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Criterion
Paper illustration for Causal Factor Analysis.
Operations
Causal Factor Analysis
Blameless Postmortem workspace showing the question, observations, and next decision.
DevOps
Blameless Postmortem
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
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.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.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
HighMediumLowLow
Timedifferent
2-6 h30-90 min20-45 min15-30 min
Participantsdifferent
3-103-121-82-6
Formatdifferent
Workshop + asyncWorkshop + asyncWorkshop + asyncWorkshop
Outputdifferent
Event Timeline, Causal Factor Chart, Cause List, Corrective ActionsPostmortem Doc, Action Items, TimelineOwnership Reflection, Action Commitment, Coaching NotesRoot cause notes, Countermeasures
Tagsno overlap
CausalityIncidentRoot causeTimeline
Site Reliability EngineeringIncidentLearningReliability
ResponsibilityLeadershipTeam
Root causeIncidentLeanProblem solving
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