36B
CurrentMeaning of root cause analysis
Part 4ARoot cause analysis
Division 1Preliminary
36B Meaning of root cause analysis
(1)
Root cause analysis or RCA, of a reportable event, means a systematic process of analysis under which—
(a)
factors that contributed to the happening of the event may be identified; and
(b)
remedial measures that could be implemented to prevent a recurrence of a similar event may be identified.
(2)
However, a root cause analysis or RCA of a reportable event does not include—
(a)
investigating the professional competence of a person in relation to the event; or
(b)
finding out who is to blame for the happening of the event.
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