Incident Investigation
Table of Contents
Incident investigation = find system causes after a miss — not only who to blame.
Example
After the tray spill they traced prep timing, not just ‘server was clumsy.'
Note Relationships
| Relationship | Wikilink | Reason |
|---|---|---|
| extends | Heed Every Near-Miss | Named in notes that link here |
| extends | Own the Error | Named in notes that link here |
| contradicts | By Their Fruits | when the opposite frame fits better |




