1. Data Collection: Gather all relevant data, including operational logs, sensor readings, and witness statements. 2. Identify Contributing Factors: Determine factors that contributed to the incident, such as equipment failure, human error, or environmental conditions. 3. Determine Root Cause: Use techniques like the 5 Whys or Fishbone Diagram to trace back to the primary cause. 4. Implement Corrective Actions: Develop and implement measures to address the root cause and prevent recurrence.
