Listen to Mark Alston as he discusses practical solutions to incident investigation based on the theory of ‘Safety Differently.
What’s covered?
- Example of traditional root cause investigation verse a Safety Differently approach
Why root cause investigations miss important gapsWork as Normal compared to Work as IntendedFailure is not linear. There is a messy storyCollection of evidence is keyComparing Work as Normal vs Work as Intended unlocks true organisational issuesOperational learning questionsPut it all together – 3 tier time line