incident-investigation
How Challenger Exposed a Launch Decision Failure
A Headline case study on why the Challenger launch decision still matters for safety leaders who receive bad news too late or with too little authority.
Category
Incident Investigation
52 articles
incident-investigation
8 questions from Episode 11 with Dr. Thomas Krause
Episode 11 with Dr. Thomas Krause changes incident investigation around leadership quality, deeper causes, trust, and field evidence.
incident-investigation
Incident Chain of Custody: 6 Distortions That Weaken Serious-Incident Findings
Incident chain of custody is not paperwork after a serious event. It is the evidence discipline that keeps investigation findings credible when pressure, memory, cleanup, and legal review start reshaping the story.
incident-investigation
How to Build an Incident Evidence Map in 48 Hours
A 48-hour incident evidence map helps leaders protect facts, identify weak controls, and keep RCA from hardening around an easy story.
incident-investigation
Root-Cause "What," Not "Who": 5 Investigation Habits That Keep Your Team Talking
When a serious event lands on the table, the first reading almost always points at the person closest to the harm, and that reflex quietly destroys the one thing every future investigation depends on: a workforce willing to tell you the truth. On a recent Headline Podcast episode, Tim Page-Bodoff argued that the question itself is the problem, because chasing a root-cause "who" treats the symptom and leaves the disease alive inside the processes that made the failure possible. This article reframes investigation as a learning act rather than a verdict, anchored in James Reason's systemic view and the on-air conversations Andreza Araujo and Dr. Megan Tranter host with frontline practitioners.
incident-investigation
BP Texas City: How 15 deaths changed safety governance
BP Texas City shows how 15 deaths turned process safety from a refinery issue into a board-level governance test for serious risk and control health.
incident-investigation
Incident Communication: 72-Hour Executive Playbook
A Headline Podcast guide to communicating after a serious workplace injury, from first-hour facts to OSHA reporting and board-level decisions.
incident-investigation
Tripod Beta Explained: 4 Cause Paths in RCA
A concise Tripod Beta explainer for safety leaders who need to separate barrier failure, immediate cause, precondition and organizational cause.
incident-investigation
Causal Factor Analysis: 5 Myths Boards Still Believe
Causal factor analysis fails when leaders chase one tidy cause instead of testing evidence, controls, ownership, and recurrence risk after serious events.
incident-investigation
How to Run a Barrier Failure Review After a Serious Incident
A Headline Podcast guide for reviewing barrier failure after a serious incident, so leaders can separate broken controls from weak explanations.
