id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
cet-3414		cet-3414		6	.pdf	application/pdf	2331	92	47	Microsoft Word - 025.docx CHEMICAL ENGINEERING TRANSACTIONS VOL. 48, 2016 A publication of The Italian Association of Chemical Engineering Online at www.aidic.it/cet Guest Editors: Eddy de Rademaeker, Peter Schmelzer Copyright © 2016, AIDIC Servizi S.r.l., ISBN 978-88-95608-39-6; ISSN 2283-9216 Root Cause Analysis – the Central Instrument in a Larger Orchestra Thomas Hill BASF SE, Occupational Safety – Global Concepts and Training, GUS/AS – M940, Carl-Bosch-Str. 38, 67056 Ludwigshafen, Germany thomas.hill@basf.com Within BASF there is a large variety of tools connected to learning from accidents or incidents like incident investigation, root cause analysis, databases, short notice communication, detailed communication about severe incidents or accumulation of similar incidents and so for. An evaluation – applied to LTIs (lost time injuries) - shows that there is room for improvement with respect to root cause analysis: In some cases the root cause analysis is not done or documented at all and in other cases the focus is only on “personal performance” but other root causes could and should also have been addressed but were missing.	cache/cet-3414.pdf	txt/cet-3414.txt