Root Cause Analysis

What are the Goals?

At the end of this Root Cause Analysis using Tripod Beta Method training course, you will learn to:

• Conduct a structured incident/accident investigation and analysis
• Create a effective Tripod Beta diagram-explaining the whole incident
• Determine Basic Risk Factors of your company
• Develop effective remedial actions
• Use the investigation findings for cost effective measures of improvement
• Use software support for developing Tripod Beta Diagram and Incident Report

This Root Cause Analysis using Tripod Beta Method training course is suitable to a wide range of professionals but will greatly benefit: 

• Safety Managers, Engineers and Specialist
• Process Safety Officers and Auditors
• Operations and Support Staffs and Production Managers
• HSE Advisers, Managers, and Incident Investigators
• Project, Finance, Supply Chain and Logistics Managers
• Financial Analysts
• Quality improvement personnel
• Petroleum, Mining and Drilling Engineers
• Traffic Engineers
• Police and Military Officers

Daily Agenda

Day One: Accident / Incident Investigation and Tripod Beta Principles 

• Risk Management of Human Systems
• Organization’s defenses between a source of harm and an undesirable outcome as a series of barriers, represented by layers of Swiss cheese
• What is Sequentially Timed Event Plotting (STEP)?
• Rules for Constructing a STEP
• The Four Key Stages in a Tripod Beta Investigation
• Defining Event, Agent and Object
• Telling the Story through the Core Diagram

Day Two: Barriers, Preconditions and Underlying Causes and Basic Risk Factors 

• Barrier Identification and How they are associated with an Incident in a Systematic and Thorough Manner
• Four Possible States of a Barrier and their use within a Tripod Beta Tree
• Human Errors and their Link to the Immediate Causes
• Preconditions to Immediate Causes, Definition and Position within a Tripod Beta Tree
• Underlying Causes, Definition and Position within a Tripod Beta Tree
• Causation Path, Definition and Presentation within a Tripod Beta Tree
• Basic Risk Factors in Business Process

Day Three: Remedial Actions, Reporting, Tree Logic and Test 

• Identify the Nodes on a Tripod Beta Tree where remedial action should be applied
• Haddon's Hierarchy of Barrier Effectiveness
• The Cost vs. Benefit of various types of Barriers
• Report Layout and Format
• The Ways in which Lessons Learnt may be communicated throughout the Company
• Test