After event review
From NKM WIKIDOC
Revision as of 12:49, 16 March 2015 by Wikinkmdocadmin (Talk | contribs) (7 revisions imported: NKM wiki import 20150315)
Definition
After event review is 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.