Posts tagged System Design
Reflections ... A Tale of Two 5-Whys

I trust our APM team members have seen the Red EHS Alert shared in our Weekly EHS Report – Week 6 regarding the recent pinched finger event. Fortunately, our APM teammate is recovering well and working. We recently met with the investigation team to review the Root Cause Analysis (RCA) of the event. The team did a good job of gathering information, summarizing the event, and identifying the various causes. One tool the team used to discover the root cause is a 5-WHY Analysis …

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