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Criterion
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 for Causal Factor Analysis.
Operations
Causal Factor Analysis
A 5 Whys working surface connects an observable problem with evidenced causes, marked uncertainty and concrete countermeasures with ownership.
Operations
5 Whys
Purposedifferent
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 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 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
HighMediumHighLow
Timedifferent
Mehrere Tage bis Wochen30-90 min2-6 h15-30 min
Participantsdifferent
2-63-123-102-6
Formatdifferent
Workshop + asyncWorkshop + asyncWorkshop + asyncWorkshop
Outputdifferent
MORT Worksheets, Findings per Branch, Corrective Actions, Systemic RecommendationsPostmortem Doc, Action Items, TimelineEvent Timeline, Causal Factor Chart, Cause List, Corrective ActionsRoot cause notes, Countermeasures
Tags1 shared
Root causeSafetySystemicIncident
Site Reliability EngineeringIncidentLearningReliability
CausalityIncidentRoot causeTimeline
Root causeIncidentLeanProblem solving
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