The Root Cause Analysis (RCA) workshop has been designed for those who are expected to conduct root cause analyses in the workplace. COURSE COVERAGE * How to develop and implement structured incident investigations programs * Designed for learning from incidents * Why and how to define misses * Includes planning for trending of data * How to initiate and conduct an investigation * Establishing an effective team quickly * Methods for collecting different types of data & effective interviewing skills * How to apply causal factor and root cause analysis for investigating process and non-process incidents * Includes event and condition charting (causal factor charting) * 5-Whys technique for finding root causes * Exploring the behaviours involved in an accident * Root Cause Charting for categorizing root causes * How to develop appropriate recommendations to address root causes at various levels to avoid future incidents * How to structure reports * Learn key points and practice your new skills via actual industry examples and workshops

1. ROOT CAUSE
ANALYSIS
Human Error Incident
Investigation & Analysis
14 - 16 MARCH 2011
GRAND MILLENNIUM
SAFETY AL WAHDA ABU DHABI
SERIES UNITED ARAB EMIRATES
DAY SESSION
EXCLUSIVE 3 MINIC COOPER
DO
INTRODUCTION WITH PROF. Practices &
st
Covering Be t Cause Analysis
Methods of Roo
WHAT IS ROOT CAUSE ANALYSIS (RCA)?
Root Cause Analysis (RCA) is a methodology for finding and correcting the mostost
t
important reasons for performance problems. It is different from troubleshooting
and problem-solving as these disciplines typically seek solutions to specific
ng YOUR
YOUR INTERNATIONAL
difficulties, whereas RCA is directed at underlying issues. COURSE FACILITATOR
The basic RCA method is to simply ask "Why" over and over again until you arrive at
a Root Cause. The real question then becomes: how do we know when to stop asking Prof. Dominic Cooper
"Why"? At what point are we satisfied that we've identified a Root Cause? What is a C.Psychol C.FIOSH
Root Cause? These are questions that constantly spark disagreement among RCA
practitioners.
CEO
Maslow's Law of Problem Solving: BSMS Inc
If the only tool you have is a hammer, every problem looks like a nail.
One of the world's leading authorities in Behavioral Safety,
Prof. Cooper is both a Business Psychologist and a Safety
This course teaches how to lead investigations and root cause analyses using various
Professional who has implemented behavior-based
techniques such as Causal Factor Charting, Fault Tree Analysis and Root Cause Charts.
processes internationally for over 20 years. A past Professor
This is a “How To" course designed to teach these skills.
at Indiana University, he has written 6 business books and
over 150 articles on Behavioral Safety, Safety Culture
COURSE COVERAGE change, and Safety Leadership.
How to develop and implement a structured incident investigations
Much more than an academic, Dr. Cooper has worked
program
shoulder to shoulder, on-site with frontline managers and
- Designed for learning from incidents
employees, creating and fine-tuning the most effective
- Why and how to define misses
Behavioral Safety process available. As the CEO of his
- Includes planning for trending of data
behavioral consulting firm B-Safe Management Solutions,
How to initiate and conduct an investigation Dr. Cooper is actively engaged with clients, is an
- Establishing an effective team quickly internationally known speaker, and is a member of several
- Methods for collecting different types of data & effective interviewing skills professional organizations.
How to apply causal factor and root cause analysis for investigating
process and non-process incidents Dr. Cooper developed B-Safe®, an award winning
- Includes event and condition charting (causal factor charting) Behavioral Safety process, and co-founded BSMS Inc, an
- “5-Whys” technique for finding root causes international behavior-based safety consulting firm
- Exploring the behaviours involved in an incident operating in the Americas, Africa, Asia, Australasia, Europe,
- Root Cause Charting for categorizing root causes and the Middle East. His clients consistently achieve world
How to develop appropriate recommendations to address root causes class safety performance.
at various levels to avoid future incidents
Dr. Cooper continues to innovate and refine Behavioral
How to structure reports Safety by actively working as an on-site consultant and
Learn key points and practice your new skills via actual industry project manager. He maintains his grounding in real-world
examples and workshops safety issues by participating in, and managing,
multi-consultant, multi-site projects on Behavioral Safety,
Safety Culture improvement, and Safety Leadership.
Wilson's Corollary: Even if a problem really is a nail,
you've still got to know whether to bang it in or yank it out. Professional Qualifications:
• Ph.D. from the University of Manchester Institute of
Science and Technology (UMIST)
REQUIREMENTS FROM COURSE DELEGATES • Chartered Psychologist, Associate Fellow of the British
All participants are required to bring at least two examples of incidents they were Psychological Society (BPS)
involved in or raised via an accident investigation, management system audit, • Chartered Fellow of the Institute of Occupational Safety &
incident / risk reporting system or a quality / safety problem they are aware of. Health (IOSH)
These will be used by each participant in the practical exercises. It is preferable if • Member of American Society of Safety Engineers (ASSE)
these of are of moderate to low concern or are near–miss incidents. • Member of the Society of Petroleum Engineers (SPE)
© 360 BSI (M) Sdn Bhd (833835-X), Level 8 Pavilion KL, 168 Jalan Bukit Bintang, 55100 Kuala Lumpur, Malaysia. 1

2. COURSE CONTENT
AGENDA
DAY1 METHODS OF ROOT CAUSE ANALYSIS
- PART ONE
Developing a structured incident investigation program
How to initiate and conduct an investigation
Basic Introduction to Human Error Theory
- What are the main error modes
- When is blame and punishment appropriate
An exploration of Performance Shaping Factors
- How system-based factors can influence errors in the workplace
Methods of Root Cause Analysis (1): The 5 Why’s
WHY THIS EVENT
A simple investigative method for quickly identifying the root of a This workshop has been designed for those who
problem, that can be used in a multiple of situations. are expected to conduct root cause analyses in
the workplace.
Practical Group Exercise: Analyse incidents using the 5 Whys
You will develop an understanding of four
different investigative methods, each method
with its own advantages and disadvantages.
Which one is right for your organization?
DAY2 METHODS OF ROOT CAUSE ANALYSIS This interactive course will also provide you with
new skills critical to the management of safety
- PART TWO and other business activities such as quality and
Methods of Root Cause Analysis (2): Causal Factor Charting productivity.
Focusing on Plant, People, Premises, Procedures and Processes this The combination of interactive presentations,
analytic method examines cause and effect to identify root causes of hands-on exercises and open discussion groups
unwanted incidents and can also be used for problem solving across a along with real case studies, ensures you will
wide array of situations. obtain maximum value from attending.
Practical Group Exercise: Causal factor charting of incidents
Methods of Root Cause Analysis (3): Influencing and causal factors
This method adopts a system-based method to identify and explore the
many organizational, environmental and personal factors that lead to
unwanted incidents.
Practical Group Exercises: Analyse incidents using the Influencing and
causal factor method
DAY3 METHODS OF ROOT CAUSE ANALYSIS
- PART THREE
Methods of Root Cause Analysis (4): Applied behavioral Analysis
Discover why people do what they do, and how this information has
been utilized to develop a method to identify the root cause of incidents.
Practical Group Exercise: Analyse an incident using Applied Behavioural
Analysis
Presenting your findings
WHO SHOULD ATTEND
Vice Presidents, Directors, General Managers
- How to draft effective recommendations
Safety Managers, Supervisors and Engineers
- How to structure your report HSE Professionals and Safety Auditors
Practical Group Exercise: Prepare an incident report Site/Plant/Factory/Operations Managers
Maintenance Engineers and Managers
Process Reliability & Quality Control Staff
Seminar Questionnaire Examination Facilities Management & Training Managers
COURSE SCHEDULE
“Presentation was to the point & achieved the goal of simplifying the RCA process.” 8.00 Registration & Coffee/Tea
- Anindya Chatterjee, HSE Coordinator, Ras Laffan Power Company
8.30 Workshop commences
10.40 - 11.00 Morning coffee/tea
“A very good course and it will help us to improve our safety behaviour” 12.30 - 13.30 Lunch
- Ezzat Elthany, ADGAS, UAE 14.40 - 15.00 Afternoon coffee/tea
"Extremely well presented material with group interactive sessions. 16.30 End of day
Facilitator well experienced in actual events and practical analysis.”
- Ken Wiseman, Div. Manager - RCM, QatarGas
2

3. ROOT CAUSE
ANALYSIS REGISTRATION FORM
Human Error Incident
Investigation & Analysis Fax: +603 9205 7788
Tel: +603 9205 7778
Mobile: +6016 3326 360
14 - 16 MARCH 2011
GRAND MILLENNIUM
AL WAHDA ABU DHABI Email: kris@360bsi.com
UNITED ARAB EMIRATES
DELEGATES IN-HOUSE TRAINING
1
360 BSI is passionate about providing strategic safety
Name : programs and high potential training solutions across the
Name on tag : region to build personal competencies and organizational
capability.
Job Title : You will receive practical training from a professionally
Email : qualified educator with over twenty years of teaching and
training experience.
Mobile : Please feel free to mix-and-match topics from the areas listed
below to get the right training content for your staff. Other
2 Name : topics may be available upon request.
Name on tag :
OTHER RELATED PUBLIC COURSES
Job Title : Behavioural Based Safety
Email : Emergency Response Management
Successful Safety Leadership
Mobile : Emergency Dispatch & Control Center Operations
Fire Prevention and Hazard Analysis
3 Name : Behavioral Safety Clinic
Name on tag : Hazard Identification, Risk Assessment and Risk Control
Job Title :
Hotel Contact Details:
Email : Grand Millennium Al Wahda Hotel
P.O. Box 107080, Abu Dhabi, United Arab Emirates
Mobile :
Reservations Tel: +971 2 443 9999
AUTHORIZATION
(This form is invalid without a signature) General Information:
Name : 1 Closing date for registration is 7th March 2011.
2 The fees cover lunch, tea breaks, materials and certificate.
Job Title : 3 Official confirmation will be sent, once registration has
Email : been received.
4 Participants will need to arrange their own accommodation.
5 Attire: Smart Casual
Tel : ( )
Cancellations/Substitutions
Organization :
Substitutions are welcome at any time. Please notify us at
Address : least 2 working days prior to the event. All cancellations will
carry a 10% cancellation fee, once a registration form is
received. All cancellations must be in writing by fax or email
at least 2 weeks before the event date. Cancellations with
less than 2 weeks prior to the event date carry a 100% liability.
However, course materials will still be couriered to you.
Signature : Date: / /
Thank you for your registration!
FEES (please tick as appropriate) PAYMENT DETAILS
Payment is required within 5 days upon receipt of
USD 2,895 per delegate the invoice.
USD 7,800 - Special for Group of 3 Bank transfer:
USD 12,000 - Special for Group of 5 360 BSI (M) Sdn Bhd
The fee does not include any taxes (withholding or otherwise). In case of any taxes applicable
HSBC Bank Malaysia Berhad
the client has to ensure that the taxes are paid on top of the investment fee paid for the course. Bukit Bintang Branch, Kuala Lumpur, Malaysia
Compliance with the local tax laws is the responsibility of the client.
Account No: 203-371059-725
* Save up to 50% for In-house Training program Swift No: HBMBMYKL
All payments must be received prior to the event date
© 360 BSI (M) Sdn Bhd (833835-X), Level 8 Pavilion KL, 168 Jalan Bukit Bintang, 55100 Kuala Lumpur, Malaysia. www.360bsi.com/safety 3