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| apollo root cause analysis: Apollo Root Cause Analysis Dean L. Gano, 2008 The purpose of this book is to share what the author has learned about effective problem solving by exposing the ineffectiveness of conventional wisdom and presenting a principle-based alternative called Apollo Root Cause Analysis that is robust, yet familiar and easy to understand. This book will change the way readers understand the world without changing their minds. One of the most common responses the author has received from his students of Apollo Root Cause Analysis is they have always thought this way, but did not know how to express it. Other students have reported a phenomenon where this material fundamentally re-wires their thinking, leading to a deeply profound understanding of our world. At the heart of this book is a new way of communicating that is revolutionizing the way people all around the world think, communicate, and make decisions together. Imagine a next decision-making meeting where everyone is in agreement with the causes of the problem and the effectiveness of the proposed corrective actions with no conflicts, arguments, or power politics! This is the promise of Apollo Root Cause Analysis. |
| apollo root cause analysis: ARMS Apollo Root Cause Analysis Dean Gano, 2012-04-11 MRC-210A4N is a training manual developed by Mr. Gano to be used as companion to RealityCharting(r) software in teaching the Apollo Method of root cause analysis. |
| apollo root cause analysis: Apollo Root Cause Analysis with RealityCharting; Queens English; MRC-210A4 Dean Gano, 2006 |
| apollo root cause analysis: Root Cause Analysis, Second Edition Bjørn Andersen, Tom Fagerhaug, 2006-01-01 This updated and expanded edition discusses many different tools for root cause analysis and presents them in an easy-to-follow structure: a general description of the tool, its purpose and typical applications, the procedure when using it, an example of its use, a checklist to help you make sure if is applied properly, and different forms and templates (that can also be found on an accompanying CD-ROM). The examples used are general enough to apply to any industry or market. The layout of the book has been designed to help speed your learning. Throughout, the authors have split the pages into two halves: the top half presents key concepts using brief languagealmost keywordsand the bottom half uses examples to help explain those concepts. A roadmap in the margin of every page simplifies navigating the book and searching for specific topics. The book is suited for employees and managers at any organizational level in any type of industry, including service, manufacturing, and the public sector. |
| apollo root cause analysis: RealityCharting Dean L. Gano, 2011-09 RealityCharting is a new way of thinking that goes far beyond the traditional root cause analysis problem-solving processes. It provides structure to each stakeholder's reality, thus creating a common reality that all can buy into. In this companion book to the RealityCharting software, you will not only discover a simple process that defines the structure of causation, you will find links to online interactive exercises and training that help you better understand the process. What took days in a classroom can now be learned in a matter of hours. The RealityCharting process and software easily facilitates creating a common reality from the input of all stakeholders and thus minimizes the normal conflict and power politics found in conventional root cause analysis processes. Available in six languages, the RealityCharting software easily supports global operations and should be used to document the causes of your successes. |
| apollo root cause analysis: Root Cause Failure Analysis R. Keith Mobley, 1999-06-16 Root Cause Failure Analysis provides the concepts needed to effectively perform industrial troubleshooting investigations. It describes the methodology to perform Root Cause Failure Analysis (RCFA), one of the hottest topics currently in maintenance engineering. It also includes detailed equipment design and troubleshooting guidelines, which are needed to perform RCFA on machinery found in most production facilities. This is the latest book in a new series published by Butterworth-Heinemann in association with PLANT ENGINEERING magazine. PLANT ENGINEERING fills a unique information need for the men and women who operate and maintain industrial plants. It bridges the information gap between engineering education and practical application. As technology advances at increasingly faster rates, this information service is becoming more and more important. Since its first issue in 1947, PLANT ENGINEERING has stood as the leading problem-solving information source for America's industrial plant engineers, and this book series will effectively contribute to that resource and reputation.Provides information essential to industrial troubleshooting investigationsDescribes the methods of root cause failure analysis, a hot topic in maintenance engineeringIncludes detailed equipment-design guidelines |
| apollo root cause analysis: Root Cause Analysis in Process-Based Industries Menachem Horev, 2010-08 This book provides a Root Cause Analysis methodology for process and equipment problems with a unique insight on sources and type of problems that appear in process lines. |
| apollo root cause analysis: How to Organize and Run a Failure Investigation Daniel P. Dennies, 2005 Learning the proper steps for organizing a failure investigation ensures success. Failure investigations cross company functional boundaries and are an integral component of any design or manufacturing business operation. Well-organized and professionally conducted investigations are essential for solving manufacturing problems and assisting in redesigns. This book outlines a proven systematic approach to failure investigation. It explains the relationship between various failure sources (corrosion, for example) and the organization and conduct of the investigation. It provides a learning platform for engineers from all disciplines: materials, design, manufacturing, quality, and management. The examples in this book focus on the definition of and requirements for a professionally performed failure analysis of a physical object or structure. However, many of the concepts have much greater utility than for investigating the failure of physical objects. For example, the book provides guidance in areas such as learning how to define objectives, negotiating the scope of investigation, examining the physical evidence, and applying general problem-solving techniques. |
| apollo root cause analysis: Lunar Sourcebook Grant Heiken, David Vaniman, Bevan M. French, 1991-04-26 The only work to date to collect data gathered during the American and Soviet missions in an accessible and complete reference of current scientific and technical information about the Moon. |
| apollo root cause analysis: What Drives Quality Ben Linders, 2017-09-30 With plenty of ideas, suggestions, and practical cases on software quality, this book will help you to improve the quality of your software and to deliver high-quality products to your users and satisfy the needs of your customers and stakeholders. Many methods for product quality improvement start by investigating the problems, and then work their way back to the point where the problem started. For instance audits and root cause analysis work this way. But what if you could prevent problems from happening, by building an understanding what drives quality, thus enabling to take action before problems actually occur? What Drives Quality explores how quality plays a role in all of the software development activities. It takes a deep dive into quality by listing the relevant factors of development and management activities that drive the quality of software products. It provides a lean approach to quality by analyzing the full development chain from customer requests to delivering products to users. I'm aiming this book at software developers and testers, architects, product owners and managers, agile coaches, Scrum masters, project managers, and operational and senior managers who consider quality to be important. A book on quality should be practical. It should help you, the reader of this book, to improve the quality of your software and deliver better products. It should inspire you and give you energy to persevere on your quality journey. What drives quality tries to do just that, and more. This book is based on my experience as a developer, tester, team leader, project manager, quality manager, process manager, consultant, coach, trainer, and adviser in Agile, Lean, Quality and Continuous Improvement. It takes a deep dive into quality with views from different perspectives and provides ideas, suggestions, practices, and experiences that will help you to improve quality of the products that your organization is delivering. This book views software quality from an engineering, management, and social perspective. It explores the interaction between all involved in delivering high-quality software to users and provides ideas to do it quicker and at lower costs. |
| apollo root cause analysis: Root Cause Analysis, Second Edition Duke Okes, 2019-02-06 This best-seller can help anyone whose role is to try to find specific causes for failures. It provides detailed steps for solving problems, focusing more heavily on the analytical process involved in finding the actual causes of problems. It does this using figures, diagrams, and tools useful for helping to make our thinking visible. This increases our ability to see what is truly significant and to better identify errors in our thinking. In the sections on finding root causes, this second edition now includes: more examples on the use of multi-vari charts; how thought experiments can help guide data interpretation; how to enhance the value of the data collection process; cautions for analyzing data; and what to do if one cant find the causes. In its guidance on solution identification, biomimicry and TRIZ have been added as potential solution identification techniques. In addition, the appendices have been revised to include: an expanded breakdown of the 7 Ms, which includes more than 50 specific possible causes; forms for tracking causes and solutions, which can help maintain alignment of actions; techniques for how to enhance the interview process; and example responses to problem situations that the reader can analyze for appropriateness. |
| apollo root cause analysis: The Origin of Consciousness in the Breakdown of the Bicameral Mind Julian Jaynes, 2000-08-15 National Book Award Finalist: “This man’s ideas may be the most influential, not to say controversial, of the second half of the twentieth century.”—Columbus Dispatch At the heart of this classic, seminal book is Julian Jaynes's still-controversial thesis that human consciousness did not begin far back in animal evolution but instead is a learned process that came about only three thousand years ago and is still developing. The implications of this revolutionary scientific paradigm extend into virtually every aspect of our psychology, our history and culture, our religion—and indeed our future. “Don’t be put off by the academic title of Julian Jaynes’s The Origin of Consciousness in the Breakdown of the Bicameral Mind. Its prose is always lucid and often lyrical…he unfolds his case with the utmost intellectual rigor.”—The New York Times “When Julian Jaynes . . . speculates that until late in the twentieth millennium BC men had no consciousness but were automatically obeying the voices of the gods, we are astounded but compelled to follow this remarkable thesis.”—John Updike, The New Yorker “He is as startling as Freud was in The Interpretation of Dreams, and Jaynes is equally as adept at forcing a new view of known human behavior.”—American Journal of Psychiatry |
| apollo root cause analysis: The ASQ Quality Improvement Pocket Guide Grace L. Duffy, 2013-11-04 This pocket guide is designed to be a quick, on-the-job reference for anyone interested in making their workplace more effective and efficient. It will provide a solid initial overview of what quality is and how it could impact you and your organization. Use it to compare how you and your organization are doing things, and to see whether whats described in the guide might be useful. The tools of quality described herein are universal. People across the world need to find better, more effective ways to improve the creation and performance of products and services. Since organizational and process improvement is increasingly integrated into all areas of an organization, everyone must understand the basic principles of process control and process improvement. This succinct and concentrated guide can help. Unlike any other pocket guide on the market, included throughout are direct links to numerous free online resources that not only go deeper but also to show these concepts and tools in action: case studies, articles, webcasts, templates, tutorials, examples from the ASQ Service Divisions Service Quality Body of Knowledge (SQBOK), and much more. This pocket guide serves as a gateway into the wealth of peerless content that ASQ offers. |
| apollo root cause analysis: Brainstorming for Problems Solving Mohammed Hamed Ahmed Soliman, Quality Statistics Made Simple! Brainstorming is a conceptualizing process that is well-known for producing a large number of ideas in a short period of time. It serves as a tool for identifying difficulties and causes. This book offers an in-depth guide to the tool, including requirements, considerations, and how to completely manage the session to get the desired outcomes and solve the problem. Other tools discussed in the book include 5Whys, Pareto analysis, and Fault-Tree Analysis. |
| apollo root cause analysis: Behind Human Error David Woods, Sidney Dekker, Richard Cook, Leila Johannesen, Nadine Sarter, 2017-09-18 Human error is cited over and over as a cause of incidents and accidents. The result is a widespread perception of a 'human error problem', and solutions are thought to lie in changing the people or their role in the system. For example, we should reduce the human role with more automation, or regiment human behavior by stricter monitoring, rules or procedures. But in practice, things have proved not to be this simple. The label 'human error' is prejudicial and hides much more than it reveals about how a system functions or malfunctions. This book takes you behind the human error label. Divided into five parts, it begins by summarising the most significant research results. Part 2 explores how systems thinking has radically changed our understanding of how accidents occur. Part 3 explains the role of cognitive system factors - bringing knowledge to bear, changing mindset as situations and priorities change, and managing goal conflicts - in operating safely at the sharp end of systems. Part 4 studies how the clumsy use of computer technology can increase the potential for erroneous actions and assessments in many different fields of practice. And Part 5 tells how the hindsight bias always enters into attributions of error, so that what we label human error actually is the result of a social and psychological judgment process by stakeholders in the system in question to focus on only a facet of a set of interacting contributors. If you think you have a human error problem, recognize that the label itself is no explanation and no guide to countermeasures. The potential for constructive change, for progress on safety, lies behind the human error label. |
| apollo root cause analysis: SPC for Right-brain Thinkers Lon Roberts, 2005 Since right-brain thinkers often gravitate to service jobs, the examples used in the book follow a theme that demonstrates the use of SPC in a service organization: an imaginary law firm. These examples can be adapted to any situation and they do not require knowledge of the legal profession. Also, the theme demonstrates the process involved in planning and deploying SPC, highlighting the human factors and workplace realities that are especially critical to putting SPC to work in a service environment.--BOOK JACKET. |
| apollo root cause analysis: Medication Errors Michael Richard Cohen, 2007 In this expanded 600+ page edition, Dr. Cohen brings together some 30 experts from pharmacy, medicine, nursing, and risk management to provide the most current thinking about the causes of medication errors and strategies to prevent them. |
| apollo root cause analysis: Identifying and Managing Project Risk Tom Kendrick, 2009-02-27 Winner of the Project Management Institute’s David I. Cleland Project Management Literature Award 2010 It’s no wonder that project managers spend so much time focusing their attention on risk identification. Important projects tend to be time constrained, pose huge technical challenges, and suffer from a lack of adequate resources. Identifying and Managing Project Risk, now updated and consistent with the very latest Project Management Body of Knowledge (PMBOK)® Guide, takes readers through every phase of a project, showing them how to consider the possible risks involved at every point in the process. Drawing on real-world situations and hundreds of examples, the book outlines proven methods, demonstrating key ideas for project risk planning and showing how to use high-level risk assessment tools. Analyzing aspects such as available resources, project scope, and scheduling, this new edition also explores the growing area of Enterprise Risk Management. Comprehensive and completely up-to-date, this book helps readers determine risk factors thoroughly and decisively...before a project gets derailed. |
| apollo root cause analysis: The Challenger Launch Decision Diane Vaughan, 1996 List of Figures and TablesPreface1: The Eve of the Launch 2: Learning Culture, Revising History 3: Risk, Work Group Culture, and the Normalization of Deviance 4: The Normalization of Deviance, 1981-1984 5: The Normalization of Deviance, 1985 6: The Culture of Production 7: Structural Secrecy 8: The Eve of the Launch Revisited 9: Conformity and Tragedy 10: Lessons Learned Appendix A. Cost/Safety Trade-Offs? Scrapping the Escape Rockets and the SRB Contract Award Decision Appendix B. Supporting Charts and Documents Appendix C. On Theory Elaboration, Organizations, and Historical EthnographyAcknowledgments Notes Bibliography Index Copyright © Libri GmbH. All rights reserved. |
| apollo root cause analysis: Report of Apollo 13 Review Board United States. National Aeronautics and Space Administration. Apollo 13 Review Board, 1970 |
| apollo root cause analysis: Patient Safety in Surgery Philip F. Stahel, Cyril Mauffrey, 2014-08-20 In general, surgeons strive to achieve excellent results and ideal patient outcomes, however, this noble task is frequently failed. For patients, surgical complications are analogous to “friendly fire” in wartime. Both scenarios imply that harm is unintentionally done by somebody whose aim was to help. Interestingly, adverse events resulting from surgical interventions are more frequently related to system errors and a communication breakdown among providers, rather than to the imminent threat of the surgical blade “gone wrong”. Patient Safety in Surgery aims to increase the safety and quality of care for patients undergoing surgical procedures in all fields of surgery. Patient Safety in Surgery, covers all aspects related to patient safety in surgery, including pertinent issues of interest to surgeons, medical trainees (students, residents, and fellows), nurses, anaesthesiologists, patients, patient families, advocacy groups, and medicolegal experts. |
| apollo root cause analysis: Aeneid Virgil, 2012-03-12 Monumental epic poem tells the heroic story of Aeneas, a Trojan who escaped the burning ruins of Troy to found Lavinium, the parent city of Rome, in the west. |
| apollo root cause analysis: The Apollo Guidance Computer Frank O'Brien, 2010-06-25 The technological marvel that facilitated the Apollo missions to the Moon was the on-board computer. In the 1960s most computers filled an entire room, but the spacecraft’s computer was required to be compact and low power. Although people today find it difficult to accept that it was possible to control a spacecraft using such a ‘primitive’ computer, it nevertheless had capabilities that are advanced even by today’s standards. This is the first book to fully describe the Apollo guidance computer’s architecture, instruction format and programs used by the astronauts. As a comprehensive account, it will span the disciplines of computer science, electrical and aerospace engineering. However, it will also be accessible to the ‘space enthusiast’. In short, the intention is for this to be the definitive account of the Apollo guidance computer. Frank O’Brien’s interest in the Apollo program began as a serious amateur historian. About 12 years ago, he began performing research and writing essays for the Apollo Lunar Surface Journal, and the Apollo Flight Journal. Much of this work centered on his primary interests, the Apollo Guidance Computer (AGC) and the Lunar Module. These Journals are generally considered the canonical online reference on the flights to the Moon. He was then asked to assist the curatorial staff in the creation of the Cradle of Aviation Museum, on Long Island, New York, where he helped prepare the Lunar Module simulator, a LM procedure trainer and an Apollo space suit for display. He regularly lectures on the Apollo computer and related topics to diverse groups, from NASA's computer engineering conferences, the IEEE/ACM, computer festivals and university student groups. |
| apollo root cause analysis: Drawdown Paul Hawken, 2017-04-18 • New York Times bestseller • The 100 most substantive solutions to reverse global warming, based on meticulous research by leading scientists and policymakers around the world “At this point in time, the Drawdown book is exactly what is needed; a credible, conservative solution-by-solution narrative that we can do it. Reading it is an effective inoculation against the widespread perception of doom that humanity cannot and will not solve the climate crisis. Reported by-effects include increased determination and a sense of grounded hope.” —Per Espen Stoknes, Author, What We Think About When We Try Not To Think About Global Warming “There’s been no real way for ordinary people to get an understanding of what they can do and what impact it can have. There remains no single, comprehensive, reliable compendium of carbon-reduction solutions across sectors. At least until now. . . . The public is hungry for this kind of practical wisdom.” —David Roberts, Vox “This is the ideal environmental sciences textbook—only it is too interesting and inspiring to be called a textbook.” —Peter Kareiva, Director of the Institute of the Environment and Sustainability, UCLA In the face of widespread fear and apathy, an international coalition of researchers, professionals, and scientists have come together to offer a set of realistic and bold solutions to climate change. One hundred techniques and practices are described here—some are well known; some you may have never heard of. They range from clean energy to educating girls in lower-income countries to land use practices that pull carbon out of the air. The solutions exist, are economically viable, and communities throughout the world are currently enacting them with skill and determination. If deployed collectively on a global scale over the next thirty years, they represent a credible path forward, not just to slow the earth’s warming but to reach drawdown, that point in time when greenhouse gases in the atmosphere peak and begin to decline. These measures promise cascading benefits to human health, security, prosperity, and well-being—giving us every reason to see this planetary crisis as an opportunity to create a just and livable world. |
| apollo root cause analysis: Problem-oriented Policing Michael S. Scott, 2000 |
| apollo root cause analysis: SafeWare Nancy Leveson, 1995 We are building systems today-and using computers to control them-that have the potential for large-scale destruction of life and environment. More than ever, software engineers and system developers, as well as their managers, must understand the issues and develop the skills needed to anticipate and prevent accidents. Nancy Leveson examines what is currently known about building safe electromechanical systems and looks at past accidents to see what practical lessons can be applied to new computer-controlled systems. |
| apollo root cause analysis: The Way of the Explorer (Easyread Super Large 18pt Edition) , |
| apollo root cause analysis: The Cosmos in Ancient Greek Religious Experience Efrosyni Boutsikas, 2020-10-29 Reconstructs ancient rituals in their day/night/season combining them with relevant mythology and astronomical observations to understand the ritual's cosmological links. |
| apollo root cause analysis: Root Cause Analysis in Engineering Design , 2024-07-21 Engineering design is an intricate process that demands precision, innovation, and a keen understanding of the underlying factors that contribute to both success and failure. Introduction to Root Cause Analysis for Engineering Design is a comprehensive guide that equips engineers, designers, and quality professionals with the tools and methodologies needed to identify, analyze, and rectify the fundamental causes of problems within engineering systems. Key Features: In-Depth Exploration of RCA: Delve into the core principles and methodologies of Root Cause Analysis (RCA). Understand how RCA extends beyond merely addressing symptoms to uncover the root causes of failures, ensuring sustainable and long-lasting solutions. Historical and Theoretical Foundations: Gain insights into the historical evolution of RCA, influenced by pioneers like W. Edwards Deming and Kaoru Ishikawa. Explore the theoretical underpinnings that have shaped modern RCA practices. Practical Methodologies: Learn step-by-step processes for implementing various RCA methodologies, including Fishbone Diagrams, 5 Whys, Fault Tree Analysis (FTA), and Failure Mode and Effects Analysis (FMEA). Each method is detailed with clear instructions and practical examples. Tools and Techniques: Discover a range of statistical tools, simulation methods, and software solutions that enhance the RCA process. From Pareto Charts to advanced Big Data Analytics, this book provides a toolkit for effective problem-solving. Human Factors: Understand the critical role of human error in engineering failures. Learn techniques for identifying and mitigating human factors to improve safety and reliability in design. Implementation Strategies: Explore strategies for building an RCA culture within engineering teams. Learn about training and development programs, collaborative RCA processes, and effective communication and reporting strategies. Advanced Topics: Stay ahead of the curve with discussions on integrating RCA with Design for Six Sigma (DFSS), Agile, and Lean methodologies. Learn about the application of RCA in sustainable and eco-friendly designs, and the future role of predictive analysis and preventative measures. Challenges and Future Trends: Navigate common pitfalls in RCA and learn strategies to avoid them. Explore emerging technologies like AI, IoT, and AR/VR that are shaping the future of RCA. Understand how RCA will evolve to meet the demands of modern engineering design. Real-World Applications: Benefit from case studies and examples that illustrate RCA in action. See how effective root cause analysis can drive continuous improvement, innovation, and excellence in engineering design. Why This Book? Introduction to Root Cause Analysis for Engineering Design is an essential resource for anyone involved in the engineering design process. Whether you are an experienced engineer looking to refine your skills or a student eager to learn the fundamentals, this book provides a thorough and practical guide to mastering RCA. Equip yourself with the knowledge and tools to create more reliable, efficient, and innovative engineering solutions. |
| apollo root cause analysis: The Agile Self-assessment Game Ben Linders, 2019-01-16 The Agile Self-Assessment Game is used by teams and organizations to self-assess their agility. Playing the game enables teams to reflect on their own team interworking, discover how agile they are and decide what they can do to increase their agility to deliver more value to their customers and stakeholders. This is the first book specifically about Agile Self-assessments. In this book, Ben Linders explains what self-assessments are and why you would do them, and explores how to do them using the Agile Self-assessment Game. He's also sharing experience stories from people who played the game. This book is based on his experience as a developer, tester, team leader, project manager, quality manager, process manager, consultant, coach, trainer, and adviser in Agile, Lean, Quality and Continuous Improvement. It takes a deep dive into self-assessments, viewing them from different perspectives and provides ideas, suggestions, practices, and experiences that will help you to do effective agile self-assessments with your teams. The book is aimed at Scrum masters, agile coaches, consultants leading agile transformations, developers and testers, project managers, line managers, and CxOs; basically for anyone who is looking for an effective way to help their agile teams improve and to increase the agility of their organization. With plenty of ideas, suggestions, and practical cases on Agile Self-assessments, this book will help you to apply assessments and help teams to improve. Note: The agile coaching cards needed to play the games described in the book can be downloaded for a nominal fee at benlinders.com/downloads. |
| apollo root cause analysis: Diagnosing and Changing Organizational Culture Kim S. Cameron, Robert E. Quinn, 2011-01-07 Diagnosing and Changing Organizational Culture provides a framework, a sense-making tool, a set of systematic steps, and a methodology for helping managers and their organizations carefully analyze and alter their fundamental culture. Authors, Cameron and Quinn focus on the methods and mechanisms that are available to help managers and change agents transform the most fundamental elements of their organizations. The authors also provide instruments to help individuals guide the change process at the most basic level—culture. Diagnosing and Changing Organizational Culture offers a systematic strategy for internal or external change agents to facilitate foundational change that in turn makes it possible to support and supplement other kinds of change initiatives. |
| apollo root cause analysis: Chariots for Apollo Courtney G. Brooks, James M. Grimwood, Loyd S. Swenson, 2012-05-14 This illustrated history by a trio of experts is the definitive reference on the Apollo spacecraft and lunar modules. It traces the vehicles' design, development, and operation in space. More than 100 photographs and illustrations. |
| apollo root cause analysis: Collapse of I-35W Highway Bridge, Minneapolis, Minnesota, August 1, 2007 United States. National Transportation Safety Board, 2008 In the early afternoon, construction equipment and construction aggregates (sand and gravel for making concrete) were delivered and positioned in the two closed inside southbound lanes. The equipment and aggregates, which were being staged for a concrete pour of the southbound lanes that was to begin about 7:00 p.m., were positioned toward the south end of the center section of the deck truss portion of the bridge and were in place by about 2:30 p.m. About 6:05 p.m., a motion-activated surveillance video camera at the Lower St. Anthony Falls Lock and Dam, just west of the I-35W bridge, recorded a portion of the collapse sequence. The video showed the bridge center span separating from the rest of the bridge and falling into the river. |
| apollo root cause analysis: Investigating Accidents with Step Kingsley Hendrick, Ludwig Benner, 1986-12-08 |
| apollo root cause analysis: Managing NASA in the Apollo Era Arnold S. Levine, 1982 |
| apollo root cause analysis: Selecting the Right Manufacturing Improvement Tools Ron Moore, 2011-04-01 Selecting the Right Manufacturing Improvement Tools offers an easy-to-read and comprehensive review of the most important current industrial improvement tools that every manufacturing or industrial executive, operational manager or engineer needs to know, including which tool to use for a particular type of manufacturing situation. But his book goes beyond a simple comparison of improvement tools to show how these tools can be implemented and supported. Instead, it offers a broader strategic explanation of how they relate to one another, and their relative strengths and weaknesses in the larger context of the entire enterprise. It demonstrates how to use these tools in an integrated way such that they are not just be viewed as another program of the month or management fad. Selecting the Right Manufacturing Improvement Tools guides the use of these individual management tools within the need for aligning the organization, developing leadership, and managing change, all for creating an environment where these tools will be more successfully applied. - Provides an excellent review of the most popular improvement tools and strategies - Lean Manufacturing, Kaizen, including 5S, Kanban, Quick Changeover, and Standardization, Total Productive Maintenance, Six Sigma, Supply Chain Management, Reliability Centered Maintenance, Predictive Maintenance (or Condition Monitoring), and Root Cause Analysis. - Illustrates the use of each tool with case studies, using a fictitious company called Beta International, which continues its journey to business excellence from author's previous book, Making Common Sense Common Practice - Describes the foundational elements necessary for any tool to work - leadership, organizational alignment and discipline, teamwork, performance measurement, change management, and the role of innovation. - Concludes with a recommended hierarchy for the use of the various tools, and provides enough information so that individual circumstances and issues can be related to these improvement tools, making better decisions and having greater business success. |
| apollo root cause analysis: Agile Processes in Software Engineering and Extreme Programming Pekka Abrahamsson, Michele Marchesi, Frank Maurer, 2009-05-19 The field of software engineering is characterized by speed and turbulence in many regards. While new ideas are proposed almost on a yearly basis, very few of them live for a decade or a longer. Lightweight software development methods were a new idea in the latter part of the 1990s. Now, ten years later, they are better known as agile software development methods, and an active community driven by practitioners has formed around the new way of thinking. Agile software development is currently being embraced by the research community as well. As a sign of increased research activity, most research-oriented conferences have an agile software development track included in the conference program. The XP conference series established in 2000 was the first conference dedicated to agile processes in software engineering. The idea of the conference is to offer a unique setting for advancing the state of the art in research and practice of agile processes. This year’s conference was the tenth consecutive edition of this international event. Due to the diverse nature of different activities during the conference, XP is claimed to be more of an experience rather then a regular conference. It offers several different ways to interact and strives to create a truly collaborative environment where new ideas and exciting findings can be presented and shared. This is clearly visible from this year’s program as well. |
| apollo root cause analysis: The Sacred Mushroom and the Cross John M. John M. Allegro, 2014-12-10 This book is the first published statement of the fruits of some years' work of a largely philological nature. It presents a new appreciation of the relationship of the languages of the ancient world and the implication of this advance for our understanding of the Bible and of the origins of Christianity. |
| apollo root cause analysis: Four Types of Problems Arthur Smalley, 2018-09-15 |
| apollo root cause analysis: Report of the Presidential Commission on the Space Shuttle Challenger Accident DIANE Publishing Company, Southgate Publishers, 1995-07 |
WHAT IS APOLLO ROOT CAUSE ANALYSISTM USED FOR?
WHAT EXACTLY IS APOLLO ROOT CAUSE ANALYSISTM? Traditional root cause analysis (RCA) proposes that if you retrace the chain of causes that led to a particular event, you will …
F-MF008 Root Cause Analysis-Apollo Method - Falcon
Analyze the issues by identifying the right failure in each step. Learn root cause analysis. The delegates will work several instructor-led exercises that build upon each other to learn how to …
CAT II USING APOLLO ROOT CAUSE ANALYSIS METHODOLOGY
p to complete an Apollo Root Cause Analysis method. Those steps are: Define the problem, creating chart, identify possible solutio , implement best solution, and finalize the report.
Apollo Root Cause Analysis - archive.ncarb.org
Apollo Root Cause Analysis: Apollo Root Cause Analysis Dean L. Gano,2008 The purpose of this book is to share what the author has learned about effective problem solving by exposing the …
Apollo Root Cause Analysis (book) - content.healthmarkets.com
This ebook, "Apollo Root Cause Analysis," delves into the meticulous processes and methodologies used to identify and understand the underlying causes of failures, incidents, …
Método Apollo - Analisis de Causa Raíz
La metodología Apollo Root Cause AnalysisTM facilita la creación de una realidad común, utilizando los aportes de todas las partes interesadas para producir una comprensión del …
CM-Apollo1-v3.xlsx - dev.thinkreliability.com
APOLLO 1 Cause Map Cause Mapping is a Root Cause Analysis method that captures basic cause-and-effect relationships supported with evidence.
APOLLO ROOT CAUSE Ratings Guide ANALYSISTM …
Do the causal elements pass the causal logic check? Are any of the cause boxes empty? Are there any unconnected causes floating around in the chart? Has each cause been identified …
Unveiling the Truth - A Comprehensive Guide To Root Cause …
RCA Methodology: Present a step-by-step approach to conducting RCA, including commonly used methodologies like the 5 Whys, Fishbone (Ishikawa) diagram, Fault Tree Analysis, or the …
Apollo Root Cause Analysis (book) - wclc2018.iaslc.org
Root Cause Analysis in Process-Based Industries Menachem Horev,2010-08 This book provides a Root Cause Analysis methodology for process and equipment problems with a unique …
RCA Apollo Additional - qtpc.qa
The Apollo Root Cause AnalysisTM – ARCATM methodology was originally developed in the mid 1980’s by Dean L. Gano as a result of his inability to find an effective method for solving safety …
Comparison of Common Root Cause Analysis Tools and …
Barrier Analysis can provide an excellent tool for determining where to start your root cause analysis, but it is not a method for finding effective solutions because it does not identify why a …
Apollo Root Cause Analysis .pdf - occupythefarm.org
An Apollo RCA investigation revealed the root cause to be a mismatch between the English and metric units used by different teams. This case illustrates the power of the Apollo RCA method …
APPENDIX 5. CAUSE AND EFFECT DIAGRAM EXAMPLE
CAUSE AND EFFECT DIAGRAM EXAMPLE Based on the Cause and Effect Diagramming Model from Apollo Root Cause Analysis: A New Way of Thinking by Dean L. Gano (Apollonian …
ROOT CAUSE ANALYSIS AND THE BOEING PROBLEM …
This white paper describes performing Root Cause Analysis (RCA) utilizing the Boeing Problem Solving Model-Root Cause Corrective Action (BPSM-RCCA). It details one Boeing Technical …
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What is Root Cause Analysis? RCA is a structured process designed to help people understand the causes of past problems for the purpose of preventing recurrence. It is step‐wise and …
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The Apollo Root Cause Analysis methodology seeks to produce an evidence-based understanding of problems to ensure solutions address proven causes and prevents recurrence.
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Apollo Root Cause Analysis: Apollo Root Cause Analysis Dean L. Gano,2008 The purpose of this book is to share what the author has learned about effective problem solving by exposing the …
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the root cause analysis (RCA). Notwithstanding this fact, the root cause analysis tool has been developing very rapidly though. An example of this can be taken from the recent research and …
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Incident Investigation and Root Cause Analysis Background TapRooT® System is a process and techniques to investigate, analyze and develop corrective actions to solve problems. The …
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Only when the failure reoccurs is the original root cause questioned. “Jumping” to a probable cause is a major pitfall in root cause analysis (RCA). 6. Lack of management commitment: The …
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Apollo Root Cause Analysis Decoding Apollo Root Cause Analysis: Revealing the Captivating Potential of Verbal Expression In a period characterized by interconnectedness and an …
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Apollo Root Cause Analysis Apollo Root Cause Analysis: Unlocking Performance Bottlenecks in Your GraphQL Applications Are you staring at sluggish performance in your Apollo GraphQL …
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The Apollo Root Cause Analysis™ methodology facilitates the creation of a common reality, using input from all stakeholders to produce an evidence-based understanding of the problem and …
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cause may be a design deficiency or an unexpected external stress. Actual multiple failures can have either multiple causes or one common cause. In failure analysis, common cause failures …
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Apollo Root Cause Analysis Short Course; Apollo Version Apollonian Publications, LLC,2007-02-01 ARMS Apollo Root Cause Analysis Dean Gano,2012-04-11 MRC 210A4N is a training …
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Root Cause Analysis Obsolete” – Larry Reising ™ is a new way of thinking that goes far beyond the traditional root cause analysis problem solving processes. In this companion book to the …
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