Identifying organizational deficiencies through root-cause analysis

Tuli, RW; Apostolakis, GE; Wu, J-S

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	https://dspace.lib.ntua.gr/xmlui/handle/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