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Multiple-cause systems-oriented incident investigation , logic trees

The earliest logic trees were based on engineering fault tree analysis methods. Today, companies use a number of variations or combinations of logic trees and call them by different names, such as Why Tree,< 9) Causal Tree,(20,21) Cause and Effect Logic Diagram (CELD),<22) and Multiple-Cause, Systems-Oriented Incident Investigation (MCS011).<23,24) tools have more similarities than differences. [Pg.54]

Causal Trees were developed in an effort to use the principles of deductive logic found in Fault Tree but make it more user-friendly. Originally, private companies developed the Causal Tree Method (CTM) for safety, process safety, and environmental incident investigations applications. Rhone-Poulenc, for example, was an early user.<20.21) Multiple-Cause Systems Oriented Incident Investigation (MCSOfl) is another name for the CTM. At this time, most companies use simplified versions of fault trees for complex incident investigations. [Pg.55]

Rohm and Haas uses Multiple-Cause, Systems-Oriented Incident Investigation techniques (MCSOII), or mac-soy. It is a direct adaptation of the Fault Tree Analysis logic and the Deming Principles of Systems and Quality. [10] The method was developed to improve the overall quality of investigations, to increase the uniformity of investigation made by various teams, and improve the usefulness of the proposed corrective actions. The quality of the mac-soy or MCSOII investigation is improved because the method [10]... [Pg.296]


See other pages where Multiple-cause systems-oriented incident investigation , logic trees is mentioned: [Pg.202]   
See also in sourсe #XX -- [ Pg.202 ]




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Incidents investigation

Incidents, causes

Logic trees

Logical tree

Multiple systems

Multiple-Cause

Multiple-Cause, Systems-Oriented

Multiple-cause systems-oriented incident

Multiple-cause, systems-oriented incident investigation

Multiplication logic

Systems investigated

Systems-Oriented Incident Investigation

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