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Contributed Files

The GOAL / OBJECTIVE of Root Cause Analysis
Investigative Processes
Generic RCA Process Map #1
Generic RCA Process Map #2
Generic RCA Score Sheet
Generic Tree of Causes
The Phoenix Approach
The Phoenix Approach - Discussion
Seven-Step Process
Comprehensive List of Causes (from CCPS Book)
How to decide which PROBLEMS (opportunities, weaknesses) are AMENABLE to Root Cause Analysis? Condition Report Profiling
Working with Evidence
Team Issues (who should be on the team meeting agenda's, etc)  
The Use of TREES, DIAGRAMS, and other charts to show cause and effect relationships  
Management Systems - Latency The Management Systems Dilemma
Handling Human Issues Common Cause Analysis
Factors Effecting Error and Event Probabilities
Human Performance Error Types
Human Performance from the Start
What Do You Mean I Can't Discipline Him?
Team Issues Evaporating Cloud Example 1
Evaporating Cloud Example 2
MBTI-Types Prayers
Problem Investigation Teams
Handling Results - Assuring Action Collective Significance Analysis
Recurring Causes of Recent Chemical Accidents
Systematic Approach to Corrective Action Improvement
Thirteen Steps of a World-Class Corrective Action Program
What We Are Learning from our Root Cause Analyses A Profound Question
A Profound Answer
Asphaliah PowerPoint Presentation
Failure to Communicate
Foreign Material Management PowerPoint Presentation
New Century Same Humanity
Pre-Job Briefing Work Sheet
Principals of Nuclear Power Plant Operational Safety
Post-Job Critique
The Revelations of Asphaliah Text
Thinking Skill Optimization
Thinking Skill PowerPoint Slides
Why We Take Risks
World Class Maintenance PowerPoint Slides
Refueling Vehicles Safely
Past Investigations BP Texas City Explosion
9/11:  Engineering Analysis
Columbia Disaster:  PowerPoint Thermocouple Slide Show
Columbia Disaster:  NASA Safety Culture
Davis-Besse:  Gilinski Washington Post Article
Davis-Besse:  Davis-Besse Narrative 06/30/2002 (Corcoran)
Ski Helmet Strangle: Newspaper Article
Ski Helmet Strangle:  Mock Investigative Report by Corcoran
Ski Helmet Strangle:  Mock Investigative Report by Nelms
Petrobas Oil Platform Collapse:  Final Report
Petrobas Oil Platform Collapse:  Petrobas Speech on new platform
Petrobas Oil Platform Collapse:  PowerPoint Slide Show
Singapore Airline Crash:  PowerPoint Slide Show
Singapore Airline Crash:  Text
Toulouse:  Explosion Documentary
Toulouse:  Mock Investigative Proposal from Nelms
Deaths Due to Medical Gas Mix-ups
Oil on the Floor - A Root Cause Classic Legend
The Case of the Runaway Filter
Wrong Patient Mix-up
Consultants and their Files

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