Fixing systemic issues ensures the same accident cannot happen twice.
Focuses on why a person or a team made an error. This is where the majority of systemic issues are uncovered. taproot root cause tree dictionary pdf free
Investigators apply the tree to each Causal Factor. The tree branches out into different human performance or equipment categories. Fixing systemic issues ensures the same accident cannot
It includes a guide with 15 specific questions to help determine if human factors played a role in an incident. How the Dictionary Fits into the TapRooT® Process Investigators apply the tree to each Causal Factor
The Root Cause Tree® organizes its investigation into seven major "Basic Cause Categories," providing a structured framework for analysis. These categories cover a wide range of potential system failures that can lead to human error and equipment problems.
Benefits of Using a Standardized Dictionary for Root Cause Analysis