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After Completing Incident investigation and obtaining the direct and root causes, is it sufficient to prevent incident to happen again?

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Question added by Nasser Mahmoud , HSE Manager , AlkanCIT
Date Posted: 2015/01/05
Chindhu Bhairavi KV
by Chindhu Bhairavi KV , IT Analyst , Tata Consultancy Services

Finding the root cause of a problem does not prevent the incidents to happen. applying preventive measures successfully as per the root cause analysis would give a result in reducing the incidents

SALIL NAIR
by SALIL NAIR , Group HSE Manager , Allrig Group

The findings of the incident investigation and the corrective preventive actions taken should be reviewed for effectiveness after a period of months to ascertain its effectiveness. The complete investigation including CP action should be used as a "Lessons Learnt" and communicated to all employees.

Noel Cezar
by Noel Cezar , MANAGER , JANNET MERCHANDISING

Based on the results of an incident investigation, i.e., determining the direct and root causes, a corrective action is generally developed to ensure that the incident is prevented from happening again. In addition, the management is also required to follow up on the adherence of the corrective action, and to ensure lessons are learned and communicated to the team.

Douglas JH Corbett
by Douglas JH Corbett , QA/QC Technical Professional , Halliburton Energy Services

The point of a Root Cause Analysis Investigation is to find causal factors that lead to the Root Cause of an incident in order to provide the solutions that will allow the preventative measures in place that should minimise the likely-hood of the incident happening again.  If the Root Cause Analysis has been carried out correctly and all the questions asked, that have truly found the casual factors, the Root Cause/s should be identified and with all things being equal, the steps taken should prevent a repeat. However this knowledge should not be kept locally and should shared with others within a company and if a Global Organisation should be shared Globally to maximise the benefits from the lessons learnt and to maximise the process of continual improvement.

It is important that a review of the corrective actions is carried out after some time to be sure that they have had the desired effect and have indeed corrected the situation. If they haven't it would suggest that the Root Cause Analysis has not been carried out properly and that the questions about the incident have stopped too soon, a common mistake with inexperienced people carrying out an investigation is that they stop asking questions at the first thing they find that they think accounts for the incident. 

Ajith Kumar CSP  CMIOSH
by Ajith Kumar CSP CMIOSH , HSEQ Manager , ALBWARDY DAMEN

No. There should be SMART corrective action plans subsequent to cause analysis.

Sherif Shemis
by Sherif Shemis , IT Operations Manager , Universal Payment Services

Yes, after completing the full root analysis and confirming the direct root cause, a list of preventive and corrective actions can be provided and confirmed to avoid issue re-occurrences

raja sekhar mosuganti
by raja sekhar mosuganti , Analyst , Novartis

No, RCA to be followed by necessary CAPA to prevent incident from recoccuring.

Muhammad Tariq Mehmood
by Muhammad Tariq Mehmood , HSE Supervisor , CNPC Bohai Drilling Engineering, (Drilling Rig)

Identification of the root cause helps to to put some control measures to mitigate the concequences of the incident if it happens again.

Faizan Ahmad Khan
by Faizan Ahmad Khan , Director Of Operations , Adeeb Facilities Management Limited

No, until and unless all identified corrective action items are implemented through MOC (Management of change) wherever required.

Ronald Allan Abeledo
by Ronald Allan Abeledo , Safety Officer/ Engineer , Obeikan Elopak

Completing a an incident investigation and root cause analysis has no any sense if the root cause/s was not mitigated or controlled. We are conducting an RCA to provide the right countermeasure and prevent incident reccurence.

hussain basha shaik
by hussain basha shaik , Senior Reliability Engineer , Saudi Petrochemicals

No.

 

Reliability event re-occurence cannot be preventable without implementation of recommendations that are generated against the each identified causes.

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