PPRuNe Forums - View Single Post - Root Cause Analysis Tools
View Single Post
Old 16th March 2010 | 21:28
  #11 (permalink)  
Apollo30
 
Joined: Jan 2010
Posts: 25
Likes: 0
From: Germany
When working in the field of accicent analysis - what NTSB does - you are always confronted with legal aspects, liability, recommendations and so on.

Another very interesting approach is done by Hollnagel with the FRAM (functionl resonance analysis method):
fram (erikhollnagel2) or http://www.skybrary.aero/bookshelf/books/402.pdf

In my point of view this method gives a very deep view into sociotechnical systems even it's not too simple to apply. And I think it also fits a litte bit more to the idea that often there are many "root causes". For me, I define a "root cause" as one single thing, so for me this concept is not sufficient to describe several contributors which lead in common to an accident.
Apollo30 is offline  
Reply