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Lessons Learnt and Root Cause Analysis
The Human Factor in Risk & Opportunity Management
Are we learning from incidents and applying Continuous improvements?
Are we identifying root causes to eliminate the incidents/ failure or non-conformance?
The session will provide typical examples of lessons learnt across industries, including supply chains, and provide basic knowledge for performing Root Cause Analysis. It will also highlight defect trending and common issues within multiple industries.
The event covered the following aspects of root cause analysis:
- High level overview of incidents and impact
- Incident/ NCR prioritisation – Choosing the right issues to meet objectives.
- Typical examples applied to Projects and Assets.
- What are the common issues across multiple industries?
- Phases of RCA – root cause analysis – Problem statement, Cause analysis and Solution development and implementation.
PRESENTER – Suresh Prabhakaran, WA Chapter Lead
It might seem obvious, but if humans are involved in a process then human factors come into play. But what really are human factors and how do they impact the success or failure of a process or system? When something goes wrong, is it about a human error or a human factor?
Join Jim Whiting as he explores the topic of human factors and discusses how they tie into Risk and Opportunity Management. With an extensive career in risk management, causal analysis and management systems, Jim has a wealth of practical knowledge that he shared with everyone.
Across the session Jim discussed:
- Should “human error” in relation to a quality incident/risk be regarded as a cause or as a consequence?
- In Quality R&OM, are humans regarded as the “problem” or the “solution”?
- Compare WAI – work as intended, with WAD – work as done and why can they be different?
- What is an approved shortcut?
- What is a Risk & Opportunity Conversation [ROC Talk]?
This was a very interesting and thought provoking session that gave everyone greater insights into just how much human factors influence the work that we do.
PRESENTER – Jim Whiting
Partner & Principal Risk Engineer at Soteris Pty Ltd
Facilitation – Making Visible the Invisible
In this session, David shared his tips ‘n’ tricks on what really makes facilitation effective, the value of surfacing and harnessing underlying intentions and other drivers, as well as encouraging people to work with emergence rather than just taking shortcuts to action.
PRESENTER – David Jago
Project Facilitation Whizz