Root Cause Analysis (RCA) with Operational Safety Focus Training Course

Module 1: Fundamentals of Operational Safety and Root Cause Analysis (RCA)

• Principles of operational safety for government agencies
• Distinguishing between symptoms, immediate causes, and root causes in incident investigations
• Systemic approach to conducting thorough incident investigations

Module 2: Root Cause Analysis Tools for Government

• The “5 Whys” method
• Cause-and-effect diagram (Ishikawa)
• Fault Tree / Cause Tree analysis
• TapRoot model and other advanced RCA methodologies

Module 3: Practical Application for Government

• Selection of real or simulated case studies relevant to government operations
• Identification of immediate, contributing, and root causes in incidents
• Evaluation of barriers and failed controls within government systems
• Construction of causal diagrams for clear communication of findings

Module 4: RCA Reports and Action Plans for Government

• Structure of an RCA technical report tailored to government needs
• Writing clear causes and conclusions in reports
• Designing corrective and preventive actions using SMART criteria
• Establishing effectiveness indicators and follow-up mechanisms for continuous improvement

Module 5: Integration into the Management System for Government

• Incorporating RCA within Safety Management Systems (SMS) and ISO 45001 standards
• Promoting a just culture and effective incident reporting in government agencies
• Capturing lessons learned and providing organizational feedback for enhanced governance

Summary and Next Steps for Government Implementation