Root Cause Analysis Handbook: A Guide to Effective Incident Investigation, 2005 Edition

Alphabetized Index of Root Cause Map Nodes

A

Abnormal Events/Emergency Training LTA A-179
Activity Implementation LTA (Predictive Maintenance LTA) A-40
Activity Implementation LTA (Preventive Maintenance LTA) A-35
Activity Implementation LTA (Proactive Maintenance LTA) A-45
Activity Implementation LTA (Routine Equipment Rounds LTA) A-54
Administrative/Management Systems A-55
Allocation or Resources LTA A-27
Ambient Conditions LTA A-152
Ambiguous or Confusing Instructions/Requirements A-124
Analysis/Design Procedure LTA A-24
Attitude/Attention LTA A-213
Audits LTA A-82

C

Change Not Identified A-102
Communication Between Shifts and Management LTA A-197
Communication Between Shifts LTA A-207
Communication Between Work Groups LTA A-196
Communication of SPACs LTA A-69
Communication with Contractors LTA A-198
Communication with Customers LTA A-199
Communication Within Shifts LTA A-206
Communications A-192
Conflicting Layout A-145
Confusing, Contradictory, or Incomplete A-61
Continuing Training LTA A-177
Contractor Selection LTA A-99
Control/Display Integration/Arrangement LTA A-143
Control of Changes to Procurement Specifications LTA A-96
Control of Official Documents LTA A-105
Controls/Displays LTA A-141
Corrective Action LTA A-83
Corrective Actions Not Yet Implemented A-84
Company Employee A-9
Contractor Employee A-10
Customer Interface Services A-106
Customer Needs Not Addressed A-109
Customer Requirements Not Identified A-108

D

Data/Computations Wrong/Incomplete A-125
Decision Not to Train A-165
Design Input LTA A-16
Design Input/Output A-15
Design Output LTA A-17
Detection LTA A-37
Difficult to Identify A-129
Document and Configuration Control A-100
Documentation Content LTA or Not Kept Up-to-Date A-104

E

Employee Screening/Hiring LTA A-66
Enforcement LTA A-71
Equipment Design Problem A-5
Equipment Design Records LTA A-19
Equipment Difficulty A-2
Equipment Location LTA A-146
Equipment Operating/Maintenance History LTA A-20

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