QMSS Root Cause Analysis - Sample Slides
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2016 Irish Ergonomics Society - HFE in oil and gas
Human Factors Engineering (HFE) aims to optimize human contribution to production while minimizing risks to health and safety. HFE involves understanding interactions between people and systems, and ensuring systems are designed so that human errors are eliminated, reduced or mitigated. It also improves human efficiency. HFE is particularly important when designing elements that involve human activities critical to maintaining process or major accident safety barriers. Common challenges include the immature nature of HFE, lack of knowledge and specialists, and integrating HFE too late in projects. Examples of good and bad HFE practices in areas like access, labeling, controls and alarms are provided.
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Sergey Gordeychik, Security Metrics for PCI DSS Compliance
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Management of control room alarms
Introduction to the management of control room alarms including guidance from EEMUA 191.
Control Room Operators receive alarms from the systems they use to monitor and control
Alarms should warn about situations that require a prompt response
There are many problems with alarms.
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2016 Irish Ergonomics Society - HFE in oil and gas
Human Factors Engineering (HFE) aims to optimize human contribution to production while minimizing risks to health and safety. HFE involves understanding interactions between people and systems, and ensuring systems are designed so that human errors are eliminated, reduced or mitigated. It also improves human efficiency. HFE is particularly important when designing elements that involve human activities critical to maintaining process or major accident safety barriers. Common challenges include the immature nature of HFE, lack of knowledge and specialists, and integrating HFE too late in projects. Examples of good and bad HFE practices in areas like access, labeling, controls and alarms are provided.
Human Factors Engineering (HFE) at the early phoases of a project
Presented at the EHF conference 2017. Encouraging the inclusion and consideration of human factors engineering as early as possible in a project
U08784 part 2 presentation
The document discusses the risks associated with a project to develop a web application for a furniture company. It identifies several risks such as issues with new technology, insufficient development time, and technical or quality problems. Mitigation strategies are proposed for the two major risks of data security issues related to new cloud technology and the development time possibly being insufficient.
Sergey Gordeychik, Security Metrics for PCI DSS Compliance
The document discusses the importance of security metrics for achieving and maintaining compliance with the Payment Card Industry Data Security Standard (PCI DSS). It outlines several types of metrics that can be used, including compliance metrics to measure adherence to requirements, labor input metrics to assess resources spent, and process metrics related to technical controls. The document also provides examples of metrics like percentage of workstations with antivirus and time to patch critical vulnerabilities. Overall security metrics allow organizations to quantify security levels, identify problems, and guide remediation efforts for PCI DSS compliance.
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Aims to develop Conceptual Approach in the participants for Troubleshooting of Chemical Process Industry’s routine problems independently.Marcep Inc. understands that in current economic climate, getting an excellent return on your training investment is critical for all our clients.
Management of control room alarms
Introduction to the management of control room alarms including guidance from EEMUA 191.
Control Room Operators receive alarms from the systems they use to monitor and control
Alarms should warn about situations that require a prompt response
There are many problems with alarms.
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2007 Ergonomics society - What works in industry
This document provides a summary of a presentation on applying human factors and ergonomics principles to oil, gas, and chemical industries. It outlines a methodology for systematically analyzing tasks at a gas terminal to identify procedure, training, and competence assessment needs. Key tasks are identified and assigned criticality ratings. The appropriate type of work instructions, training approach, and competency assessment method are then determined based on each task's criticality. This helps focus human factors efforts according to process risk.
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QASource presented on reducing false positives in automated testing. Some key points:
1. False positives occur when tests are incorrectly marked as failed when they should have passed. Common causes include reliance on UI elements, synchronization issues, and unstable test code.
2. False positives can impact automation by wasting time investigating failures, decreasing productivity, and obscuring real bugs.
3. Strategies to reduce false positives include using stable locators, short independent tests, dynamic synchronization, teardown logic, and re-execution of failed tests.
4. Eliminating false positives leads to more certainty in test results and reduced costs of automation.
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Manual testing involves human testers executing test cases, while automation testing uses automation tools to run test cases. Manual testing is time-consuming and relies on human resources, whereas automated testing is significantly faster. While manual testing requires investment in human resources, automation testing requires investment in testing tools and automation engineers who have programming knowledge.
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While extraneous cognitive load should decrease with use, it has also been shown that student opinion toward CBT improves with exposure. Following use of CBT, students perceive the system to be easier to use and they express more confidence in the technology. Still, there is an increased level of anxiety whenever a new technology is introduced. Students’ first experience to CBT should be deliberately designed to address common concerns. Practice quizzes can improve student acceptance of and option toward computer based testing but even these should be developed thoughtfully.
In this session, we will briefly describe our approach to the issue of student acceptance and how we utilized student concerns from a pilot to inform our full-scale implementation. Participants will have the opportunity to discuss their strategies and plans with the goal of developing a consensus around the subject of student orientation to maximize acceptance of CBT.
At the end of the session, participants will be able to:
1) Participants will become aware of the types of cognitive load that can impact student performance during CBT.
2) Participants will become familiar with the literature on student acceptance of educational technologies.
3) Participants will have the opportunity to share concerns about and strategies for student acceptance of CBT.
4) Participants will take part in building a consensus around best practices for student orientation to CBT.
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This document outlines challenges in process industries like maximizing production while ensuring quality and safety. It discusses the importance of troubleshooting skills given increasing risks and responsibilities. While most training approaches are too generic or equipment-specific, the presented approach describes a 5-phase troubleshooting methodology including understanding the background, identifying event sequences, analyzing causes, making conclusions, and providing recommendations. The goal is to teach a systematic approach while prioritizing safety.
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1. Addressing tape head failures, a major source of downtime, by tracking tape head performance metrics in real-time using mobile devices.
2. Improving product recall monitoring and data sharing between organizations in the supply chain by digitally recording and sharing recall data using mobile devices.
3. Enabling better performance monitoring across shifts by providing mobile aides to track employee activities and provide management with real-time performance data.
4. Giving supervisors insight into employee work and real-time notifications of issues by providing a dashboard view of critical activities tracked on
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Control rooms are facilities where operations can be monitored and controlled through received data and transmitted commands. They act as the "brain" of the system but deprive operators of using their senses to understand problems. Modern control rooms provide benefits like relieving operators of hazardous tasks but can also overload them with alarms and non-intuitive interfaces. A balanced and user-centered approach to control room design is needed to address issues like excessive distractions, alarms, fatigue, and unreliable communication methods. Control rooms are tools to aid people in operating systems safely and effectively.
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This document provides a summary of a presentation on applying human factors and ergonomics principles to oil, gas, and chemical industries. It outlines a methodology for systematically analyzing tasks at a gas terminal to identify procedure, training, and competence assessment needs. Key tasks are identified and assigned criticality ratings. The appropriate type of work instructions, training approach, and competency assessment method are then determined based on each task's criticality. This helps focus human factors efforts according to process risk.
Decreasing false positives in automated testing
QASource presented on reducing false positives in automated testing. Some key points:
1. False positives occur when tests are incorrectly marked as failed when they should have passed. Common causes include reliance on UI elements, synchronization issues, and unstable test code.
2. False positives can impact automation by wasting time investigating failures, decreasing productivity, and obscuring real bugs.
3. Strategies to reduce false positives include using stable locators, short independent tests, dynamic synchronization, teardown logic, and re-execution of failed tests.
4. Eliminating false positives leads to more certainty in test results and reduced costs of automation.
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This document summarizes an OSHA compliance training that teaches facilities how to conduct safety and security assessments without hiring outside consultants. It covers areas like why assessments are important, the assessment process using tools and checklists, reporting findings, legal issues, and presenting results. The training benefits roles like HR, facilities, security, and safety professionals who are responsible for workplace security.
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Presented by Veronica Michaelsen and Stephanie Sarandos
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Computer-based testing (CBT) offers a variety of advantages over paper-based testing including improved security and ease of longitudinal tracking of student performance over all phases of the curriculum. However, CBT, like any other innovation, should be implemented thoughtfully. Any successful implementation strategy must account for student acceptance and provide sufficient practice that the extraneous cognitive load is minimized.
While extraneous cognitive load should decrease with use, it has also been shown that student opinion toward CBT improves with exposure. Following use of CBT, students perceive the system to be easier to use and they express more confidence in the technology. Still, there is an increased level of anxiety whenever a new technology is introduced. Students’ first experience to CBT should be deliberately designed to address common concerns. Practice quizzes can improve student acceptance of and option toward computer based testing but even these should be developed thoughtfully.
In this session, we will briefly describe our approach to the issue of student acceptance and how we utilized student concerns from a pilot to inform our full-scale implementation. Participants will have the opportunity to discuss their strategies and plans with the goal of developing a consensus around the subject of student orientation to maximize acceptance of CBT.
At the end of the session, participants will be able to:
1) Participants will become aware of the types of cognitive load that can impact student performance during CBT.
2) Participants will become familiar with the literature on student acceptance of educational technologies.
3) Participants will have the opportunity to share concerns about and strategies for student acceptance of CBT.
4) Participants will take part in building a consensus around best practices for student orientation to CBT.
Process plant troubleshooting
This document outlines challenges in process industries like maximizing production while ensuring quality and safety. It discusses the importance of troubleshooting skills given increasing risks and responsibilities. While most training approaches are too generic or equipment-specific, the presented approach describes a 5-phase troubleshooting methodology including understanding the background, identifying event sequences, analyzing causes, making conclusions, and providing recommendations. The goal is to teach a systematic approach while prioritizing safety.
2012 Young Generation Network - Task analysis
Event organised by the IMechE and Nuclear Institute or recent graduates working in the power generation industry.
Introduction to task analysis.
Process Troubleshooting
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Predictive Analytics in Software Testing
The document discusses challenges faced by companies with both in-house and outsourced software testing. It introduces predictive analytics as a solution to address common challenges like managing multiple releases and tools, measuring productivity, and generating customized reports. Predictive analytics uses models to analyze test data and predict issues, risks, delays and determine how to optimize testing. Integrating predictive analytics into a testing framework can help reduce costs, improve quality and make better decisions.
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This document outlines common mistakes made by new performance test engineers. It discusses 6 main mistakes: 1) only checking HTTP status codes without validating transactions, 2) using improper think and pause times, 3) prematurely identifying bottlenecks without root cause analysis, 4) making false assumptions during tests, 5) attempting analysis before tests complete, and 6) getting stuck on anomalies that don't reproduce by only running tests once. The document emphasizes the importance of validation, realistic timing, methodical testing, letting tests complete before analysis, and running tests multiple times to avoid non-reproducible issues.
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This document discusses five potential single-shift continuous improvement projects that can be implemented using mobile devices and monitoring software. The projects are:
1. Addressing tape head failures, a major source of downtime, by tracking tape head performance metrics in real-time using mobile devices.
2. Improving product recall monitoring and data sharing between organizations in the supply chain by digitally recording and sharing recall data using mobile devices.
3. Enabling better performance monitoring across shifts by providing mobile aides to track employee activities and provide management with real-time performance data.
4. Giving supervisors insight into employee work and real-time notifications of issues by providing a dashboard view of critical activities tracked on
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The document discusses preventing bugs in software development. It notes that while zero bugs is not possible, the author's team actively works to prevent them. Some ways discussed to prevent bugs include fixing environmental causes, education, lean processes like limiting work in progress, thorough testing, collaboration techniques, and continuous delivery practices. When bugs do occur, the team determines customer impact and fixes issues accordingly without a dedicated QA team.
2010 IBC - Managing risks of control room operations
Control rooms are facilities where operations can be monitored and controlled through received data and transmitted commands. They act as the "brain" of the system but deprive operators of using their senses to understand problems. Modern control rooms provide benefits like relieving operators of hazardous tasks but can also overload them with alarms and non-intuitive interfaces. A balanced and user-centered approach to control room design is needed to address issues like excessive distractions, alarms, fatigue, and unreliable communication methods. Control rooms are tools to aid people in operating systems safely and effectively.
Root Cause Analysis and Corrective Actions
A snapshot of 5 of the most popular root cause analysis methods for EHS incident investigation, plus how to manage follow up corrective and preventive actions effectively. Read the full report here: https://www.pro-sapien.com/resources/downloads/root-cause-analysis/
Fundamentals of testing - Testing & Implementations
As we go through this section, watch for the Syllabus terms bug, defect, error, failure, fault, mistake, quality, risk, software, testing and exhaustive testing. You'll find these terms defined in the glossary.
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Contingency plans
This document outlines potential problems, effects, and solutions for Will Stewart's Creative Media Level 3 Year 1 Print Project. It identifies 4 categories of considerations - technical, organizational, logistical, and personnel. For each potential problem such as software crashing, data being lost or destroyed, photos being damaged, or illness/injury, it describes the effect on production and provides a solution and person responsible. Regular saving of work, backups, securing photos, and planning for absences are some of the solutions proposed to mitigate risks to the project.
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Hippo e book 911 emergency
The document discusses the benefits of implementing a computerized maintenance management system (CMMS) for maintenance departments. It notes that maintenance departments can struggle with equipment failures, backlogs of work orders, and lack of preventative maintenance when not using a CMMS. In contrast, a CMMS provides benefits like centralized record keeping to save time and money, automated workflows to improve from reactive to planned maintenance, and analytics to make better informed decisions. The CMMS also allows secure remote access to maintenance data from mobile devices.
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Pre- tailored Quality Improvement course for the workers at VACSERA operational, administrative deptrments
ITlecture1.ppt
The document provides an introduction to a course on Business Process Management (BPM). The objective of the course is to introduce the concept of business processes and the discipline of modeling, analyzing, automating and monitoring business processes. The course structure includes 14 lectures and 14 practice sessions covering principles of BPM, process modeling, analysis, automation, monitoring and mining. Students will complete assignments and a team project. The document outlines the grading structure and readings for the course.
Qas powerpoint presentation (revised)
Quality Assurance Services, Inc. provides quality assurance services including receiving inspection, containment, sorting, inspection, rework, repair, and warehousing for customers. Its mission is to be a successful supplier committed to continuous improvement, customer satisfaction, employee development, long-term partnerships, growth and profitability. It aims to be the industry leader in quality services through strategic partnerships. The company orients its processes around customer requirements and satisfaction through effective inspection, containment of non-conforming products, and meeting production schedules.
Popular Pitfalls In Sdlc Phases 1
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Quality and control Management
This document discusses concepts and tools related to Total Quality Management (TQM). It first defines the basic concepts of TQM which include customer focus, continuous process improvement, and employee empowerment. It then describes several tools that can be used for continuous quality improvement, including process charts, control charts, cause-and-effect diagrams, check sheets, histograms, and Pareto charts. Next, it explains the 5S methodology for workplace organization and standardized cleaning. Finally, it distinguishes between Quality Assurance which focuses on preventing defects, and Quality Control which detects defects in final products.
Does Automation reduce costs incurred by a company?
This document summarizes research into the use of automation tools in software development to reduce costs. Interviews with managers at Capgemini and a survey of 34 employees found that the primary motivations for automation were to improve productivity and processes. However, respondents also expressed fears of job loss. Key challenges identified were defining automated processes and overcoming perceptions that automation is externally imposed. The document concludes by recommending how to address these challenges and limitations, such as providing training and ensuring automation is implemented appropriately.
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There's no time to test, can you just automate it? by Anna Heiermann
Anna Heiermann discusses lessons learned from past testing failures and advocates for a risk-based testing approach. A risk-based strategy involves identifying product risks, prioritizing test cases based on risk, and communicating the test plan to stakeholders. This helps ensure the highest priority and most critical areas are tested thoroughly. When risks are missed, it can lead to catastrophic bugs affecting users and lost revenue. With a risk-based approach, testing is targeted efficiently to reduce risks while keeping stakeholders informed.
Three primary steps in maintenance reliability engineering
The document outlines three primary steps in maintenance reliability engineering:
1. Measure availability and identify failure-prone equipment by calculating metrics like MTBF, MTTR, and MLDT.
2. Perform root cause failure analysis to determine the underlying causes of failures and their costs.
3. Develop and implement corrective job plans using reliability centered maintenance principles to eliminate causes and manage failures, aimed at increasing availability and reducing costs over time.
Managing Quality
The document discusses quality management concepts including Taguchi concepts, quality robustness, quality loss functions, and the seven tools of total quality management (TQM). It explains that Taguchi concepts aim to improve product and process design through experimental design methods. The seven tools of TQM are described as check sheets, scatter diagrams, cause-and-effect diagrams, Pareto charts, flowcharts, histograms, and statistical process control charts. Inspection methods and determining when and where to inspect are also summarized.
Lecture 4 Root Cause Analysis in Company
This document discusses root cause analysis (RCA) and provides information about conducting RCA investigations. It defines RCA and lists its key benefits as preventing problems from recurring, eliminating risks, protecting reputation, and reducing losses. The document outlines the typical steps in RCA, including identifying the problem, implementing immediate containment actions, defining the RCA process, validating solutions with data, and ensuring problems never return. It also discusses the importance of identifying the root cause rather than the initial response and provides examples of applying the "five whys" technique to determine the root cause.
Research on BPA
Automation can reduce project costs by eliminating delays and improving efficiency. A research report analyzed the impact of automation tools on software development costs through literature reviews, interviews, and surveys. The primary motivations for automation were found to be improving quality and reducing costs. Challenges included defining automated processes and overcoming employees' reluctance to change. Surveys indicated that employees fear job loss from automation. To successfully implement automation, clear processes must be defined and employees trained, while avoiding perceived threats to jobs. Addressing these social and technical challenges can allow organizations to benefit from the increased efficiency and reduced costs that automation can provide.
problem-solving-training.pdf
1) The document provides an overview of quality problem solving tools including the 8D (Eight Disciplines) problem solving method, 5 Whys process, and Ishikawa (fishbone) diagram.
2) The 8D method is an 8-step team-based problem solving approach that focuses on containing, correcting, and preventing recurrence of problems. The steps include establishing a team, describing the problem, implementing containment actions, identifying root causes, and validating corrective actions.
3) The 5 Whys process involves repeatedly asking "Why?" to get to the root cause of a problem. It helps identify not only why the defect occurred but also why it was not detected.
4) The Ish
Total Quality Management Principles
Total Quality Management (TQM) is a methodology that focuses on customer satisfaction and views quality as a strategic issue. The key principles of TQM include making quality everyone's responsibility, continuous quality improvement, cooperation between employees and management, and training. The Plan-Do-Check-Act cycle is used for continuous process improvement by planning a change, implementing it, checking the results, and acting on the findings. Tools of TQM include check sheets, cause-and-effect diagrams, Pareto charts, flowcharts, histograms, and brainstorming to identify and address quality issues.
PFMEA, Risk Reduction and Effectiveness – Advance (AIAG FMEA #4 Edition)
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Is your FMEA performing for you?
This is advance level of PFMEA, Have basic understanding fo Core IATF Tools before refering to this presentation.
Root Cause Analysis .pdf
Root Cause Analysis (RCA) is a structured process that identifies the underlying causes of undesirable events. It can be used for both single and multidisciplinary cases. The RCA process involves data collection, identifying the immediate causes and basic causes of failures, and determining where lack of control contributed. Common investigation techniques include STEP, FMEA, and fault tree analysis. Laboratory analysis of failed parts is also important for identifying causes like material defects, corrosion, or overloading. Identifying root causes allows corrective actions to be implemented to prevent future recurrence.
Root Cause Analysis.pdf
Root Cause Analysis (RCA) is a structured process that identifies the underlying causes of undesirable events. It can be used for both single and multidisciplinary cases. The RCA process involves data collection, identifying the immediate causes and basic causes of failures, and determining the lack of controls that allowed the failure to occur. Conducting detailed analysis of failed parts through methods like STEP, FMEA, and FTA allows investigators to identify issues like material defects, improper operation, or inadequate maintenance as the root causes of failures. Addressing these root causes helps improve equipment reliability and availability while reducing maintenance costs and downtime.
8 D Report
This document outlines an 8-discipline methodology for systematically solving problems and documenting corrective actions. It involves assembling a team to: 1) build teamwork, 2) understand the problem, 3) take interim actions, 4) analyze root causes, 5) implement permanent corrective actions, 6) implement the actions, 7) take preventative actions, and 8) submit a report and congratulate the team. The roles of champion, team leader, facilitator and members are defined. Methods for root cause analysis such as why-why analysis, fishbone diagrams and experiments are provided. Steps are outlined for verifying the effectiveness of corrective actions and preventing future nonconformances.
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The document discusses improving cloud vendor security assessments between customers and vendors. It outlines the challenges both parties face, including the overwhelming volume of assessments vendors receive and customers asking the wrong questions. The document provides recommendations for both customers and vendors, such as customers assessing the security of the solution and not just the vendor, and vendors establishing dedicated security teams to efficiently respond to assessments. The goal is for both parties to work together to continuously improve the security assessment process.
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QMSS Root Cause Analysis - Sample Slides
- 1. When should root cause analysis be performed? Computer issues Excess Inventory Supplier Defects Overspending Budget Missed Deliveries Safety Issues Workmanship Defects Scrap Problems medical errors Machine Defects Out of Control Process Human Error Audit Finding When PROBLEMS occur !!
- 2. How does it work? PROCESS D PROCESS C PROCESS B PROCESS A CUSTOMER Nothing is allowed to further escape to the customer Contain the problem…
- 4. Root Cause Engineering ordered it that way from vendor Part is not marked properly Part reversed Worker not sure of correct part orientation Why?
- 5. Cause and Effect Didn’t complete project on time Equipment Materials Personnel Procedures Lack of worker knowledge Poor project mgmt skills Poor project plan Inadequate computer programs Inadequate computer system Poor documentation Lack of resources
- 6. Additional Resources Quality Management Systems Solutions http://www.qmss.biz
Editor's Notes
- When should we perform root cause analysis? All the time! When you do not dig deep enough into the detail of these problems, you should expect them to continue to reoccur time and time again Add your company lingo and terminology!