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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.
Up Next in Season 1
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6.0 CONTEXT Choose Points of Influence
When we focus our event analysis on punishing people for a past event, we fail to influence others that may make the same decision in the future. This video challenges participants to think about how you will get people in the future to make safer decisions.
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7.0 CONTEXT - Conclusion
This videos summarizes the 7 part series on CONTEXT Root Cause Analysis.
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2.0 CONTEXT Actual Event
The video describes and event where an employee was caught in a grain silo and suffocated. The CONTEXT process teaches participants to evaluate the event so that you can learn from mistakes.