
Behavioural Root Cause Analysis (bRCA) Masterclass
From Surface-Level Blame to Strategic Resilience
Description
In high-performance environments, complex problems are rarely the result of simple process failures. They are typically driven by decisions made under cognitive load, information asymmetry, and misaligned structural incentives. Traditional problem-solving often stays at the surface—documenting "what" broke without establishing "why" the breakdown made sense to the professionals involved at the time.
This Behavioural Root Cause Analysis (bRCA) Masterclass frames problem-solving under the umbrella of OEC’s innovative 4-Lens Critical Thinking Model. This model equips practitioners to move beyond a single way of thinking by selecting the right lens, or combination of lenses, for any challenge. Specifically, the bRCA pipeline represents a powerful integration of Lean Thinking and Systems Thinking. While traditional Root Cause Analysis (RCA) provides structured discipline, it often stops at "human error" or "process not robust". By blending these lenses, bRCA goes below the "waterline" to address the deep-seated structures and mental models that drive recurring issues.
The masterclass highlights the critical limitations of traditional 5 Whys and Fishbone diagrams when applied to complex organizational behavior. Conventional tools, originally built for manufacturing defects (Man, Machine, Material), often fail to address non-technical pressures like cognitive load or cultural incentives. Similarly, a technical 5 Whys often ends at a system setting or policy change, whereas a Behavioural 5 Whys reaches the fixable systemic causes that make a risky choice rational to a capable professional. This masterclass equips teams with a unique end-to-end process that moves from behavioral diagnosis to durable, reinforced systemic intervention.




Recommended Audience
This course is designed for leaders, managers, and professionals, including those in Risk Management, Audit, Compliance, and HR. It is ideal for teams seeking to move from a "blame reflex" to a "Just Culture" that treats colleagues as capable professionals operating within complex systems.
Methodology
The masterclass utilizes a highly participative, team-based learning approach. Participants will apply the four-tool bRCA toolkit to a running case study—tracing a single incident through the entire diagnostic and intervention arc. The sessions involve:
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Short concept briefings with interactive demonstrations.
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Team breakout exercises applying tools to real-world scenarios.
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Facilitator coaching to ensure the correct application of behavioral tools without drifting into blame.
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The development of a concrete 30/60/90-day pilot plan to bridge the workshop to workplace application.
Learning Objectives
By the end of this program, participants will be able to:
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Deepen Diagnostic Depth: Explain the case for a behavioral approach to protecting operational resilience over surface-level RCA.
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Establish a "Just Culture": Build the facilitation discipline to conduct blame-free interviews that surface honest, systemic information.
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Master the bRCA Pipeline: Use the Human-Factored Fishbone and Behavioural 5 Whys to trace the cognitive lineage of a decision.
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Surface Systemic Drivers: Translate incident-level findings into risk-culture insights using the Systems Thinking Iceberg.
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Design Durable Fixes: Apply the McKinsey Influence Model to engineer solutions reinforced across systems, capability, and leadership.
Workshop Outline
Session 1: Introduction to bRCA & Human Factors
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Limits of traditional RCA: why capturing "what broke" isn't enough.
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The business case for going deeper: Protecting "Alpha" and organizational value.
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Mindset Shift: Moving from the blame reflex to a "Just Culture".
Session 2: Human-Factored Fishbone
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Moving beyond Manufacturing 4M to human factors: Cognitive Load, Environment/Systems, Culture/Incentives, and Communication.
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Mapping the entire behavioral ecosystem around an incident.
Session 3: Behavioural 5 Whys
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Technical vs. Behavioural questioning: tracing why a path made complete sense at the moment.
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Conducting blame-free interviews to reach fixable, systemic causes.
Session 4: Systems Thinking Iceberg
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Moving from single Events to Patterns, Structures, and Mental Models.
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Going "below the waterline" where durable fixes live.
Session 5: McKinsey Influence Model
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Designing interventions that hold: Understanding & Conviction, Formal Mechanisms, Skills, and Role Modelling.
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Engineering the desired behavior as the path of least resistance.
Session 6: Pilot Planning & Closing
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Structuring a 30/60/90-day pilot to take the bRCA framework from the workshop to a real-world issue.
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Assessing impact: selecting metrics and establishing personal team commitments.
Award of Certificate
Certificate of Attendance will be issued to participants who have attended at least 75% of the workshop
Duration
One day
