Improvement 2 rca methodology there are many rca methodologies available for incidental events investigation for the two case studies describe herein, we have the structured methodology originally developed by apollo associated services (gano, 2003), which is designed to minimize personal bias and maximize. Fishbone diagrams, also known as ishikawa or cause-and-effect diagrams, are often used in six sigma projects, but the apollo root cause analysis method designed by arca is the brainchild of dean gano, who studied a variety of root cause analysis tools and methodologies and identified what he considered to be. Trouble aboard apollo xiii reprinted apollo xiii, carrying three people toward the moon at incredible speed, was rapidly losing power and could shortly become a dead body a disaster it was weeks before the root cause of this problem was established through on-the-ground testing and experimentation two weeks. Failure analysis, which generally consists of a systematic approach using both mechanical and metallurgical analyses to determine the mode of failure, provides the foundation for any root cause analysis of the probative issues this topic covers failure analysis case studies on drill pipe and casing joints. Root cause analysis corrective action verification & validation registration management committee (rmc) auditor training and workshop minneapolis, mn examples of traditional root causes tend to focus on lack of, or currency of a procedure, training of stakeholders in applicable policy/procedures, lack of an. Root cause analysis examples using the apollo rca methodology real examples taken from investigations.
Seal failure caused by poor maintenance the concept of infinite chain of causation reference: apollo root cause analysis, dean l gano effects causes applied by dean l gano in apollo root cause analysis - a new way of thinking, he “root cause” • case study 1: jefferson memorial. This will help when you get to the case study module on the course papers will be root cause analysis (rca) is a process deigned to help determine the causes of events – typically bad events root cause analysis gets us based on apollo root cause analysis: a new way of thinking, d gano 20 of 48 root cause. Learn how organizations have successfully implemented root cause analysis ( rca) processes and methods.
Rcmcost is the maintenance optimisation module of availability workbench that allows maintenance tasks to be evaluated over a lifetime failure mode analysis can also be performed to improve maintenance strategies. Sensemaking is as an essential part of the design process leading to risk informed design sensemaking serves as a conceptual framework to bring together well established approaches to assessment of risk and hazards: (1) at the single event level using root cause analysis (rca), (2) at the processes level using failure.
Root cause analysis for major food manufacturer how a major food company makes the most out of the apollo root cause analysis methodology the company a multinational food processing company that produces a wide variety of private-label packaged foods and employs thousands of workers across 20 different. (rcca) process the focus here includes the step beginning with the failure and ending with the root cause analysis step it is also based on the rci teams' although there are many failure investigation studies available, there is a smaller sample of ground our case study addresses a recurring failure where the. Study from the refining industry to present the effectiveness of cause mapping in eliminating these three barriers this case study shows that cause mapping is an efficient, effective and easy-using method index terms— cause mapping, quality control, refinery root cause analysis i introduction. Through these root cause analysis examples and case studies, learn how sologic team members have helped leading organizations solve problems, boost efficiency and sce called in the sologic team (formerly apollo associated services) to provide counsel on building the root cause analysis (rca) program, to begin.
Apollo rca™ (arca™) is a new way of thinking that goes far beyond the traditional root cause analysis problem solving processes it facilitates the creation of a common reality using input from all stakeholders to produce an evidence-based understanding of the problem ensuring your solutions address proven causes. Apollo root cause analysis is a method for failure analysis that consists of drawing a cause–effect tree (gano, 2007), see fig the fact that the space shuttle challenger disaster has been studied extensively and from various perspectives makes it an interesting case to evaluate our approach and contrast it to previous. I thought you might be most interested in case studies which provide examples of how root cause analysis has been used i found almost 40 case studies which focus on root cause analyais and i've listed some case studies below which i thought would be helpful: “eastman chemical's success story“.