Incident investigation identifies what happened, why it happened, and what controls failed, so prevention actions address the real causes. Leaders ensure investigations focus on facts, timelines, and contributing factors rather than blame or assumptions. They require strong root cause methods, evidence collection, and verification that corrective actions remove or control the causes. Leaders also track closure, confirm effectiveness over time, and share lessons across teams. Rigorous investigation strengthens accountability and reduces repeat incidents.
Question: What part of your investigation process most often stops short of the true root cause?