What does the term "root cause analysis" refer to in the context of EM 385-1-1?

The term "root cause analysis" in the context of EM 385-1-1 refers specifically to a systematic process employed to identify the fundamental reasons behind incidents or accidents, with the goal of preventing their recurrence in the future. This approach goes beyond merely addressing the symptoms of an incident and seeks to delve into the various factors that contributed to the event, such as systems, processes, human behavior, and environmental conditions. By understanding these underlying causes, organizations can implement effective corrective actions and preventive measures, ultimately leading to enhanced safety and risk management practices.

This focus on a thorough investigation is crucial for maintaining safety standards and ensuring that similar incidents do not happen again. Root cause analysis is often utilized in safety management programs to foster a culture of continuous improvement and learning.