When doing Root Cause Analysis to establish the cause and determine what actions could be put in place to correct the problem, it is surprising how many people stop the investigation process when they identify that someone just made a mistake.
It is usually justified by phrases like “everybody is human, and humans make mistakes” or “usually they get it right, but they just slipped up this time”. As a consequence, human errors are considered inevitable and the error cannot be prevented so nothing is done, apart from tell the person they made a mistake and please be more careful next time.
The automotive manufacturing, medicinal and electronic businesses are striving for zero defects as any failure can have huge implications to their organisations and potentially society. So, what would these organisations do?
Obviously the Root Cause still needs to be found and actions taken or these problems will continue. Looking at potential reasons for the mistake will uncover many reasons but the cause will always highlight a weakness in the system or process. We have found with our Steel Efficiency Review® consultations the most obvious remedy is a secondary check of the task by the same person or the next person in the process.
The point is that all failures have a root cause and if you want to prevent failures from occurring it is paramount that you identify methods to prevent the leakage of problems even if it is not possible for understanding a true root cause.
We have found, our customers pursue the SER® as a vehicle to look at their business in a different way to make some small changes to reap big rewards. The Steel Efficiency Review® aims to provide recommendations to support our customer’s business and at the same time improve our product and service offer.
To register for the Steel Efficiency Review® click here.