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Criterion
Blameless Postmortem workspace showing the question, observations, and next decision.
DevOps
Blameless Postmortem
Paper illustration for Causal Factor Analysis.
Operations
Causal Factor Analysis
Paper illustration for Accountability Ladder
Operations
Accountability Ladder
A 5 Whys working surface connects an observable problem with evidenced causes, marked uncertainty and concrete countermeasures with ownership.
Operations
5 Whys
Purposedifferent
After an incident with damage or a near miss, the method creates a sober field for learning without assigning blame. It directs attention to the course of events, conditions, and effective countermeasures.For an event with a complicated course, the method breaks down the contributing factors along the timeline. It shows how conditions, decisions, and reactions together produce a course of events.With defensive reactions to problems, the method shifts the view from justification to ownership. It makes visible which reaction stage a person or team is currently stuck on.For a single, hard-to-explain deviation, the method exposes the causal chain behind the visible symptom. It keeps the cause open until a controllable condition emerges instead of a mere description.
Complexitydifferent
MediumHighLowLow
Timedifferent
30-90 min2-6 h20-45 min15-30 min
Participantsdifferent
3-123-101-82-6
Formatdifferent
Workshop + asyncWorkshop + asyncWorkshop + asyncWorkshop
Outputdifferent
Postmortem Doc, Action Items, TimelineEvent Timeline, Causal Factor Chart, Cause List, Corrective ActionsOwnership Reflection, Action Commitment, Coaching NotesRoot cause notes, Countermeasures
Tagsno overlap
Site Reliability EngineeringIncidentLearningReliability
CausalityIncidentRoot causeTimeline
ResponsibilityLeadershipTeam
Root causeIncidentLeanProblem solving
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