STEP 1, Suspend Your Agenda There are 3 critical impediments to reviewing events and incidents: Carrying an agenda into the interview (suspend your agenda, bias awareness) Thinking of what to say next (which means you are not listening) and, Following a set process or form. Each of … [Read more...] about STEP 1, Suspend Your Agenda
Investigation
Investigating Events is NOT About ‘Brain Farts’
Investigating Events is NOT About ‘Brain Farts’ In Australia, we have this saying to try to explain why someone does something that doesn’t make sense, we call it a ‘brain fart’. It is a way of people accepting that someone did something that didn’t make rational sense and was out of the ordinary. … [Read more...] about Investigating Events is NOT About ‘Brain Farts’
Investigations and the Causality Sausage
Investigations and the Causality Sausage The topic of bias and worldview is rarely discussed as a foundation for incident investigations indeed, if you read the AIHS BoK Chapter of Ethics (https://safetyrisk.net/what-brand-of-ethics-is-safety/ ) or chapter on Causality … [Read more...] about Investigations and the Causality Sausage
Questioning Skills and Investigations
It is unfortunate that the word ‘investigation’ in the risk and safety industry has come to mean ‘interrogation’. However, the word really just means a systematic enquiry and analysis. Perhaps this focus on interrogation comes from the idea that if someone has been harmed then someone must be at … [Read more...] about Questioning Skills and Investigations
River of tears
Integrity has no need of rules Albert Camus 1 On 25th October 2016 a tragic incident on the Thunder River Rapids Ride at the Ardent Leisure Dreamworld amusement park near Queensland’s Gold Coast, claimed the lives of four people. A circular raft containing six passengers collided with an empty … [Read more...] about River of tears
There is no root cause
Interesting article dispelling some “root cause” myths. First published here: https://www.kitchensoap.com/2012/02/10/each-necessary-but-only-jointly-sufficient/ Each necessary, but only jointly sufficient I thought it might be worth digging in a bit deeper on something that I mentioned in the … [Read more...] about There is no root cause
River of tears
River of tears On 25th October 2016 a tragic incident on the Thunder River Rapids Ride at the Ardent Leisure Dreamworld amusement park near Queensland’s Gold Coast, claimed the lives of four people. A circular raft containing six passengers collided with an empty vessel and flipped upwards and … [Read more...] about River of tears
There’s a Hole in Your Investigation.
There’s a Hole in Your Investigation. Any fatality is sad news for family and loved ones of those who have died. It is even more sad when there are no definitive answers for cause. Many who die working alone cannot be interviewed, one can never know the root cause. Root cause is the concoction that … [Read more...] about There’s a Hole in Your Investigation.
The SEEK Investigations Donut
The SEEK Investigations Donut As a part of the SEEK Investigations Workshop (http://cllr.com.au/product/seek-the-social-psyvhology-of-event-investigations-unit-2/ ) we explore what is missing from contemporary and popular investigations methods. We use the idea of a donut to imagine what is missing … [Read more...] about The SEEK Investigations Donut
Investigations and Power
Investigations and Power In the previous blog I raised concerns about the nature of Investigations and truth telling, and the affect of culture on one’s capability to extract the truth in investigations (https://safetyrisk.net/investigations-and-truth-telling/ ). In this blog I wish to raise the … [Read more...] about Investigations and Power