Abstract
The scientific investigation of an accident, catastrophic event, or failure should be structured like a pyramid. There must be a large base of verifiable facts and evidence in the bottom. These facts form the basis of analyses based on scientific principles and proven methods, that links facts and analytical results of the various statements of witnesses and participants; it links what is possible and what is not possible. If the statement of a witness would not fit within these limits, it is not reliable. The logic provides order and consistency to all statements, facts, principles, and methodologies brought to bear on a particular case. For a first-rate research, the logic that connects the pieces must be rational.
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References
H. Petroski, To Forgive Design: Understanding Failure (Harvard University Press, 2012)
R.K. Noon, Scientific Method, Applications in Failure Investigation and Forensic Science (CRC Press/Taylor and Francis, Boca Raton, 2009), ISBN 978–1–4200–9280–6
R.K. Mobley, Root Cause Failure Analysis (Butterworth-Heinemann, Oxford, 1999), ISBN 0-7506-7 158-0
U.S. Department of Energy, Office of Nuclear Safety Policy and Standards, Root Cause Analysis: Guidance Document, (1992), DOE-NE-STD-1004-92
American Petroleum Institute, Pressure Equipment Integrity Investigation, Draft 8, API RP 585 (2011)
U.S. Department of Energy, Occurrence Reporting and Processing of Operations Information, DOE Order 5000.3A, May 30 (1990)
J.L. Burton, Method Identifies Root Causes of Nuclear Reactor Scrams (Power Engineering, October 1987)
D.L. Gano, Root Cause and How to Find It (Nuclear News, August 1987)
R.J. Nertney, J.D. Cornelison, W.A. Trost, Root Cause Analysis of Performance Indicators, WP-21 (System Safety Development Center, EG and G Idaho Inc., Idaho Falls, 1989)
J.D. Cornelison, MORT-Based Root Cause Analysis, WP-27 (System Safety Development Center, EG&G Idaho Inc., Idaho Falls, 1989)
J.R. Buys, J.L. Clark, Events and Causal Factors Charting, SSDC-14 (System Safety Development Center, EG&G Idaho Inc., Idaho Falls, 1978)
W.A. Trost, R.J. Nertney, Barrier Analysis, SSDC-29 (System Safety Development Center, EG&G Idaho Inc., Idaho Falls, 1985)
M.G. Bullock, Change Control and Analysis, SSDC-21 (System Safety Development Center, EG&G Idaho Inc., Idaho Falls, 1981)
G.J. Briscoe, MORT-Based Risk Management, WP-28 (SSDC) (EG&G Idaho Inc., Idaho Falls, 1991)
J.L. Harbour, S.G. Hill, HSYS, A Methodology for Analyzing Human Performance in Operational Settings, Draft, EGG-HFRU-3306 (1990)
C.H. Kepner, B.B. Tregoe, The New Rational Manager (Princeton Investigation Press, Princeton, 1981)
R.J. Latino, K.C. Latino, Root Cause Analysis: Improving Performance for Bottom-Line Results, 3rd edn. (CRC/Taylor Francis, Boca Raton, 2010)
P. Wilson, Root Cause Analysis (Oxford Press, 1999), ISBN 970613526X
J. Booman, M.O. Gonzalez, J.L. Otegui, Failures in cabin type hydrocarbon heaters due to inadequate fuel control. Eng. Fail. Anal. 21, 31–39 (2012), ISSN 1350-630
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Otegui, J.L. (2014). Root Cause Analyses. In: Failure Analysis. Springer, Cham. https://doi.org/10.1007/978-3-319-03910-7_7
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DOI: https://doi.org/10.1007/978-3-319-03910-7_7
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