated; and that specific, measurable, attainable, relevant, and timely corrective
actions have been developed, with the intent of significantly reducing the probability of recurrence
of the same or similar event.

What We Cover:

Planning an Evaluation
Systematic Methods/ Approaches
Consequences and Significance
Comparative Time Line
Factor Trees/ Chains of Factors
Barrier Analysis
Missed Opportunity Matrix
Influencers/ Biases/ Rule Outs
Interviewing Basics
Programmatic Problems
Problem Finding
Mitigating Factors/ Exacerbating Factors

Questions for Insight
Causal Factors
Cause Testing for Depth
What’s Missing?
Precursors
Causation Assessment
Cause Relationships
Root Cause Analysis Issues
Corrective Action Characteristics
Corrective Action Hierarchy
Risk Significance
Extraneous Conditions Adverse to Quality

Extent of Condition/ Extent of Cause
Risk Increase Profiles
Safety Culture - Lines of Inquiry
Prior Occurrences and Trendable Factors
Operating Experience
Levels of Defense
Depth of Analysis
CAs: Measures of Success
CAs: Measures of Completeness
CAs: Measures of Effectiveness
Report Writing
Report Presentation

The Incident in the Course

The instructors have developed a detailed scenario for the participants to investigate.  Information is provided to the participants in a framework that simulates a typical RCA environment.  The instructors provide several root cause analysis tools/ methods.  The participants will use referenced root cause reports to identify the strengths and weaknesses in the analysis and those documents.  The participants are provided with the outline for a root cause analysis report, but given the time restraints of 5-days, the teams prepare and present to the workshop an executive-level briefing report on their investigation, including the causal factors, and SMART Corrective actions. 

Who Should Attend:

Anyone responsible for conducting, leading, mentoring, sponsoring, reviewing, or approving event investigations/causal analyses in any industry will benefit from this course.

In particular, this course is designed for individuals responsible for causal analysis in high-hazard industries/ HROs and industrial sectors such as commissioning, decommissioning, mining, construction, chemical and petro-chemical industries, utilities, transportation, medical, waste collecting, electric power production, nuclear power, radiation protection, radioactive material handling (all classes), manufacturing and production facilities, laboratories, and national defense.

Our approach can be used to investigate any event for which the adverse consequences can be defined. “If the pain is describable, the Phoenix Method is applicable.”

Class Size:                        Typically, 12-16 participants (16 max)

Contact Hours:                 40 hours (five (5) eight-hour days)

Date/Location:     January 21-25, 2019 in Marlborough CT USA

Knowledge Conveyance:  Instructor-led Seminar, Individual & Team Exercises (over 20), engaging Terminal and Enabling Objectives, and an optional graded practicum and exam assessment for certification; slide deck, workbook, exercise book, and example causal analysis reports are engaged throughout the course delivery.

Pre-requisites:  Previous causal analysis training and experience are helpful, but not necessary.

Instructors: Each instructor has over 30 years direct experience in high-hazard industries, advanced degrees, and has earned rigorous professional certifications through examination. Each instructor is regularly engaged in leading post-event evaluations and advising root cause teams investigating significant events.

For further information:

Michael D. Quinn         860.463.0413 (cell)      MDQ@scwe.net
Richard N. Swanson    773.230.8989 (cell)      RNS@PMI-inc.com
Joseph P Drago           630-263-3164 (cell)     Joseph@scwe.net