Publish More Incident Investigation Examples
Reader’s Request
Several readers have requested that we publish more accident and incident investigation examples. They asked for examples that we have investigated. They’ve asked for examples from TapRooT® Users.
We would like to post more on this blog, but there are reasons why we don’t.
Reasons We Don’t Publish More Examples
First, we don’t publish examples that we perform because we are limited by non-disclosure agreements and attorney-client privilege. When we are hired to facilitate an investigation, the topic is usually sensitive. Thus, the agreement limits our ability to discuss our work. In the most restrictive cases, we perform the investigation for an attourney and it becomes part of the attorney’s work product. Thus, the likelihood of us sharing one of our investigations is 0%.
Second, many TapRooT® Users fall under the same limitations. Their company doesn’t want potential bad press from shared incident investigations. That’s especially true of written examples that will be in print forever (like those in a blog).
Third, some examples from third parties that don’t use TapRooT® RCA aren’t very good. We don’t want to pass along bad practices and have people think they are good practices.
What We Do Pass Along
We have several sources of public domain incident investigations that we pass along. These include aviation near-miss investigations (from aviation investigators like the NTSB, the AAIB, or NASA’s Aviation Safety Reporting System), railroad accident investigations (ATSB or RAIB), or chemical incidents (CSB).
We also have examples of successful improvements based on incident investigation in our Success Stories on this blog.
In addition, we have discussions about incident investigations challenges and successes in our TapRooT® SuperUser quarterly virtual meetings. To participate, contact Marcus Miller.
Finally, we have presentations of success stories and other investigations at the Global TapRooT® Summit. For more information about these sessions and the Summit in general, CLICK HERE.
If you would like to learn advanced techniques for incident investigation and root cause analysis, I would suggest attending a 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Course. To see the upcoming dates and locations of our public courses, CLICK HERE.
