Getting to Root Cause and Corrective Actions

When conducting the accident or incident investigation, try and use a neutral room rather than a manager s office. That will help set people at ease. Included in the investigation meeting should be the Individual or individuals involved in the incident, their supervisor, an HR representative, and a facilitator to lead the investigation. Others can be added as appropriate. 

If someone is injured at work, the last statement I make during the accident Investigations is I am sorry you were hurt at work. I say it like I mean it because I do. Even when they have violated known safety rules, I say it. Even if they are disciplined for that safety violation, I say it. It is important 

Lean Safety Transforming your Safety Program with Lean Management 

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Plan Plant general manager decides that he will lead an incident investigation for all forklift incidents in order to get to root causes and corrective actions. 

Lead all accident investigations using lean tools to get to root cause and corrective actions. 

CE has suffered from an assortment of common operator errors, which in turn have characterized the technique as not being robust. Like any analytical piece of equipment, there can be hardware and chemistry/operator issues. CE requires a keen background and user knowledge of the technique so as to avoid common problems that may initially be diagnosed as instrumental issues. For the early user of CE, the table below lists some common problems followed by their root causes and corrective actions. Following the suggested corrective actions should help the beginner get the maximum performance out of the CE instrumentation. 

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