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Ep.48 What are the missing links between investigating incidents and learning from incidents?
The Safety of Work
Safety Rolls and Investigation Rolls
Before you can learn, you need to find out about the incident occurring. The majority of your information about the incident that feeds right in at the start of the funnel into the learning process comes from the people who are involved. And then we have a whole heap of almost contradictory information about the ivestigators of the incident. Everyone seems to agree that the investigators are important, but then we have this wish list of conditions for the investigators,. That they need to be independent and have experts, but also need to have close knowledge of the work processes and tor that's being investigated and about safety.
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