Human Error Root Cause Analysis Training Course

Course Overview

Learning Objectives

• Explain the principles of human error analysis and its role in incident prevention.
• Distinguish between slips, lapses, mistakes, and deliberate violations.
• Identify human, technical, environmental, procedural, and organizational contributing factors.
• Apply root cause analysis techniques to investigate incidents involving human error.
• Use the 5 Whys, cause-and-effect diagrams, and structured investigation methods.
• Collect and evaluate evidence while maintaining accuracy, confidentiality, and procedural fairness.
• Conduct effective incident interviews without leading questions or premature conclusions.
• Assess the influence of workload, fatigue, communication, competence, and workplace design on human performance.
• Develop corrective and preventive actions that address underlying system weaknesses.
• Establish monitoring measures to evaluate the effectiveness of interventions and prevent recurrence.

Who Should Attend

Learning Outcomes

• Classify human error events according to their characteristics and operational context.
• Develop clear incident descriptions supported by verified evidence.
• Identify the human factors and organizational conditions contributing to an event.
• Apply structured investigation tools to determine underlying causes.
• Conduct fact-based interviews and evaluate incident records, observations, and available data.
• Distinguish individual actions from weaknesses in procedures, equipment, training, supervision, and organizational systems.
• Evaluate corrective actions according to effectiveness, feasibility, and risk reduction.
• Develop recommendations that strengthen error prevention, detection, and recovery.
• Prepare investigation reports with clear findings, supporting evidence, and assigned actions.
• Monitor corrective action implementation and assess whether the risk of recurrence has been reduced.

Course Outline