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Situation
Assessment |
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Order
the Investigation Organize and empower the ideal problem solving team. |
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Live
Evidence Collection
Obtain evidence before, during, and after the incident. Remember to get the FACTS: F – Find and interview people; A – Act quickly to begin the investigation; C – Collect physical evidence; T – Track time and position; S – Search for cause and effect relationships. |
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Verify
the Analysis Define the incident and list the facts. Develop hypotheses by asking, "how can" questions to uncover all possible cause and effect relationships. Verify each hypothesis with factual evidence. Follow the factual path to the physical, human and organizational level. |
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Effective
Corrective Action Implement safeguards to prevent problem recurrence by improving the physical and organizational system. |
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