Advanced Maritime Root Cause Analysis (RCA) / Incident Investigation

Who Should Attend this course?

• Personnel who may be required to investigate or participate in the investigation of serious and complex incidents, including port captains / superintendents, vessel / fleet managers, technical department managers, safety directors / managers, loss prevention consultants, marine casualty investigators or their equivalent

what will i learn in this course?

• Learn how to investigate serious and complex incidents and identify root causes, not just causal factors using proven techniques; Meets requirements of TMSA Element 8 and DPA Element 3
• Learn how to structure an effective investigation program and gain familiarity with issues that could affect an investigation and the program
• Receive valuable materials: course book with complete solutions to example problems; the ABS Guidance Notes on Investigation of Marine Incidents; the ABS Marine RCA Map™; and a compact disc containing: the previously mentioned material, an Excel® template for documenting the analysis techniques taught in class, and an electronic toolkit of forms, checklists, and other documents that can aid investigators in managing the investigation of a serious and complex incident

Duration: 3 Days

Day 1: 8:00 am to 4:00 pm

• Basics of Incident Investigation
  • Three principles for achieving operations excellence
  • Root cause/management system approach to RCA
  • Terminology: causal factors, root cause, management system, safeguard
  • Workshop: Identifying causal factors and root causes
  • Selecting the suitable level of analysis for incidents
• Initiating Investigations
  • Who does what
  • Notification
  • Emergency response activities
  • Immediate investigation activities
  • Beginning the investigation
• Gathering and Preserving Data
  • Types of data
  • Prioritizing data gathering
  • Discussion of each data type
  • Workshop: Interview questions
  • Data collection planning
  • Workshop: Data checklist development
• Analyzing Data
  • Overall goal and major analysis steps
  • Applicability of analysis techniques
  • Discussion of timeline technique
    • Capabilities and limitations
    • Structure and elements
    • Procedural steps – important things to remember
    • Demonstration
    • Workshop

Day 2: 8:00 am to 4:00 pm

• Identifying Root Causes
  • Introduction
  • Discussion of 5-whys technique
    • Capabilities and limitations
    • Structure and elements
    • Procedural steps – important things to remember
    • Demonstration
    • Workshop
  • ABS Marine Root Cause Analysis Map
    • Discussion
    • Workshop: Identifying root causes
  • Documenting root causes
• Developing Recommendations
  • Key concepts
  • Types, levels, and time frames
  • Process steps for making recommendations
  • Stating and presenting recommendations in report [3]
  • Managing recommendations – resolution
• Completing the investigation
  • Items in the report, tips for writing the report

Day 3: 8:00 am to 4:00 pm

• Initiating Investigations
  • Incident classification
  • Managing the investigation
  • Assembling a team
• Completing the investigation
  • Special considerations
  • Incident investigation program issues
• Discussion of other analytical techniques: Simplified fault tree and causal factor charting
  • Capabilities and limitations
  • Structure and elements
  • Procedural steps – important things to remember
  • Demonstration
  • Workshop
• ABS Incident Investigation software demonstration
• Investigation exercise - Apply lessons learned in class to determine causal factors and root causes for a serious and complex maritime incident

James Rooney - Director of Training Services - Safety, Risk & Compliance

Mr. Lee Vanden-Heuvel - SManager of Incident Investigation/Root Cause Analysis Services, ABS Group

Courses

• Maritime RCA / Incident Investigation
• Maritime Risk Assessment Implementation
• Maritime Management of Change

Services

• ABS Consulting assists with maritime accident investigations with proven, structured analysis techniques. 
• We can teach this course at your office. Request onsite training.

Resources

• Download the ABS Guidance Notes on Investigation of Marine Incidents and Supplements that include the ABS Marine RCA Map and Excel templates that can be used to document analytical techniques addressed in the course. The training and these tools will help you perform efficient and effective analyses.
• Purchase the 580-page ABS Guidance Notes on Investigation of Marine Incidents (ABS Publication 142) by emailing your request to abs_pubs@eagle.org.