- Previous RCA efforts resulted in inconsistent data gathering which hindered investigations
- Few RCAs were completed compared with the number reported
- Budget allowed for only 4-6 weeks of outside support
- Collaborated with internal resources to build the formal process flows.
- To ease training and implementation, the process was fully integrated into training materials and RCA toolset/forms
- Created an easy to use incident tracking document
- KPIs are generated automatically without additional user input