Root-Cause Analysis

Our goal is zero incidents, but when one does occur, it’s important we learn from it. We use root-cause analysis to discover the physical and behavioural causes of an incident to help prevent similar incidents from occurring in the future. On principle, we believe incidents are preventable, and the information gathered in an incident investigation is important to prevention.

Our goal is to complete root-cause investigations within 30 days of an incident. This timeline may be extended for rare cases where third-party expert opinions are needed.

Root-cause analysis investigations are very detailed undertakings and include visits to the scene of the incident, interviews, document analysis, detailed reports and the identification of corrective actions. We track the implementation of these corrective actions and share our learning across our company and often within our industry. We performed 35 investigations in 2007 and 2008 and 18 in 2009.