A Mechanic’s Story: The Human & System’s Contribution
Reading Time: 7 minutes
Shallow Cause Analysis vs. Root Cause Analysis In this original post, A Mechanic’s Story: Basic Component Fatigue, we took a detailed journey through the physical side of a shaft failure RCA. We stopped at the physical side of that failure, parallel misalignment. However, stopping at the component level of failure does not constitute a credible and thorough RCA. Actually stopping at
Is System’s Thinking Critical to Root Cause Analysis’s (RCA) Success?
Reading Time: 11 minutes
Is System’s Thinking Critical to Root Cause Analysis’s (RCA) Success? Put another way, can RCA be successful without the incorporation of system’s thinking? What prompted this question was that according to Drs. Leveson and Dekker in their 2014 paper Get To The Root of Accidents, systems thinking is not currently utilized in the application of RCA. In this paper they cite: