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Incident Investigation & Learning

What we deliver

  • Rapid response investigations (0–72h): immediate on-site support, evidence stabilisation, fast fact pattern

  • Evidence & timeline reconstruction: interviews, documentation review, work history/logs, sequence-of-events

  • Root Cause Analysis facilitation: 5-Why, cause trees, ICAM-style structured analysis

  • Technical forensics: mechanical, EC&I, process troubleshooting to isolate technical contributors

  • Metallurgical / failure analysis: lab coordination + interpretation (fracture, wear, corrosion, heat treatment)

  • Defensible reporting: executive + technical report, complete evidence pack, clear conclusions

Preventing recurrence (risk reduction)

  • Barrier & critical control failure analysis: bowtie-aligned control gaps and performance failures

  • Corrective action design: risk-ranked actions with owners, due dates, and evidence requirements

  • Effectiveness reviews: verify fixes work and controls perform (not “paper close-out”)

  • Regulatory / insurer support: reporting packs and technical substantiation where required

Systems, tools & enablement

  • Investigation governance toolkit: standards, templates, QA checks for consistent quality

  • Action tracking & visibility: dashboards, close-out governance, exception reporting

  • Lessons learned system: themes, repeat-event analytics, playbooks and controls library

Capability & resourcing

  • Training: investigator training, interviewing, evidence quality, RCA methods

  • Coaching: leaders and engineers coached to run strong RCAs and close actions

  • Surge capacity: embedded investigators, high-potential event surge teams, independent chair, specialist SMEs