Learning Outcomes for the Study Units:

Introduction to Root Cause Analysis

• Define root cause analysis and its significance in health and safety.
• Recognize the key concepts and terminology associated with root cause analysis.
• Explain the benefits of implementing root cause analysis in preventing future incidents.

Incident Investigation Techniques

• Describe various methods used for incident investigation.
• Demonstrate the ability to gather and analyze data from incidents.
• Identify both immediate and underlying causes of incidents through systematic investigation.

Analytical Tools and Methodologies

• Apply analytical tools such as Fishbone diagrams, 5 Whys, and Fault Tree analysis to investigate incidents.
• Interpret and use these methodologies to identify root causes effectively.
• Evaluate the strengths and limitations of different analytical tools in various scenarios.

Data Collection and Documentation

• Implement effective data collection techniques to ensure comprehensive and accurate information.
• Document findings clearly and systematically to support analysis and future reference.
• Maintain the reliability and accuracy of collected data throughout the investigation process.

Human Factors in Incident Analysis

• Analyze human errors and behavioral factors that contribute to incidents.
• Integrate human factors into root cause analysis to provide a more comprehensive understanding of incidents.
• Assess organizational factors and their impact on safety and incident outcomes.

Developing Corrective Actions

• Formulate effective corrective and preventive measures based on root cause analysis findings.
• Evaluate the feasibility, sustainability, and impact of proposed solutions.
• Implement and monitor corrective actions to ensure their effectiveness and long-term success.

Reporting and Communicating Findings

• Prepare detailed and accurate investigation reports that communicate findings.
• Present findings to stakeholders in a clear and actionable manner.
• Use the results to drive continuous improvement and enhance safety protocols.

Legal and Regulatory Considerations

• Understand and comply with legal obligations and regulatory requirements related to incident investigations.
• Ensure that investigations and documentation meet legal standards and organizational policies.
• Stay informed about changes in legislation and their implications for root cause analysis practices.