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24th Annual HPRCT Conference
June 19-22, 2018
Marriott Riverwalk
San Antonio, Texas
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Tuesday, June 19 • 3:10pm - 4:00pm
Top-Ten Common Cause Patterns

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This session will examine the top-ten causal patterns.  It will demonstrate different specific manifestations of these patterns.  And it will demonstrate how to string combinations of causal patterns together to analyze a problem.
People are very good at identifying patterns in the random chaos of nature.  We use these patterns to help us quickly recognize and respond to opportunities and threats.  These patterns are built through experiences – we are not born with them.  And since we all have unique experiences, we each build a unique set of causal patterns that help us navigate our specific corners of the world.
This pattern-recognition process occurs in root cause analysis as well.  After investigating dozens of events, consistent similar causal patterns start to materialize.  The more-experienced investigators use these patterns to help analyze the causes of new events.  The use of patterns, or templates, helps dramatically decrease the time to complete an RCA and helps to ensure a more accurate and thorough analysis.
As instructors, we often hear the comment “It looks easy... when you do it!”  And so it is.  A major factor in why this is true has to do with how the experienced investigator collects, accesses, and deploys their unique set of causal patterns.

Speakers
avatar for Brian Hughes

Brian Hughes

Vice-President and Co-Founder, Sologic, LLC
Working with clients to develop and implement enterprise-wide RCA programs, Brian also has led significant root cause incident investigations, including explosions, loss of primary containment, consumer product contamination, failures of critical aircraft components/systems, supply... Read More →


Tuesday June 19, 2018 3:10pm - 4:00pm
Salon E

Attendees (6)