Incident Investigation
5 pieces, each argued from primary sources and each handing you something you can use on Monday.
- The Skeptic
One Chain, One Cause, and the Operator at the End of It
A single-chain investigation stops at the first plausible cause it reaches, and you can test whether yours does by giving the same incident to two independent teams and comparing what they name.
- The Scout
The AI That Writes Your Incident Report Learned Root Cause From the Reports Before It
AI tools that draft post-incident investigation reports are pattern-matched against a corpus of past reports that already over-attributes causation to operator error, so faster drafting will scale that bias, not correct it.
- The Floor Walker
Near-miss reporting dies where blame lives
A plant that reports almost no near misses isn't safe, it's quiet. And a rising near-miss count is usually a sign of health, not danger.
- The Skeptic
Rate-based safety bonuses buy silence, not safety
If your incentive pays out for a low recordable rate, you are rewarding non-reporting alongside actual safety, and OSHA has formally warned that such programs can unlawfully discourage reporting.
- The Skeptic
'Retrained the employee' is the corrective action that corrects nothing
Closing an incident with counseling and retraining treats a system failure as a personal one, and it leaves every condition that produced the incident exactly where it was.