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To what extent is root causes analysis properly applied in QHSE Systems and how can it be enhanced?

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Question ajoutée par Nancy Refai , Health, safety and environmental management Trainer and consultant , Freelancer
Date de publication: 2016/02/07
Zain ul Abdin
par Zain ul Abdin , Project Planning & Control Manager , Redco International Trading and Contracting

 I have observed that it depends upon the team lead/manager of QHSE and the company's willingness. People are really not trained and there is acute lack of awareness regarding such Quality and Safety control tools. In Pakistan QHSE is generally given a low weightage with Descon being an exception. Chinese companies working in the region are even worse when it comes to implementation of QHSE protocols. It is basically proportional to the value of human life recognized by a nation. When you feel pride in taking risks and appreciate workers who take risk neither the HSE nor the quality control can be optimized.

Gayasuddin Mohammed
par Gayasuddin Mohammed , Advocate , Practicing Law before High Court at Hyderabad

Thanks for the invitation.

I have a confusion here what is the full form of QHSE?.

For any system in general, root cause analysis which we do is the post morteom examination after any problem or issue caused the system to break down to understand where and what was the problem and how to fix it permanently so that it doesn't recur in future.

So obviously, once we did the root cause analysis for any issue, based on the analysis, fixing the issue based on the priority will definitely improvisation of the system and is enhanced.

My2 cents. Thanks. 

 

Root Canal Specialist In Chennai

Applied to ensure effective root causes analysis incident investigation. ... systems. Figure 1 illustrates the different levels of cause that can be ascribed to ... that, under UK law, the extent of the control to be expected should be judged ... of the system under review, in order to ensure that the fault tree is constructed correctly.

Abdul Qadeer
par Abdul Qadeer , Safety Officer , Agritech Fertilizer private limited Haripur KPK pakistan

Root cause analysis (RCA) is a method of problem solving used for identifying the root causes of faults or problems.[1] A factor is considered a root cause if removal thereof from the problem-fault-sequence prevents the final undesirable event from recurring; whereas a causal factor is one that affects an event's outcome, but is not a root cause. Though removing a causal factor can benefit an outcome, it does not prevent its recurrence within certainty.

For example, imagine an investigation into a machine that stopped because it overloaded and the fuse blew.[2] Investigation shows that the machine overloaded because it had a bearing that wasn't being sufficiently lubricated. The investigation proceeds further and finds that the automatic lubrication mechanism had a pump which was not pumping sufficiently, hence the lack of lubrication. Investigation of the pump shows that it has a worn shaft. Investigation of why the shaft was worn discovers that there isn't an adequate mechanism to prevent metal scrap getting into the pump. This enabled scrap to get into the pump, and damage it. The root cause of the problem is therefore that metal scrap can contaminate the lubrication system. Fixing this problem ought to prevent the whole sequence of events recurring. Compare this with an investigation that does not find the root cause: replacing the fuse, the bearing, or the lubrication pump will probably allow the machine to go back into operation for a while. But there is a risk that the problem will simply recur, until the root cause is dealt with.

Also it depends upon our company policy of QHSE. If higher management take special interest then all should go in safer attitude. Working staff should be trained for specific jobs with awarding and appreciation about there achievements.   

Muhammad Saif ud-din Qureshi
par Muhammad Saif ud-din Qureshi , Freelance QHSE & other Management Systems Auditing, Compliance, Development, Training & Maintenance , Working as a Free Lancer

Almost all the companies having QHSE try to have effective root cause analysis to some extent, however, to enhance its application in an organization :

 

  1. Sharing results of those non-compliances which are not properly closed because of in-effective RCA and the problems re-cured again as the actual problems were not identified.
  2. Sharing results of non-compliances which are properly closed because of effective RCA and the problems did not re-cured as the actual problems were identified.
  3. Sharing information of re-work and loss of efficiency, having loss of productivity.
  4. Increase the awareness of personnel towards the benefits of an effective RCA by showing data analysis of both positive and negative points as per 1 & 2.

Syed Owais Mukhtar
par Syed Owais Mukhtar , Safety Manager & Internal Auditor , Awad Saad Bin Zafrah

RCA can be titled as  the root of any QHSE system. No system is perfect and incidents and NCs are normal, now if we are not doing RCA for those incidents and NCs we will be leaving a big crunch of compliance by not fulfilling it.

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