Certified Root Cause Analysis Investigator 

through Systems Thinking™

Most incidents, failures and problems that happen in your organization are repeated. With this in mind, why the same problem is repeated again and again then? What would happen if each problem or incident is resolved “permanently” from the first time, will it happen again? Isn’t this an indication that the previous diagnoses and solutions were not really efficient? 

Do you notice that most investigation committees’ recommendation indicate that the main cause of the past incidents are “HUMAN”? Statistics incites that 85 – 95% of the causes of good or bad performance in any organization is due to system.While only 5 – 15% is due to people. Then, why investigations results indicates otherwise and almost always blame people for most incidents and problems?!

Root Cause Analysis “RCA” is a set of tools most organizations consider as part of the training plans for employees. Tools are not smart. The results these tools produce depends on the thinking of the person who uses them. Proper use of  these tools will produce the correct results. The opposite is also true. That is why incidents and problems repeat again and again. These tools help in building accurate understanding of why and how problems and incidents happened, then reflect this learning into the system.  

Root cause analysis “RCA” involves searching backwards from an undesirable effect or outcome to identify its causes. While “RCA” implies that there is a single cause responsible for a given problem, some effects actually have multiple causes that trigger them. 

Causes could be interrelated where, if one cause is removed, the problem can no longer occur.

In most cases, people don’t mix up “symptoms” with “problems”. Therefore, they tend to cover up the symptoms instead of solving the problem! That is another reason why incidents are repeated.

While it is important to initiate an interim containment plan as soon as a problem occurs, it is even more important to invest the time and energy to identify and address the root cause or causes of those problems so that they are less likely to occur in the future.

The aim of this programs is to prepare attendees with the skills to perform RCA methodology. Also, support attendees with complete understanding of RCA process and why multiple solutions are important.

Program outcome:

By the end of this course, participants will be able to: 

  • Analyze problems through Root Cause analysis methodology
  • identify different types of Root Cause Analysis 
  • Learn the basics of Root , Systems Safety , Process and Failure Based Analysis
  • Understand the difference between symptoms and problems
  • Get real solutions to any problem 

Program Contents

This program will cover the following topics:

  • What is a problem?
  • Causes and root causes.
  • Causal chains.
  • Selection of RCA team.
  • Leader’s role in RCA team.
  • Business ethics necessary for a successful RCA team.
  • Emotional Skills and RCA.
  • Problems solving and customer satisfaction.
  • Data collection.
  • Data validation.
  • Problems vs. Systems.
  • Data analysis tools – Pivot table.
  • Brainstorming. 
  • Pareto Chart.
  • Flowchart.
  • 5 Whys.
  • Drill down technique. 
  • Fishbone diagram – Cause and Effect.
  • Plan-Do-Study-Act  (PDSA) diagram.
  • Systems behavior.
  • Human behavior.
  • Systems – Human behaviors relation.
  • Systems patterns. 
  • Model of understanding current reality.
  • Mental Models and Problems solving.
  • The “Quick Fix” model.
  • Hero and Scapegoat model.
  • The power of thinking in problems solving.
  • Definition of system thinking.
  • Types of systems: open and closed.
  • How to understand your organization as a “system”.
  • Moving from the decision-making stage based on personal opinion to the decision-making stage based on “data”.
  • Moving from the “problem and solution” model to the “preventing” model.
  • Complex vs. simple systems.



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