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Identifying organizational deficiencies through root-cause analysis

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dc.contributor.author Tuli, RW en
dc.contributor.author Apostolakis, GE en
dc.contributor.author Wu, J-S en
dc.date.accessioned 2014-03-01T01:44:45Z
dc.date.available 2014-03-01T01:44:45Z
dc.date.issued 1996 en
dc.identifier.issn 00295450 en
dc.identifier.uri http://hdl.handle.net/123456789/24470
dc.relation.uri http://www.scopus.com/inward/record.url?eid=2-s2.0-0030417082&partnerID=40&md5=905c8355961fe32c6d92fdc1d15cf3a9 en
dc.subject Organizational factors en
dc.subject Root-cause analysis en
dc.subject Work processes en
dc.subject.other Failure analysis en
dc.subject.other Human engineering en
dc.subject.other Plant management en
dc.subject.other Machine interaction en
dc.subject.other Organizational deficiencies en
dc.subject.other Organizational factors en
dc.subject.other Plant work processes en
dc.subject.other Root cause analysis en
dc.subject.other Nuclear power plants en
dc.title Identifying organizational deficiencies through root-cause analysis en
heal.type journalArticle en
heal.publicationDate 1996 en
heal.abstract All nuclear power plants incorporate root-cause analysis as an instrument to help identify and isolate key factors judged to be of significance following an incident or accident. Identifying the principal deficiencies can become very difficult when the event involves not only human and machine interaction, but possibly the underlying safety and quality culture of the organization. The current state of root-cause analysis is to conclude the investigation after identifying human and/ or hardware failures. In this work, root-cause analysis is taken one step further by examining plant work processes and organizational factors. This extension is considered significant to the success of the analysis, especially when management deficiency is believed to contribute to the incident. The results of root-cause analysis can be most effectively implemented if the organization, as a whole, wishes to improve the overall operation of the plant by preventing similar incidents from occurring again. The study adds to the existing root-cause analysis the ability to localize the causes of undesirable events and to focus on those problems hidden deeply within the work processes that are routinely followed in the operation and maintenance of the facility. en
heal.journalName Nuclear Technology en
dc.identifier.volume 116 en
dc.identifier.issue 3 en
dc.identifier.spage 334 en
dc.identifier.epage 358 en


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