A positive methodology for learning from success
"What goes right is as instructive as what goes wrong."
Michael Tooma, Due Diligence Series: Incident Notification, Management and Investigation , 2 nd Ed, CCH, 2017
There are three key moments when we can learn from success to support achieving better safety outcomes. We can do this by further exploring:
our near miss/near hit events , uncovering the success that prevented a more serious incident what goes right in our serious incidents (that is, investigate success in the lead up to an incident as well as test the potential success (resilience) of controls identified as part of the investigation and close-out of preventative and corrective actions. This ensures controls will be effective across a broader range of future potential incidents than the single trajectory of that past incident. We get to higher quality corrective/preventative actions for serious incidents through a 'what if' reliability analysis, and successful projects and teams with excellent safety performance (such as where there is no reported incident, injury or a lower level of such incidents than is average).
We explore how we might investigate success at these three key trigger points with the Positive Investigation Methodology outlined below.
The Positive Investigation Method can be used to:
Investigate catastrophic potential serious near miss/near hit events by focusing on what factors allowed that potential injury causing incident to become harmless (in the sense of causing no injury or harm) Increase the quality and resilience of controls recommended in serious incident investigation and support quality decision making by leaders when they subject recommendations for preventative and corrective actions to scrutiny.
Uncover success in your projects and teams
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