25 questions for better incident investigations // HOP / Safety-II (YT Quickisode)

Do your investigations often conclude when you’ve identified ‘human error’, or a pesky person not following rules?

Do you want to improve the quality and depth of your learning opportunities?

One way is via local rationality: understanding why decisions & actions made sense to people at the time. It’s a core feature in human factors / safety-II / Human and Organizational Performance (HOP).

This episode unpacks Louise Roe’s Local Rationality Question Tool in her article presented at the CIEHF 2025 conference.

The tool covers things like:
·       workload
·       time pressure
·       environmental cues
·       goals, assumptions & information available
·       training, policies & useable job aids
·       team dynamics & information flow
·       expectations & imagined outcomes / ‘what ifs’

Check it out on YouTube, link in comments, and please help share with your network 🙏

Ref: Roe, L. (2025). Local rationality question tool: understanding why it made sense at the time. In Golightly, D., Balfe, N., & Charles, R. (Eds.). Contemporary Ergonomics and Human Factors 2025: Proceedings of the Chartered Institute of Ergonomics and Human Factors Annual Conference (pp. 360-362). CIEHF.