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3.0 CONTEXT Build the Storyboard

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CONTEXT Root Cause Analysis

1.0 CONTEXT Introduction

1m 29s

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  • 3.0 CONTEXT Build the Storyboard

    The storyboard process shows a chronological sequence of decisions and conditions that led up to the negative event. The purpose of the storyboard is to see where leaders could have had an opportunity to influence a better decision.

  • 4.0 CONTEXT - Building the CONTEXT

    Building the CONTEXT adds details to every decision point. The details help indicate why it made sense to do the task the way they did.

  • 5.0 CONTEXT Analyze the Facts

    When we analyze the facts, we are looking at details and trying to determine what system failed. What should have happened or what could have been done differently to impact the outcome in a more positive way.