Structured findings,every factor to a barrier.
Investigate with the method the event deserves: 5-Why, Reason, HFACS, SHELL or Tripod, each with structured findings instead of a free-text essay. Every contributory factor links to the barrier it defeated, and every finding feeds a corrective action you can track to effectiveness.
A finding is structured, and it points at a barrier.
The method gives the investigation a shape, so two investigators reach comparable findings. Each contributory factor connects to the barrier it defeated and the action that will fix it, so the investigation ends in prevention, not a filed report.
The capabilities, on one record.
5-Why, Reason, HFACS, SHELL and Tripod, chosen to fit the event, not forced onto every one.
Findings are typed records with owners, not paragraphs. Comparable across investigators and across years.
Every contributory factor links to the barrier it defeated, so the hazard register learns from the event.
Each finding spawns a corrective action that closes on a signed effectiveness gate, not on a written plan.
Real records, one reference each.
Every record carries a stable reference and a source on every field. Nothing is silently overwritten, and the trail is the record.
The method fits the event, not the other way around
Findings are structured records, not free text
Every contributory factor links to a barrier
An investigation ends in a tracked corrective action
It links to the rest of the graph.
Findings are records, not prose.
Every contributory factor links back to a barrier or an action someone can own. A conclusion that cannot be acted on is not a finding.
The why is on record. The next chapter is the instrument that saw it coming a month earlier, in the indicator drift.