Tag Archives: investigation

Rockin’ New Human Performance Investigation Tool

Most problems and accidents involve human activity at some point or other. Often, this activity is right at the point of occurrence, and people at the sharp end are usually operating under difficult or confusing circumstances. They make decisions and take actions that, in hindsight, prove to be "wrong" in some way. Then, after something "bad" happens, we perform an investigation and find these "human errors"... and all too often, we stop there without really considering all the factors that shaped the undesired outcome. This article discusses a new tool that has been developed (by me) to help investigators find these factors so they can be used as starting points for root cause analysis.
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