3.0 CONTEXT Build the Storyboard
CONTEXT Root Cause Analysis
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2m 2s
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.
Up Next in CONTEXT Root Cause Analysis
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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.
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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.
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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.