Establish what happened
Bring together the accounts, records and relevant procedures. Build the chronology and identify gaps or contradictions without turning assumptions into findings.
HOW WE HELP
Something is going wrong.
Find the cause and establish what needs to change.
An incident, a slipping schedule or a process that repeatedly fails needs careful examination. Creation Train reconstructs the problem, tests explanations against the evidence and develops actions connected to the causes. Immediate containment and longer-term correction may require different decisions.
This may sound familiar.
- An incident has occurred and the explanations do not agree.
- Work is repeatedly delayed despite additional effort.
- A process depends on workarounds that nobody has formally examined.
THE WORK
Examine the contributing conditions
Look at decisions, interfaces, resources, procedures and controls. Consider how those conditions interacted and whether the same mechanism could cause another failure.
Define the response
Separate immediate actions from changes to the underlying system. Assign responsibilities and define how effectiveness will be checked.
WHAT YOU CAN EXPECT
Agreed outputs.
The engagement defines which of these are needed, their scope and how they will be reviewed.
- Incident chronology and evidence summary
- Root cause or process-failure analysis
- Risk and dependency assessment
- Corrective-action recommendations
- Recovery priorities and review points
Relevant experience.
Hannah McKeand has undertaken incident and root cause review work in professional guiding. Her wider operational work includes examining deployment plans and identifying the staffing, transport and environmental constraints behind exposure to risk.
Selected experience ↗THE TOOLKIT BEHIND THE WORK
More about this capability ↗CONTACT CREATION TRAIN
What needs to happen?
Tell us about the work, the constraints and the deadline.