9. Determining Root Causes—Structured Approaches

  1. Center for Chemical Process Safety

Published Online: 16 AUG 2010

DOI: 10.1002/9780470925133.ch9

Guidelines for Investigating Chemical Process Incidents, Second Edition

Guidelines for Investigating Chemical Process Incidents, Second Edition

How to Cite

Center for Chemical Process Safety (2003) Determining Root Causes—Structured Approaches, in Guidelines for Investigating Chemical Process Incidents, Second Edition, John Wiley & Sons, Inc., Hoboken, NJ, USA. doi: 10.1002/9780470925133.ch9

Publication History

  1. Published Online: 16 AUG 2010
  2. Published Print: 1 MAR 2003

ISBN Information

Print ISBN: 9780816908974

Online ISBN: 9780470925133

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Keywords:

  • structured root cause determination;
  • timeline development;
  • sequence diagrams;
  • logic trees;
  • hypothesis matrix

Summary

This chapter contains sections titled:

  • The Management System's Role

  • Structured Root Cause Determination

  • Organizing Data with a Timeline

  • Organizing Data with Sequence Diagrams

  • Root Cause Determination Using Logic Trees—Method A

  • Logic Trees

  • Fact/Hypothesis Matrix

  • Case Histories and Example Applications

  • Root Cause Determination Using Predefined Trees—Method B

  • Causal Factor Identification

  • Predefined Trees

  • Checklists

  • Human Factors Applications

  • Conclusion