COURSE OVERVIEW – This course teaches how to lead investigations and root cause analyses using various techniques such as Causal Factor Charting, Fault Tree Analysis and Root Cause Charts. This is a “How To” course designed to teach skills. This course is for who have practical, technical experience in design, operation, or maintenance of complex systems. Individuals with good logic skills do best in this course.
OBJECTIVES: At the end of the course, the participant will be able to:
- How to meet regulatory requirements for incident investigations
- How and why to report near misses
- How to help a team gather data, especially interviewing of peers
- Overview of cause determination methods and overview of effective root cause determination methods
- How to develop appropriate recommendations to address root causes
TARGET GROUPS:
- Engineers – HES, Process safety & mechanical.
- Operations and Maintenance Stuff – senior operators, maintenance technicians, supervisor.
- Process quality control/assurance staff.
- Managers who must ensure active participation on investigation and RCA processes.
Topics:
- How to meet regulatory requirements for incident investigations.
- How to develop and implement a structured program
- Designed for learning from incidents
- Why and how to define misses
- How to train others to recognize and report incidents
- Includes planning for trending of data
- How to initiate and conduct an investigation
- Establishing an effective team quickly.
- Methods for collection different types of data, including effective interviewing skills
- How and when to apply causal factor and root cause analysis for investigating process and non-process incidents.
- Includes event and condition charting.
- Filling data gaps using fault tree logic.
- “5-Whys” methods/technique for finding root cause.
- “Why tree” methods/technique for finding root cause
- “4-Ps” methods/technique for finding root cause
- How to develop appropriate recommendations to address root causes at various levels to avoid future incidents.
- How to structure reports
- Via actual industry examples and workshops, learn key points and practice your new skills.
LIST OF TEACHING AIDS:
- LCD Projector.
- Computer.
- White Board with accessories.
- Flip Chart with accessories.
LIST OF CLASSROOM ACTIVITIES:
- Lectures
- Case study exercise
- Group discussion
- Video presentation
- Practical training and demonstration
- Report writing.
EXAMINATION: Optional
Maximum Participants – 10 Persons
Minimum Participants – 05 Persons
Course Features
- Lecture 0
- Quiz 0
- Duration 24 hours
- Skill level All levels
- Language Bangla & English
- Students 32
- Assessments Yes