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This image is excerpted from a U.S. GAO report:
www.gao.gov/products/GAO-15-643
VA HEALTH CARE: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events
a) Individual RCAs are based on individual adverse events.
b) Aggregated RCAs examine a group of similar adverse events. The Veterans Health Administration requires that VAMCs conduct aggregated RCAs on three types of adverse events—falls, adverse drug events, and missing patients—to the extent that they occur in a given year. If a VAMC experiences only one adverse event in any of the three categories required for aggregated RCAs, the VAMC must conduct an individual RCA on that event. If a VAMC has zero events in an aggregated RCA category, the VAMC can conduct either additional individual or aggregated RCAs to meet VHA requirements.
The dominos teach us that the causes of ALL our problems originated in the PAST! Interesting to think about. They also reveal that whatever we do today will drastically affect tomorrow.
Although domino's reveal that the causes of all present problems originated in the past, most of us are the same today as we were yesterday. This means that we ARE the causes of our present problems in a great number of cases.
Jessica Nelms Hall makes a wonderful point about slowing down. Even more, it's often when we are forced to slow down that we learn the most valuable lessons of life.
September 11, 2001 revealed a lot about ourselves. Some of it was overwhelmingly uplifting. But not all of it.
ISO 27001 Clause 10.1 Non conformity and corrective action, Clause 10 containing sections 10.1 and 10.2 covers the “Act” part W. Edwards Deming’s Plan-Do-Check-Act (PDCA) cycle. This clause helps an organisation react to nonconformities, evaluate them and take corrective actions with the end goal of continually improving how it runs its daily activities.
Read More : www.info-savvy.com/iso-27001-clause-10-1-non-conformity-a...
Earthing Audit:-
Earthing Audits are required because earthing deteriorates over time owing to a variety of factors, including the chemical properties of the soil leading to environmental corrosion, thermal and electrical stress on joints due to electrical faults, galvanic corrosion in certain circumstances, and poor workmanship.
#earthing #grounding #earthingstudy #groundingaudit #earthingsolution #earthinghealthassessment #earthingservice #groundinvestigation #safety #riskassessment #rootcauseanalysis #audit #electrical #identifyrisk
If failures keep repeating, it’s time to look deeper. The bolster often wears out silently — leading to vibrations, bearing damage, and rising heat. And yet, it’s the spindle that gets blamed every time.
🔍 Hidden wear = recurring breakdowns
⚠️ Ignored bolsters = costly downtime
💡 Right diagnosis = long-term performance
At Trim Engineering Services, we help you identify the real cause — not just the visible failure.
📞 Connect with us to fix the problem at its root and improve machine reliability.
Call: +91 9352602343 | 8003048223
Email:info@trimengineering.in
Visit: www.trimengineering.in
#TrimEngineering #IndustrialMaintenance #Spindle #MachineHealth #RootCauseAnalysis #Manufacturing #EngineeringSolutions #PreventiveMaintenance #IndustrialSolutions