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Criterion
Blameless Postmortem workspace showing the question, observations, and next decision.
DevOps
Blameless Postmortem
Paper illustration of MORT Analysis with its method-specific working model.
Operations
MORT Analysis
Paper illustration for CATWOE Analysis.
Systems Thinking
CATWOE Analysis
Paper illustration of Family Tree Analysis with its method-specific working model.
Operations
Family Tree Analysis
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 a safety-relevant event or a system with high protection requirements, the method examines where controls failed. It exposes both technical and organizational gaps.CATWOE structures a problem from six viewpoints and prevents too narrow a view of the situation. Different experiences of the system become comparably discussable this way.For a series of incidents with a similar pattern, the method arranges individual events as branches of a common origin. It makes visible which conditions keep recurring.
Complexitydifferent
MediumHighMediumMedium
Timedifferent
30-90 minMehrere Tage bis Wochen45-90 min2-4 h
Participantsdifferent
3-122-63-82-6
Formatsame
Workshop + asyncWorkshop + asyncWorkshop + asyncWorkshop + async
Outputdifferent
Postmortem Doc, Action Items, TimelineMORT Worksheets, Findings per Branch, Corrective Actions, Systemic RecommendationsCATWOE Canvas, Root Definition, Stakeholder Perspectives, ConstraintsFamily Tree Diagram, Pattern Notes, Systemic Measures
Tagsno overlap
Site Reliability EngineeringIncidentLearningReliability
Root causeSafetySystemicIncident
Systems thinkingFramingStakeholders
Root causePatternsIncidentSystemic
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