Category
Incident Investigation
89 articles
Incident Investigation: 5 Questions That Test Whether Evidence Changed the Control
An incident investigation is useful only when its evidence changes how exposure is controlled. These five questions help EHS leaders distinguish a documented investigation from one that changes work.
Incident Investigation: 5 Decision Gaps That Turn a Timeline Into a Story
A precise timeline can still hide the decision that mattered. This F1 diagnostic shows five gaps that keep incident investigations chronological but not decision-ready.
How to Reconstruct an Incident Decision Timeline in 48 Hours
A practical 8-step method helps supervisors and EHS managers preserve evidence, separate facts from assumptions, and assign corrective decisions after an incident.
Buncefield: How a Tank-Overfill Warning Became a Major-Accident Pathway
The Buncefield explosion was not only a story about a failed instrument. The 2005 investigation shows how a stuck level gauge, an independent high-level switch that did not stop the filling process, weak testing, and delayed recognition combined into a major-accident pathway. The case gives EHS leaders a practical way to examine whether warnings can still protect work when routine assumptions fail.
Incident Corrective Actions: Verify Them in 30 Days
A practical 30-day method helps incident owners verify that corrective actions changed exposure, strengthened controls, and survived normal operating pressure.
Incident Investigation: 6 distortions that make corrective actions look complete
A polished incident report can close the action list without changing the exposure. These six distortions show how investigations lose causal accuracy and how leaders can verify that the work is safer.
How to Build an Incident-Investigation Readiness Drill in 21 Days
A practical 21-day method for testing whether your organization can protect people, preserve evidence, and make sound decisions after a serious incident.
How NASA Turned the Columbia Findings Into a Safety Governance Reset
The Columbia case shows how an investigation can move beyond a failed component and expose the governance conditions that let warning signals remain acceptable.
How BP Texas City Exposed the Cost of Measuring Safety by the Wrong Signals
The BP Texas City case shows why injury totals and completed programs can hide process-safety exposure when warning evidence never changes a decision.
How to Preserve Incident Evidence Before the Worksite Changes
Incident evidence begins to disappear as soon as people restore the area, move equipment, or rely on memory. This practical guide gives supervisors and investigators an eight-step method for protecting facts before the worksite changes.