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11868

Re: Where do you start the sequence of conditions, behaviors, action

The investigation without having all the current media published, not sure I would call it evidence yet, would start with the water utility customers
Christopher Vallee
Feb 2
#11868
 
11867

Re: Where do you start the sequence of conditions, behaviors, action

Thanks. Where would you start on the Flint, MI water issue or some other issue that many of us are familiar with? Take care,   Bill Corcoran   William  R.
DR WILLIAM CORCORAN
Feb 1
#11867
 
11866

Re: Where do you start the sequence of conditions, behaviors, action

Should the question not be where does the starting and ending event for the sequence of events end up? 1. For minor issues, I start at the first action of the
christop_vallee
Feb 1
#11866
 
11865

Re: Where do you start the sequence of conditions, behaviors, action

Thanks ever so much. You have induced me to do an update: The nomenclature is included in "Elaboration." Recognized And Generally Accepted Good Investigation
drbillcorcoran
Jan 17
#11865
 
11864

Re: Where do you start the sequence of conditions, behaviors, action

This helps, I was going to offer “Initiating Event” for this as some use the “primary effect” for a starting point. So what is the name of this
Francois Du Plessis
Jan 17
#11864
 
11863

Re: Trial date set for Black Elk Energy over 2012 Gulf blast

Thanks, Bryan. Take care,   Bill Corcoran   William  R. Corcoran, Ph.D., P.E. 21 Broadleaf Circle Windsor, CT 06095-1634 860-285-8779
DR WILLIAM CORCORAN
Jan 15
#11863
 
11862

Trial date set for Black Elk Energy over 2012 Gulf blast

Continuing coverage... http://fuelfix.com/blog/2016/01/15/trial-date-set-for-black-elk-energy-over-2012-gulf-blast/
bryan.lethcoe
Jan 15
#11862
 
11861

Re: [External] RE: [Root_Cause_State_of_the_Practice] Re: ACCIDENT W

Kevin, Thanks ever so much for the thought about where to start. I posted a separate discussion suggesting the following:   RecognizedAnd Generally Accepted
DR WILLIAM CORCORAN
Jan 15
#11861
 
11860

Where do you start the sequence of conditions, behaviors, actions, a

Recognized And Generally Accepted Good Investigation Practice (RAGAGIP) RAGAGIP # 38.002 Refinement1 January 15, 2016 First Item in Sequence Tabulation
drbillcorcoran
Jan 15
#11860
 
11859

Re: [External] RE: [Root_Cause_State_of_the_Practice] Re: ACCIDENT W

My definition of PE is “the first effect in the chart”. You have to start somewhere, so the starting point is referred to as the primary effect. Kevin
    Kevin Stewart
    Jan 14
    #11859
    This message has attachments
    11858

    Re: [External] RE: [Root_Cause_State_of_the_Practice] Re: ACCIDENT W

    This would be in line with the definitions in the Rootician’s dictionary 2,3 and 4. Especially 4. When a causal factor chart is completed it helps
    Francois Du Plessis
    Jan 14
    #11858
     
    11857

    Re: [External] RE: [Root_Cause_State_of_the_Practice] Re: ACCIDENT W

    OFFICIAL USE ONLY / À USAGE EXCLUSIF There were certainly a number of factors that contributed to transforming the AWTH to an actual event. Piping was
      Arsenault, Gerry
      Jan 14
      #11857
      This message has attachments
      11856

      Re: [External] RE: [Root_Cause_State_of_the_Practice] Re: ACCIDENT W

      Please give a real life example of what you call "primary effect." In the events I've been familiar with there were always multiple conditions, behaviors,
      DR WILLIAM CORCORAN
      Jan 14
      #11856
       
      11855

      Re: [External] RE: [Root_Cause_State_of_the_Practice] Re: ACCIDENT W

      Agree that most of the AWTH was introduced from the point of conversion; and if lack of legislation, then even before that point. However the behaviour of the
      Francois Du Plessis
      Jan 13
      #11855
       
      11854

      Re: [External] RE: [Root_Cause_State_of_the_Practice] Re: ACCIDENT W

      What were the missing, failed, and otherwise ineffective barriers? Take care,   Bill Corcoran   William  R. Corcoran, Ph.D., P.E. 21 Broadleaf Circle
      DR WILLIAM CORCORAN
      Jan 13
      #11854
       
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