Difference between revisions of "After event review"
From NKM WIKIDOC
m (7 revisions imported: NKM wiki import 20150315) |
DavidBeraha (Talk | contribs) (→Definition) |
||
Line 6: | Line 6: | ||
==Definition== | ==Definition== | ||
− | + | {{ {{PAGENAME}} }} | |
− | <!-- '''Source:''' [[Planning and Execution of Knowledge Management Assist Missions for Nuclear Organizations]] --> | + | <!-- '''Source:''' [[Planning and Execution of Knowledge Management Assist Missions for Nuclear Organizations]] --> |
== Description== | == Description== |
Latest revision as of 10:00, 21 December 2015
Definition
A process that involves consideration of the what, how and why of events
Description
After event review includes analysis in sufficient depth to determine contributing factors (including behavioural, organizational and physical conditions), precipitating actions, consequences, probable causes, learned lessons, and corrective actions to minimize recurrence. In the nuclear industry, organizations focus attention on such problem-solving endeavours, through systematic and systemic analyses, to determine the most probable root causes of such events in order to correct problematic conditions and to prevent recurrence of similar events.