Latent Cause Analysis for Everyone
The following quiz focuses on the
application of the Mini-LCA
and was designed to reinforce the learning obtained in the
Live Webinar
entitled L
CA for Everyone.
Please answer all questions as they relate to the Mini-LCA.
First name:
Last name:
Company
Location
email address
1
Why should LCA be for everyone? (pick the ONE best answer)
LCA is NOT something that everyone ought do. It's a specialized endeavor that will only be for a few specially-trained experts.
You never know who might need to be on an RCA team. Therefore, it's important to train everyone on the basics.
Everyone will need to help identify the underlying (latent) causes of problems in their own world so that the common ones can be addressed.
Primarily for informational reasons. People ought to know what's going on in the organization!
2
Latent Cause Analysis, in the limit, identifies:
System Causes.
Management System Causes.
Latent Causes.
Root Causes!
3
The 3 types of LCA suggested by Failsafe are:
physical, human, latent
lone, small group, large team
shallow, medium, deep
maxi, midi, mini
4
Which are NOT amongst the
main
purposes of the
5 Items
:
To slow you down, so you don't jump to conclusions too quickly.
To help you decide what evidence to gather.
To give you a quick base of understanding before you look at evidence.
To give you a consistent starting point for any investigation.
To remind you of all the major steps of any investiagion.
To remind you of the contents of the RCA report.
5
It is important that SEQUENCE of the 5 Items be in
very small steps
, filling-in as many details as possible.
True
False
6
Evidence gathered from people is of
little
use --
it is not factual.
True
False
7
The Paper Evidence Summary on the Mini-LCA form is your place to:
summarize the major findings you discovered in the documents you reviewed.
list all the documents you reviewed.
8
Which of the following IS true about HUMAN Causes:
Must include WHO did WHAT (without names).
Must always use PAST TENSE.
Be described in paragraph form.
Must use the cultural understanding you already have to IMAGINE "who did what."
MUST always confront whomever you think did it to confirm your suspicion.
Must ALWAYS include the name of person that did it.
9
The Triggering Situation is
an explanation of the "imagined" point in time when the human cause occurred.
the specific equipment flaw that triggered the incident.
the thoughts that were going through a person's mind at the time of the incident.
10
Organizational Latent Causes are revealed by looking at the
contrast
between the
as-is
versus
as-desired
thoughts.
True
False
11
How many written Mini-LCA's did Failsafe suggest be performed per person per year?
365
1
4
52
12
From the following list, pick the most important feature of the Mini-LCA:
Mini-LCA's are PowerPoint based, and can be filled in electronically.
Mini-LCA's are easier and faster than Maxi or Midi-LCA's
Mini-LCA's help people see THEMSELVES as contributors to their problem, instead of blaming things on others.
Mini-LCA's gather information about ORGANIZATIONAL Latent Causes
Mini-LCA's get everyone involved in doing LCA's
13
Events that are evaluated with a Mini-LCA will undoubtedly have action items -- certainly more than would normally occur if no such anaysis were performed.
True
False
14
Imagining the
as-is
versus
as-desired
thoughts is critical to understanding the
4th step
into latency.
True
False
15
Latent Causes are defined
for all LCA's.
by putting yourself in the other person's shoes.
for each Human Cause.
by trying your best to imagine the situation that lead to the Human Cause.
16
Which is NOT true about Physical Causes:
Must be as SPECIFIC as possible.
Must answer HOW the incident occurred (as opposed to WHY).
Must be PRESENT tense.
Must address the PHYSICS of the incident.
17
The People Evidence Summary on the Mini-LCA-form is your place to:
list the main things you learned from the main people -- summarize.
identify the Human Causes.
merely list everyone you talked to -- no room for anything else.
18
The types of evidence that Failsafe has suggested be considered in an LCA are:
People, Physical, and Paper
Facts, opinions, and paradigms.
Hard, soft.
Phyiscal, Human, and Latent
19
The RELATIONSHIP of the 5 Items is a "birds eye view" of the problem (as compared to the close-up that the SCHEMATIC provides).
True
False
20
Select which of the following is NOT one of "The 5 Items"
Schematic
Oddities
Probable Cause
Statement
Relationship
Sequence
21
Failsafe has suggested to never use the phrase "root cause" in an LCA.
True
False
22
It's the UNRESOLVED small problems that will eventually cause big problems.
True
False
23
Unresolved LARGE problems will generally cause SMALL problems.
True
False
24
According to Failsafe's training, "Water in the oil" is an example of a:
Root Cause
Active Cause
Potential Cause
Physical Cause
Human Cause
25
It is ALWAYS important to be confrontational when doing any kind of LCA.
True
False
26
What is "
The WHY Statement
?"
It's the QUESTION that the RCA will answer.
It's the ANSWER to the RCA: WHY did the problem occur?
27
The ODDITIES of the 5 Items are an accumulation of things that you find during the RCA that are not necessarily related to the problem but nevertheless important.
True
False
28
It is important to "ask" each form of evidence to "speak for itself."
True
False
29
Which is NOT an example of Physical Cause:
ignition would not occur in engine -- spark was okay but no gas was in gas tank.
the mission management team lauched in spite of cold temperatures. were too cold at launch.
pump's driveshaft was fractured due to bending fatigue.
forearm sufferred severe blow from baseball bat.
30
The critical difference between the Maxi and Mini LCA's is
that Mini-LCA's are not pursued into Human or Latent Causes.
Maxi-LCA's are done by large teams and Mini-LCA's are done by small teams.
that you are to use your current understanding of your organization when doing Mini-LCA's
to
imagine
the most probable HUMAN and LATENT Causes.
31
A good example of Triggering Situation is: the mechanic was in the field at 2:00 PM on Tuesday, installing a new motor.
True
False
32
What is
TRUE
about Organizational
Latent Causes
?
Must be stated in
Past Tense
.
It answers the question "
what is it about the way we are is evident in these thoughts?
"
Must be prefaced with the word
"We."
Must be
specific
to this incident, and
not relate to anything else
.
33
The main purpose of the Mini-LCA is to gather information about Latent Causes.
True
False
34
Personal Latent Causes answer the question:
what is it about the way WE WERE that contributed to this incident?
what is it about the way HE IS that contributed to this incident?
who did what?
what is it about the way I AM that contributed to this incident?
what is it about the way WE ARE that contributed to this incident?
35
Mini-LCA's are to be performed on
any event that you would
normally
work on.
They are not to be limited to ONLY unusual or atyipcal problems.
True
False
36
Imaging the thoughts that went through a person's mind when they acted inappropriately..
helps us understand
why
the person did what he/she did.
a ridiculous exercise that is not based on fact and therefore
has nothing to do with RCA
.
helps deter us from
merely blaming
the person.
is the
1st step
into Latency.
37
Latent Causes are revealed in:
2 steps.
as many steps as necessary.
4 steps.
1 step.
38
Which of the following IS an example of Human Cause:
The owner of the car was knowingly driving with a faulty gas gage.
He didn't understand!
He thought he could get away with it.
The motor was misaligned with the pump.
39
Photos are better than sketches on the Mini-LCA form
True
False
40
Without evidence, an LCA is impossible.
True
False
41
It is important that the SCHEMATIC of the 5 Items be an official engineering drawing, Process and Instrument Diagram, or Process Flow Diagram.
True
False
42
Each of the 3 types of LCA's suggested by Failsafe define different (varying degrees of depth) levels of causes -- that's what makes them different.
True
False
43
According to Failsafe's training, a "who cares" attitude is an example of:
Management System Cause.
Latent Cause.
Psychological Cause.
Nothinig -- it has no part of an RCA.
Human Cause.
44
Small problems are bound to occur. There's not too much we can do about that!
True
False
Thanks you for taking this quiz. We hope it has reinforced your learning. Please write with any questions or comments.
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