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A Post Incident Review Review

USENIX via YouTube

Overview

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This course examines an alternative post-incident review process shaped by safety science. It covers causal mapping, narrative and timeline-based debriefs, recommendations, metrics, service level objectives, and process improvements.

Syllabus

Intro
Hands on Guides
PIR Styles
Rasmussen's Safety Mod
Dekker's Tunnel
Causal Map
James Reason's 'Swiss Cheese Model' of Accident Causation
Record vs Report
Narrative
Debrief
Walking the Timeline
Lessons
Brainstorming
Recommendations
Metrics
Service Level Objectives
Improvements
What's next?

Taught by

USENIX

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