Overview

Root Cause Analysis (RCA) identifies both obvious and underlying causes of non-conformances or incidents, enabling targeted corrective actions. A complete RCA involves clear problem definition, evidence-based analysis, corrective action planning, and monitoring effectiveness. For complex cases, a structured incident investigation report with logical recording and sound reasoning ensures causes are established and addressed, helping organisations prevent recurrence and strengthen safety and compliance. 

Why Should an Individual Attend?

• Develop Expert-Level RCA Skills. Learn how to systematically uncover the root causes of incidents using proven tools like the “5× Why,” Fishbone Diagram, and Event Tree Analysis.
• Reduce Operational Risks and Costs. Apply the 7 Quality Control Tools to identify inefficiencies, eliminate waste, and enhance process reliability across your organization.
• Produce Clear, Actionable Investigation. Reports Master the art of compiling thorough incident reports with timelines, diagrams, and corrective action plans that drive real change.
• Strengthen Analytical Thinking and Objectivity. Understand the value of impartiality, structured debate, and accurate documentation when investigating non-conformances.
• Champion Continuous Improvement. Embrace quality systems like the “5-S” method, Quality Circles, and Lessons Learned frameworks to foster a culture of accountability and growth.

Outcomes

• Spot Contributing Factors: Recognise how a chain of factors leads to non-conformances or incidents, empowering proactive prevention.
• Use Proven Tools: Appreciate the critical role of standardised procedures, validated processes, and quality tools in driving effective investigations.
• Champion Objectivity: Value open discussion, impartiality, and meticulous documentation to ensure credible and actionable outcomes.
• Deliver Clear RCA Reports: Conduct thorough root cause analyses and produce incident investigation reports that inspire confidence and enable corrective action. 

Program Outline

Introduction

• Reasons for Root Cause Analyses and Incident Investigations
• Quality - the Golden Thread
• Investigator Attributes and Investigation Techniques
• Terminology
• Incident Barriers - the Swiss Cheese Model
• Categorisation of Findings
• Pareto Analysis
• Common Pitfalls.

Root Cause Analysis

• Tools and Methodologies
• Event and Causal Factor Diagram
  
  • Accident Investigations
• 9-Step Conventional Techniques
  
  • Change Analysis
  • Ishikawa (Fish Bone) Diagram
  • "5× Why"
  • Event (Fault) Tree Analysis
  • Conclusions (Corrective Action Plan, Prevention and Validation)
• Failure Mode, Effects and Criticality Analysis (FMECA)
• Root Cause Analysis Register
• Root Cause Analysis: Strengths vs. Limitations, and Other Methods 

Incident Investigation

• Introduction: Counterfeit Parts
• Typical Process Map
• Report Layout
  
  • Timelines and Diagrams
  • Report Writing Considerations
  • Incident Classification
• Risk Assessment Matrix
• Legal Considerations.

Continuous Improvement

• Man-Man and Man-Machine Interface
• 12 Principles of Error Management
• Determining Individual Culpability
• Skill-Rule-Knowledge (SRK) Framework
• Effective "Quality Tools"
  
  • Special Processes
  • Inspection Stamps
  • Quality Circles and Continual Improvement
• Quality Control Tools
  
  • Flowchart
  • Histogram
  • Scatter Diagram
  • Stratification
  • Check Sheet
  • Statistical Process Control (SPC) and Control Charts
  • The "5-S" System
• Plant Performance Trending (brief introduction)
• Random Surveillance Audits
• Quality Alert
• Reading Log
• Lessons Learned System (brief introduction).

Who Should Attend?

• Engineers
• Technicians
• Technologist
• Architects
• Project / Construction Managers
• Quantity Surveyors
• Construction Health and Safety
• Contractors / Sub Contractors
• Middle Management
• Senior Management

• Mon 3 August 2026  08:30 to 16:30