ROOT CAUSE ANALYSIS HANDBOOK: A GUIDE TO EFFECTIVE INCIDENT INVESTIGATION presents a proven system designed for investigating, categorizing, and ultimately eliminating, the root causes of incidents with safety, health, environmental, quality, reliability, and production-process impacts. Defined as a tool to help investigators describe what happened, to determine how it happened, and to understand why it happened, ABS Consulting's SOURCE (Seeking Out the Underlying Causes of Events) RCA system enables businesses to generate specific, concrete recommendations for preventing incident recurrences. Using the factual data of the incident, the system also allows quality, safety, and risk and reliability managers an opportunity to implement more reliable and more cost-effective practices that result in major, long-term opportunities for improvement. Such process improvements increase a business' ability to recover from and prevent incidents with both financial and...

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