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Operational Excellence

Root Cause Analysis & CAPA

We run multi method root cause analysis and verify that corrective and preventive actions actually work

Programme overview

Root Cause Analysis
& CAPA

Root Cause Analysis and CAPA gives you the investigation discipline that turns incidents and nonconformities into lasting organisational learning. Our team matches the method to the complexity of the event, drawing on five why, fishbone, fault tree, TapRoot, Apollo and causal tree analysis. We push past the obvious to reach the latent and organisational factors underneath, then verify that each corrective and preventive action is working through KPI tracking and watching for any repeat of the incident.

Root Cause Analysis & CAPA Overview
How we deliver it

Our implementation model

A practical, phased delivery approach that runs from gap assessment through operational embedding and is built around your regulatory context.

Trigger & Evidence Capture

Establish trigger criteria, customer complaint, audit finding, internal incident, preserve evidence chain immediately.

Investigation Team Formation

Multi discipline investigation team with independent chair, align with just culture principles.

Root Cause Methodology

Apply RCA method per complexity, 5 Why, fishbone, fault tree, TapRoot, Apollo, Causal Tree, reach latent / organisational factors.

Corrective Action Design

Design corrective and preventive actions per hierarchy of controls, verify implementation feasibility and effectiveness.

Effectiveness Verification

Verify CAPA effectiveness through KPI tracking, repeat incident monitoring, audit reviews, close when effective.

Lessons Learned Cascade

Capture lessons learned, share across sites, integrate with management review, refresh training and procedures.

What the programme covers

Root Cause Analysis in full scope

We set clear trigger criteria and preserve the evidence
We assemble an investigation team across the right disciplines
We choose the analysis method that fits the complexity
We design CAPA against the hierarchy of controls
We verify that actions work through KPI tracking
We cascade the lessons learned across every site
Root Cause Analysis & CAPA Coverage
Business value

Value of Root Cause Analysis & CAPA

Recurrence Prevention
  • Reaching the latent causes stops the same event from returning
  • Sharing learning across sites prevents a repeat elsewhere
  • A just culture encourages people to report freely
  • Every CAPA is checked to confirm it actually worked
Investigation Governance
  • Your investigations hold up under ISO 9001 clause ten point two examination
  • Regulators accept your incident reports
  • You can show customers a sound CAPA discipline on request
  • You hold solid evidence for insurance investigations
Learning Organisation
  • People report more near misses
  • Investigations connect into management of change
  • Operators become more engaged
  • You gain a steady signal for continuous improvement
RCA Programme Return
  • The cost of a repeat incident is avoided
  • You hold firm evidence for insurers and regulators
  • Customer trust is retained
  • Your cost of quality comes down
Standards & references

Codes & standards we work to

CCPS Guidelines for Investigating Process Safety IncidentsTapRoot Root Cause TreeApollo Root Cause Analysis (Gano)ISO 9001 2015 Cl.10 ImprovementICAM Incident Cause Analysis MethodSHE Just Culture Framework
When to engage

Triggers that signal the need

A high consequence incident has occurredThe same incident keeps recurringA customer or regulator audit has raised a findingYou are pursuing ISO 9001 certificationAn insurer requires a formal investigation
Industries served

Where Root Cause Analysis & CAPA applies

Oil & Gas, Upstream

Wellheads, separators, gas compression, FPSO topsides, produced water systems.

UpstreamOffshoreFPSO
Refineries & Petrochemicals

Distillation columns, reactors, heat exchangers, storage spheres, LPG handling.

RefiningPetrochemical
LNG & Gas Processing

Cryogenic exchangers, liquefaction trains, BOG compressors, storage and sendout.

LNGCryogenic
Specialty Chemicals

Reactive systems, batch reactors, solvent handling, runaway reaction scenarios.

ReactiveBatch
Power Generation

Boilers, HRSGs, steam headers, hydrogen systems, ammonia SCR units.

PowerHydrogen
Pharma & Food

Sterile vessels, CIP/SIP, pressure fermenters, solvent recovery, spray dryers.

PharmaFood & Bev
What we deliver

Tangible deliverables

  • A library of RCA methods
  • An investigation playbook
  • A CAPA register with tracking
  • An effectiveness verification protocol
  • A framework for cascading lessons learned
  • A just culture training pack
Get Started

Ready to start your project?

Speak with our team to scope an engagement tailored to your facility, regulatory context, and lifecycle stage.