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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 Causal Factor Analysis.
Operations
Causal Factor Analysis
Paper illustration of Barrier Analysis with its method-specific working model.
Operations
Barrier 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.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.For a risk that can only be managed through multiple layers of protection, the method examines the effectiveness of each barrier. It shows where safeguards are missing, too weak, or fail under real conditions.
Complexitydifferent
MediumHighHighMedium
Timedifferent
30-90 minMehrere Tage bis Wochen2-6 h2-4 h
Participantsdifferent
3-122-63-102-6
Formatsame
Workshop + asyncWorkshop + asyncWorkshop + asyncWorkshop + async
Outputdifferent
Postmortem Doc, Action Items, TimelineMORT Worksheets, Findings per Branch, Corrective Actions, Systemic RecommendationsEvent Timeline, Causal Factor Chart, Cause List, Corrective ActionsBarrier Inventory, Failure Analysis per Barrier, Action Backlog
Tags1 shared
Site Reliability EngineeringIncidentLearningReliability
Root causeSafetySystemicIncident
CausalityIncidentRoot causeTimeline
Root causeSafetyIncident
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