This document provides an agenda for a level 1 Root Cause Failure Analysis (RCFA) course. It discusses principles of RCFA including complexity, interdependence, and entropy. It introduces techniques for RCFA including considering the part and whole, visible versus invisible causes, and the FRETTLS technique. The document emphasizes that there is never a single root cause for failures and discusses developing mindfulness to properly understand root causes and failure conditions.

1. Root Cause Failure
Analysis
Improving Reliability, Availability & Performance of Engineered Systems
By
Dibyendu De
Reliability Management Consultant Pvt. Ltd.

2. 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

3. Is RCFA the right term to use?
May be it should be called "RCFU" - Root Cause Failure Understanding
Or
"URC" - Understanding Root Causes since there is never ever "one cause" for any failure
Or
"RCF" - Root Conditions for Failure - since number of conditions come together for a failure to happen.
Examples:

4. Why RCFA?
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.
Examples:

5. RCFA Case Studies
Please wait....
Starts with Chapter 1 of the book Winning Anywhere the Power of See.. The "Sa" of Mr. Giri.
More case studies....

6. Principles of RCFA - Complexity
1. Energy flow
2. Interactions
3. Interdependence
4. Entropy
Simple examples:

7. Not One; Not Two
Reading from the book... Winning Anywhere the Power of See...
Simple examples:

8. Part & the Whole
How does one see the whole?
Examples:

9. Visible & the Invisible
Axiom: What is visible is seldom the problem; what is invisible is the problem.
Cases...

10. FRETTLS Technique
F = Forces
R = Reactions
E = Environment
T = Temperature
T = Time
L = Lubrication
S = Space, structure, speed, sync, substance, specifications, soil, .....
+
PLS3D Process
Examples:

11. Developing Mindfulness
1. Mindfulness training
2. Games
3. Principles
4. Design Awareness
5. Journal
6. Books
7. Twitter & Facebook

12. Thank You
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www.rgbwaves.com