RCA System
5 PReserve Event Data (Evidence)
4 Desired State
Loss Metric
3 The GAP
2 Actual State
1
Reliability = Priority + Proaction + Focus
0 Order the Analysis Team (Unbiased)
1st Qtr 2nd Qtr 3rd Qtr 4th Qtr
Gap In Performance of Any Kind
Analyze The Data (Logic Tree)
80% 20%
Losses or Risk
SCA
Shallow Cause
Analysis
Communicate Findings & Recommendations
Failure Modes
RCA
Opportunity Analysis (OA) & FMEA
Tracking Bottom‐Line Performance 3
© 2016 Reliability Center Incorporated
PROACT®
RCA System
Losses or Risk
80% 20%
SCA
Shallow
Cause
Analysis
Failure
RCA Modes
Opportunity Analysis (OA) & FMEA
Proaction Reaction
FMEA Opportunity Regulatory
Analysis Events
OA
FMEA
SRE
Grand Total = $1000
Pareto Cut = x .80
The Pareto Split
Significant Few = $ 800
80 / 20 (or less)
% $$$ % EVENTS
100%
90%
% of Loss
80%
70%
60%
50%
40%
30%
20%
10%
0%
1 2 3 4 5 6 7 8 9 10
RCA Events SCA
Significant Few
•Error-Change Phenomenon
PReserve Evidence •The 5-Ps of Evidence Collection
•Failure Scene Investigation (PROACT FSI)
1. Parts
2. Position
3. People
4. Paper
5. Paradigms
Undesirable Outcome
logically complete
HOW COULD? vs WHY?
Categorical vs Cause-
How Could?
and-Effect
tightly coupled
How Could? evidence-based
Verification Log
How Could? Verification Method –
Verification Outcome –
How Could?
Responsibility –
Why? Due Date -
© 2016 Reliability Center Inc. All rights reserved. 14
Analyze PROACT®
Failure Scene Investigation® (FSI) - Evidence RCA System
Erosion
Corrosion
Fatigue
Uniform Loss
of Metal
Overload
Pitting
(Electrical
Phenomena) Cyclic
Failure
►Time Pressure
►Distractive Environment
►High Workload
►First Time Evolution
►1st Working Day After Days Off
►½ Hour After Wake-Up or Meal
►Vague or Incorrect Guidance
►Over-Confidence
►Imprecise Communications
►Work Stress
Expanded
Primary Learning Knowledge/Capacity
RCA Team Published PROACT®RCA
Member SME’s Internal RCA’s Knowledge Template
Library
Experience/SME
Logic Map
Database
Key Word Search
Engine
Your Screen!
1. Human Error
2. Injury
3. Procedural Failure
4. Program Implementation
Failure
5. Supervision Failures
1. Customer
Complaints
A. Labeling Issues
B. Packaging
Issues
C. Product Quality
2. High Warranty
Costs
3. Loss of Sales
Shared
RCA Server
– Corp
Access
Input RCA
Successes
Into
Educational
Systems
RCA
Knowledge
Management
System
Leverage
Existing
RCA Logic
Preserve
‘Corporate
Memory’
E = Exploratory
M M M M
= Explanatory
H H
H H
PR H
PR
HR
HR
LR LR LR
LR LR
Thank You!
www.Reliability.com