Root Cause

DOE Order 5000.3A, “Occurrence Reporting and Processing of Operations Information,” investigation and reporting of occurrences (including the performance of root cause analysis) requires the and the selection, implementation, and follow-up of corrective actions. The level of effort expended should be based on the significance attached to the occurrence. Most off-normal occurrences need only a scaled down effort while most emergency occurrences should be investigated using one or more of the formal analytical models. A discussion of methodologies, instructions, and worksheets in this document guides the analysis of occurrences as specified by DOE Order 5000.3A.

If I have an unwanted situation which consumes resources and tends to happen in a repeated fashion then there is a possibility that it might be beneficial to figure out what is really causing this situation to occur and remove it so the situation does not occur again. This is generally referred to as Root Cause Analysis, finding the real cause of the problem and dealing with it rather than simply continuing to deal with the symptoms.

What we need to do today is make management aware through education and awareness that our cultures live with these chronic events that typically end up costing 100 times more than the occasional sporadic event. Unfortunately, the sporadic events get all the attention. When our cultures are enlightened, we will begin to enjoy the fruits of our efforts in the form of return on investment (ROI) figures as high as 7000-8000 percent. Then the believers will come.

Root Cause Analysis represents one of the greatest challenges in reliability program development, requiring a broad understanding of management processes, structured problem solving and behavior. Developing a Root Cause Analysis work process will require effort and persistence as well as new thinking about organizational structure and resource priorities. The potential improvements from developing an effective Root Cause Analysis work process are significant. Most manufacturing processes have opportunities for improvement and cost reduction that have not been obtainable with current efforts. In some cases, these opportunities could represent competitive advantages in manufacturing strategies and processes.

From my own RCA experiences at industrial sites and manufacturing facilities, I have found that there is little consensus regarding what constitutes an Root Cause Analysis activity, what it is supposed to accomplish, how it will be applied, who should do the activity, when it will be applied, etc. Very little agreement exists on these basic RCA points. Ask these RCA questions in your work environment and listen to the diversity of opinions you will hear in reply.

Root Cause Analysis (RCA) is a valuable tool for reliability improvement in manufacturing and production operations. Yet, most efforts to implement an RCA program fail to achieve meaningful results despite significant investments in employee training. What needs to be done to assure that RCA becomes a functional work process in organizations?

With RCFA being a buzzword of the 90’s, companies are faced with a slew of new vendors with numerous RCFA methods and practices to help you attain quantum results. How do you decide who is going to make you money versus who is going to take your money?

When a bearing in a critical piece of equipment fails prematurely, a maintenance specialist knows the failure usually indicates there is more here than meets the eye. What the untutored eye sees is a failed bearing and little more. However, a premature bearing failure is symptomatic of other problems that, if left untreated, will cause the same kind of failure to occur again.

The business process is most commonly named Root Cause Failure Analysis (RCFA) or root cause analysis. The name itself implies the largest and most expensive problem when implementing problem solving in an organization. The results wanted from the process are to eliminate the problem, not to analyze the failure. To convey the desired result to the organization, the name should therefore be changed to Root Cause Problem Elimination (RCPE).