Root Cause Analysis for Young Engineers by Joe Immel Science Volume 340(6131):444-445 April 26, 2013 Published by AAAS.

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Presentation transcript:

Root Cause Analysis for Young Engineers by Joe Immel Science Volume 340(6131): April 26, 2013 Published by AAAS

Problem definition.Students use sticky notes and large sheets of paper to construct fishbone diagrams or flow charts for root cause analysis. Joe Immel Science 2013;340: Published by AAAS

Root cause analysis diagram.A flow chart of the adverse event (blowout) at the Macondo well site that sank Deepwater Horizon in the Gulf of Mexico, Joe Immel Science 2013;340: Published by AAAS

Joe Immel Science 2013;340: Published by AAAS