a root analysis needs to be done and action items are created from this analysis. Taking time to conduct a proper analysis of the cause eliminates a premature conclusion that may lead to inadequate corrective actions (William, 2008). A root analysis is a systematic approach to collect information that may identify and evaluate hazards and risks (Williams, 2008). The root analysis provides a starting point on areas that may need changing. There are three areas to a root cause analysis of the
metallurgical analysis they found the cracks had generated through nitrate stress corrosion cracking. The plant operators had adopted the practice of spraying nitrate treated water to disperse leaks; this decision had not been properly assessed or discussed with any of the engineers. The cost of loss production if the gap had not been bridged was ... ... middle of paper ... ...ol on changes** Importance of hazard assessment during design*, ** Out of these lessons in our analysis we evaluated