Human Performance and Latent Causes: Case Study

The problem with blame and how to effectively deal with it in the midst of an investigation .

The role people play in things that go wrong and the more important role people play in learning, improving, and growing in day to day business.

Traditional Root Cause Analysis (RCA) often falls short because it stops at surface-level issues—like equipment failure or individual error—and tends to become a blame-focused, checkbox exercise. As a result, organizations see the same problems repeat. Latent Cause Analysis (LCA) is a more powerful…

Latent Cause Analysis (LCA) is an evidence-based method for investigating incidents that goes beyond fixing immediate problems to uncover deeper systemic, human, and cultural causes. LCA strengthens leadership at all levels and transforms organizational culture toward continuous improvement, better…