Modern event investigation
Build a reliable account from evidence, examine conditions and decisions, and test whether existing controls can prevent or limit a recurrence.
Safety & Human Systems
Practical field guides and LMS-ready organizational training packages in development for safety professionals, investigators, and operations leaders.
The approach
The method should fit the question. An investigation develops a supported account of an event and tests the controls. A Learning Team goes deeper into how work is done when more understanding is needed.
Build a reliable account from evidence, examine conditions and decisions, and test whether existing controls can prevent or limit a recurrence.
Bring the people who know the work together to examine the gap between plans and practice, the adaptations that make work possible, and opportunities to improve it.
A Learning Team can begin with a task, a persistent friction point, or a question about how work succeeds. An incident is not required.
Current writing
Designed to move from concepts to questions, tools, and decisions that can be used with a team.
A practical path from the first response through evidence, analysis, control testing, and follow-through.
A companion for facilitating deeper learning about work, including the Center Line, field tools, and an instructional trailer ramp case.
LMS training packages in development
Three packages are being designed for organizations to license and deliver in their own LMS. Planned components may include SCORM or xAPI, assessments, facilitator materials, and completion support. None is available for purchase yet.
Human fallibility, error-likely situations, self-checking, communication, situational awareness, and barriers.
Package and assessment design in progressPerformance modes, task preparation, peer checks, controls, and examining conditions behind events.
Package outlineLeadership, organizational conditions, control strategy, change, and a team-based capstone.
Package outline