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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 fishbone diagram with a measurable effect at the head and six labeled cause branches.
Operations
Fishbone Diagram
Paper illustration for Learning Review.
Operations
Learning Review
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.When a problem has several possible contributing factors, the method sorts causes by cause areas. It prevents an initial hunch from blocking the view of other plausible drivers.After a project phase with mixed results, the method makes learning from the individual case reusable. It connects events, decisions, and systemic conditions into robust insights.
Complexitydifferent
MediumHighLowMedium
Timedifferent
30-90 min2-6 h30-60 min1-3 h
Participantsdifferent
3-123-102-83-10
Formatdifferent
Workshop + asyncWorkshop + asyncWorkshopWorkshop
Outputdifferent
Postmortem Doc, Action Items, TimelineEvent Timeline, Causal Factor Chart, Cause List, Corrective ActionsFishbone Diagram, Cause Categories, Investigation BacklogLearning Review Notes, System Factors, Improvement Actions
Tagsno overlap
Site Reliability EngineeringIncidentLearningReliability
CausalityIncidentRoot causeTimeline
Root causeQualityOperations
LearningRetrospectiveIncidentOperations
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