Overview
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Learn how to conduct a formal, blameless incident postmortem in a way that leverages up-to-date learning in safety and cognitive science.
Syllabus
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Introduction
- Learning through postmortems
- What to expect from this course
- Why postmortems?
- Resilience engineering
- Blamelessness
- Root cause is a myth
- Incident descriptions
- Incident timelines
- Incident metrics
- Challenge: Your incident write-up
- Solution: Your incident description
- Solution: Your incident timeline
- Controlling cognitive bias
- What went well
- Contributing factors
- Challenge: Your contributing factors
- Solution: Your contributing factors
- Corrective actions
- Challenge: Your corrective actions
- Solution: Your corrective actions
- Facilitating the postmortem meeting
- Leading a group postmortem analysis
- Transparent uptime
- Retrospectives and near misses
- Next steps
