Blueline Investigation



Traditional Investigation techniques are heavily focused on the incident and do not support a broader understand of the system risks when the particular task is performed everyday.  The Blueline Investigation tool has been designed to provide ‘investigators’ with a simple process for identifying systemic risk to an organisation. This is achieved by critically examining the differences between the event (work as happened), the organisation’s procedures (work as intended), and how tasks are completed by workers every day (work as normal).

Whilst the event itself and work as intended are relatively easy to identify, the key to the Blueline Investigation tool is focusing on learning and understanding work as normal.   Work as normal is the work that occurs every day in the circumstances that exist at the time. It takes place in an environment that is often not as imagined, with multiple, shifting goals, variable and often unpredictable demand, degraded resources (staffing, competency, equipment, procedures and time), and a system of constraints, punishments and incentives, which can all have unintended consequences. No matter how good we are at imagining how the work will happen, the workforce always has to do the last part of the design of any task.


The Blueline Investigation tool informs managing risk in the long term.  It is operationally aligned, optimised for learning, actively involves workers and those involved in the event, and makes them part of the solution.

Benefits of Blueline Investigation

  •  Suitable for more complex incidents
  •  Simple and intuitive to use
  •  Operationally aligned and optimised for learning
  •  Allows teams to identify potential risks
  •  Actively involves workers and those involved in the event
  •  Allows quick, effective response to incidents
  •  Captures or rules out organisational factors


Learn more about Blueline Investigation

Attend one of these these training courses: