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Root Cause Analysis Tool (RCAT): An Old Tool with a ...

3/22/20181 Root Cause Analysis Tool (RCAT): An Old Tool with a Critical New Twist for Better Prevention AND safety CultureCathy A. Hansell, SMS, CSM, CCSR, MS, ; @2010 Breakthrough Results, LLC. All Rights ReservedRCAT: Old Tool with a New TwistAgenda: Assumptions Root Cause Analysis Tool (RCAT) Definitions process Considering the Influencers : What People Know, See and Feel Root Cause Chart Tips and Traps Practical Application3/22/20182 Assumptions An underlying root Cause and other contributory causes People react to their current work design, people and systems First seek the underlying work, safety management system and cultural defects, not placing blame.

Mar 05, 2018 · Integration into all ISC Processes (ops, engineering, maintenance, procurement, etc…) o Safety impacts are considered in the management of change process, but not on a routine basis and not always early enough in the process. o Safety issues are not incorporated at all or timely enough into other ISC

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