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Proximate cause: Because the ship failed to change course to avoid it. Ultimate cause: Because the ship was under autopilot and the autopilot's data was inaccurate. (even stronger): Because the shipwrights made mistakes in the ship's construction. (stronger yet): Because the scheduling of labor at the shipyard allows for very little rest.
The Swiss cheese model of accident causation is a model used in risk analysis and risk management. It likens human systems to multiple slices of Swiss cheese, which has randomly placed and sized holes in each slice, stacked side by side, in which the risk of a threat becoming a reality is mitigated by the differing layers and types of defenses ...
In the field of science and engineering, root cause analysis (RCA) is a method of problem solving used for identifying the root causes of faults or problems. [1] It is widely used in IT operations, manufacturing, telecommunications, industrial process control, accident analysis (e.g., in aviation, [2] rail transport, or nuclear plants), medicine (for medical diagnosis), healthcare industry (e ...
Tripod Beta. Tripod Beta is an incident and accident analysis methodology made available by the Stichting Tripod Foundation [1] via the Energy Institute. The methodology is designed to help an accident investigator analyse the causes of an incident or accident in conjunction with conducting the investigation. This helps direct the investigation ...
The more complex the product or situation, the more necessary a good understanding of its failure cause is to ensuring its proper operation (or repair). Cascading failures, for example, are particularly complex failure causes. Edge cases and corner cases are situations in which complex, unexpected, and difficult-to-debug problems often occur.
Failure mode and effects analysis. Failure mode and effects analysis ( FMEA; often written with "failure modes" in plural) is the process of reviewing as many components, assemblies, and subsystems as possible to identify potential failure modes in a system and their causes and effects. For each component, the failure modes and their resulting ...
When a point falls outside the limits established for a given control chart, those responsible for the underlying process are expected to determine whether a special cause has occurred. If one has, it is appropriate to determine if the results with the special cause are better than or worse than results from common causes alone.
Causal reasoning is the process of identifying causality: the relationship between a cause and its effect. The study of causality extends from ancient philosophy to contemporary neuropsychology; assumptions about the nature of causality may be shown to be functions of a previous event preceding a later one. The first known protoscientific study ...