Root Cause Failure
Improving Reliability, Availability & Performance of Engineered Systems
Reliability Management Consultant Pvt. Ltd.
Agenda for Level 1 course
1. RCFA case studies
2. Energy Principle of RCFA
3. Not One; Not Two
4. Part & the Whole
5. Visible & the Invisible
6. FRETTLS technique
7. Developing Mindfulness of the Analyst
Is RCFA the right term to use?
May be it should be called "RCFU" - Root Cause Failure Understanding
"URC" - Understanding Root Causes since there is never ever "one cause" for any failure
"RCF" - Root Conditions for Failure - since number of conditions come together for a failure to happen.
1. The only way to improve functioning of any complex system.
2. Great way to learn and teach
3. Easiest way to simultaneously eliminate multiple failures.
RCFA Case Studies
Starts with Chapter 1 of the book Winning Anywhere the Power of See.. The "Sa" of Mr. Giri.
More case studies....
Principles of RCFA - Complexity
1. Energy flow
Not One; Not Two
Reading from the book... Winning Anywhere the Power of See...
Part & the Whole
How does one see the whole?
Visible & the Invisible
Axiom: What is visible is seldom the problem; what is invisible is the problem.
F = Forces
R = Reactions
E = Environment
T = Temperature
T = Time
L = Lubrication
S = Space, structure, speed, sync, substance, specifications, soil, .....