A thorough investigation is required in order to reach full understanding of failures in a complicated multidisciplinary defense system while still under development.
This presentation describes our best practices for obtaining full understanding and reaching broad insights to minimize similar failures across the organization.
the major steps of our failure analysis methodology are :
- Understanding the problem and the system
- Brain storming and constructing an initial failure tree of the possible causes
- Gathering and analyzing the evidence
- Going through the physical, human and latent causes that led to the failure
- Explaining the chain of events leading to the failure
- Insight output - corrective actions taken by the project and the higher levels in the organization.
The presentation will include a real life example of a failure analysis of a multidisciplinary system.