Causal Reasoning | White Paper

The capacity for an investigation to improve performance depends on the type of reasoning used by investigators. Most investigations use a reasoning orientation that seeks to explain bad outcomes based on what was missing from the perceived system. However, what was not happening cannot create the outcomes experienced. Understanding how outcomes are caused requires a causal reasoning orientation, looking for what is present or what happened. Using a causally reasoned analysis reveals insights often hidden by many traditional investigation methodologies.

About the Causal Reasoning White Paper

This paper proposes that the role of investigations and the reasoning orientation used by sponsors and investigators are partly responsible for why serious events and fatalities continue to occur. By shifting toward causal reasoning, organizations will be better positioned to develop and implement follow-up actions that create the desired outcomes. 

Download the Causal Reasoning White Paper

After reading this paper, consider:

1.  What common causes have your organization discovered through event investigations? Are they coming from a causal orientation?

2.  What could this mean about the success or failure of follow-up actions?

3.  How does your organization assign sponsors and when do they get involved in the investigative process?

4.  What are the barriers to learning from actual and potential serious events in your organization? 

Causally reasoned analysis is an advanced approach to complex investigations that may not be applicable to all events or health and safety personnel. It is most likely a fit for experienced investigators on their journey to Human and Organizational Performance. 

For more information on causal reasoning, contact Safety@EnergySafetyCanada.com.