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Criterion
Paper illustration for Causal Factor Analysis.
Operations
Causal Factor Analysis
Paper illustration of MORT Analysis with its method-specific working model.
Operations
MORT Analysis
Blameless Postmortem workspace showing the question, observations, and next decision.
DevOps
Blameless Postmortem
Paper illustration of Family Tree Analysis with its method-specific working model.
Operations
Family Tree Analysis
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.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.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 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
HighHighMediumMedium
Timedifferent
2-6 hMehrere Tage bis Wochen30-90 min2-4 h
Participantsdifferent
3-102-63-122-6
Formatsame
Workshop + asyncWorkshop + asyncWorkshop + asyncWorkshop + async
Outputdifferent
Event Timeline, Causal Factor Chart, Cause List, Corrective ActionsMORT Worksheets, Findings per Branch, Corrective Actions, Systemic RecommendationsPostmortem Doc, Action Items, TimelineFamily Tree Diagram, Pattern Notes, Systemic Measures
Tags1 shared
CausalityIncidentRoot causeTimeline
Root causeSafetySystemicIncident
Site Reliability EngineeringIncidentLearningReliability
Root causePatternsIncidentSystemic
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