Use investigation prompts that go beyond first cause.
What should the first incident statement describe? The observable event, requirement missed, exposure, scope, timing, and impact without naming an untested cause. They say: The cause is obvious: the worker made a mistake. You say: The action matters, and we still need to ask what conditions made that action likely or consequential. Triggering event versus root cause: what is the difference? The trigger is what happened last; the root cause is a controllable condition that allowed the event or consequence. What are two signs an action is weak? It relies only on reminding people, or it cannot be verified during…
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