After event review

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A process that involves consideration of the what, how and why of events


After event review includes analysis in sufficient depth to determine contributing factors (including behavioural, organizational and physical conditions), precipitating actions, consequences, probable causes, learned lessons, and corrective actions to minimize recurrence. In the nuclear industry, organizations focus attention on such problem-solving endeavours, through systematic and systemic analyses, to determine the most probable root causes of such events in order to correct problematic conditions and to prevent recurrence of similar events.

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After action review