Assumptions, oversight, and even misunderstandings in root cause analysis processes often result in widespread negative outcomes, from higher safety incidents to non-compliance. Learn the mistakes to avoid when conducting root cause analyses, and the methods to proactively address them. Watch the webinar replay at: https://info.safetychain.com/avoid-these-analysis-mishaps

1. Beyond Compliance
Webinar & Podcast Series for Process Manufacturers
Avoid These Root Cause Analysis Mishaps to
Drive Down Incidents
Sara Perrin
Continuous Improvement Coach

2. // Meet Your Host
✔Improve Yield
✔Maximize Productivity
✔Ensure Compliance
Plant Management Platform
hello!
2

3. BEYOND COMPLIANCE
• Process Safety Engineer
• Operational Stewardship / CoOOD
• Lean Six Sigma Green Belt
• Passionate markerboard user
Sara Perrin
Continuous Improvement Coach
Avoid These Root Cause Analysis Mishaps: Meet the Speaker
BEYOND COMPLIANCE

4. Poll Question
What is your primary Root Cause Analysis technique?

5. BEYOND COMPLIANCE
5-Why Pitfalls
Example…
It is the first cold snap of the year.
Paulina came to work bright and early and noticed
ice in the walkway.
She looked for IceMelt to put down and realized
none had been ordered for the year yet.
Later, Sara comes to work, barely in time for a
meeting and slips and falls on the ice.

6. BEYOND COMPLIANCE
Sara falls in the parking lot
There is ice in the walkway
It was below freezing last night
It is December
Why
Why
Why
5-Why Pitfalls
We work in a dangerous place ¯_(ツ)_/¯
BEYOND COMPLIANCE
Event

7. BEYOND COMPLIANCE
She didn’t leave home early enough
Sara falls on ice in the parking lot
She was not paying attention
She was in a hurry
She was Late for a meeting
Why
Why
Why
5-Why Pitfalls
80+% of Accidents are Caused by Behavior
BEYOND COMPLIANCE
Event
Why

8. Think Reliability Cause Map
BEYOND COMPLIANCE
Sara fell on ice
December:
Cold weather
happens every year
Cold temperature
No Ice Melt
Safety goal
impacted
No PM in place to
winterize the plant
Haven’t ordered Ice
Melt for the year yet
Don’t
remember to
order until we
need it
Ice on walkway
Sara not paying
attention
AND

9. BEYOND COMPLIANCE
Reframe
● Assume positive intent.
Why did Sara think this
was the right thing to do?
● Swiss Cheese Model
What went right?
● If we implement a
recommendation, will
it happen again?

10. BEYOND COMPLIANCE
Sara Perrin
Continuous Improvement Coach
Watch the webinar replay here:
https://info.safetychain.com/avoid-these-analysis-mishaps

11. White Papers & Surveys
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Product & Partner Info
Solution Consultation
BEYOND COMPLIANCE
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