Why people don´t develop effective corrective actions

Finding the root causes of problems is only half the story. Before a problem is fixed, someone must develop effective corrective actions. Why, even when the root causes are staring them in the face, do so many people still fail to develop effective corrective actions? This paper will draw on the observations of the authors\´ experience with incident investigators and investigative teams at power plants and across a wide variety of industries and cover the three common reasons why people DON\´T develop effective corrective actions: (1) people start fixing problems before finding the problem\´s root causes; (2) management has no real commitment to fix problems; (3) people developing corrective actions can\´t see "Outside the Box". The authors will then suggest ideas to help investigators develop effective corrective actions. Finally, the authors discuss the lessons they learned when implementing one of the ideas for improving corrective actions.