Once an incident has occurred, it is important to determine the facts and develop a plan to ensure a re-occurrence does not happen in the future. Basic causal factors, including the root cause, must be determined before a plan can be developed. Unfortunately most investigators stop at the direct and contributing causes. If the root cause is not determined, the conditions which allowed the event to occur may still be present in the workplace.
SET Solutions will perform a Root Cause Analysis after a serious incident and work with management to develop and strengthen areas of safety systems failure.