Root Cause Analysis- Practitioner Workshop

Root Cause Analysis (RCA) is the term for proven investigation techniques that reveal the reasons behind the occurrence of accidents and near misses. While many RCA courses focus on techniques, this workshop stresses the interpersonal and data collection skills necessary to reveal the deeper reasons. What good is the analysis technique if you are processing superficial answers to the investigation? “Garbage in, garbage out.” Through this full-day workshop, we will cover:

• Planning and preparation activities
• Data collection
• Interviewing skills
• Analysis techniques (Event & Causal Factor Charting, Gap Analysis, Barrier Analysis)
• Extent of condition and generic implications
• Developing effective corrective actions
• Report writing

Root Cause- Beyond the Lab: Field Data Collection and Supporting Analyses

This 4-hour course will review the types of field information and engineering analysis available to improve the root cause analysts’ understanding of the physical causes of failures and when to apply these tools.

Most RCA practitioners are familiar with the work performed by independent laboratories for equipment failures. In addition to this, there is a wide array of other information that should be considered when performing root cause analysis. These include such technologies as:

• NDE techniques (e.g. ultrasound)
• Vibration monitoring and analysis
• Stress and fatigue analysis
• Fracture mechanics analysis
• Probabilistic risk analysis

The training will cover these tools and techniques as well as when they should be used. A case study will be presented where these techniques have been applied in the course of a root cause investigation. An example decision aid will be provided to participants.

Human Performance 202 – Getting More Out of Human Performance Training

A 4-hour interactive learning session for human performance professionals to:

• Experience new ways to talk to your people about being the final barrier in the defense in depth concept
• Improve communication of basic human performance concepts and fundamentals to your personnel
• Provide new ways to look at procedure compliance issues.

Managing Defenses in Human Performance

This four-hour session will provide the participant with a better understanding of what it means to manage defenses. The first hour will focus on basic definitions, the basic features of an error management program, and the two perspectives of managing defenses: operational and organizational. The second hour will explore managing defenses from an operational perspective. The work execution process will be described in detail with a focus on how to properly address critical steps. The work execution process forms the foundation for an effective human performance program. During the third hour we will discuss managing defenses from an organizational level. The key elements of building organizational resilience will be explored along with a tool to perform human performance risk management. Myths related to the INPO severity pyramid will also be dispelled. During the last hour of the course, course participants will take part in a small group exercise that highlights managing defenses.

Change Management and Organizational Alignment Working Sessions

Theme: Working change management strategy session for attendees’ current initiatives, and for building alignment in support of their ongoing role in the organization

Who Should Attend: Managers and/or individual contributors who are responsible for implementing change or influencing the organization outside their immediate span of control

Background: Participants will apply industry specific and universal change management theory and methods to an analysis of their own organizational human performance initiatives. They will devise strategies based on their analysis. In addition, they will be invited to assess and devise strategies towards maximizing the ongoing effectiveness of their role within the organization.

Process:

1. Participants will be familiarized with pertinent behavioral science and change management theory, grounded in the approach that was used to shorten outage length and change the culture at PECO Nuclear following the Peach Bottom shutdown by the NRC
2. Participants will apply said theory to analyzing their own behavior and their own approach to influencing the organization
3. Participants will devise a strategy for increasing their impact on their organization

Preparation and Additional Information: Participants should come to the workshop prepared to assess their current initiatives, as well as to assess their effectiveness at building alignment in support of their ongoing role in the organization. You do not need to bring any materials or information in order to conduct the type of assessment that we are proposing.

Teams from the same organization will work together during the session, and individuals will work in tandem with a peer from another organization.

Crosby & Associates would appreciate it if you would notify them in advance at gilmorecrosby@comcast.net of your intention to attend.