Structure a fleet near-miss review with A3 elements that drive learning instead of blame.
The move: make the incident visible enough to improve the system. Current condition before opinions Start with what happened, where, when, who was involved, what equipment was used, what the route or yard condition looked like, and what standard existed. This anchors the conversation in evidence. Problem statement with a gap A good problem statement names the gap between expected and actual. "Driver hit bollard" is an event. "Blind-side reversing at Bay 4 produced two near misses in ten days despite the spotter standard" is a problem. Cause analysis before countermeasures Do not let the first idea become the fix.…
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