Document Evidence
The value of paperwork
as an evidence source is typically underrated, and tends to receive
only a passing glance. It may be a case of familiarity breeds
contempt. Examples of document (paper) evidence include safety
policies, inspection reports, memos, pre-job meeting records or
safe work procedures.
Examining documents usually tries our perceptive abilities to
the limit. When confronting a large stack of records, the urge
is to scan for significant bits and pieces. However, a quick scan
is likely to result in important facts being overlooked. A scan
should serve merely to get the lay of the land. Careful study
yields truth's gems.
Information Anxiety
(Doubleday 1989) by Richard Saul Wurman offers a powerful
approach. He argues that organizing information takes five forms:
by Time, by Continuum, by Alphabet,
by
Locations,
and by Topic . Each form provides a different
perspective on a document or a set of records. In other words,
you can learn something new by looking at the same material from
a different angle.
Let's for example, consider
that we are investigating a serious incident and the records under
review might include pre-job safety meetings and previous similar
incident reports.
In examining these records,
the investigator can create chronologies such
as the meeting times, incident times in relation to meetings,
or the dates when training was provided. Organizing the evidence
by time enables the investigator to observe relationships that
may not be apparent with a simple reading of the records.
A continuum is a magnitude scale: from the smallest
to the largest or from the dullest to the brightest. In our pre
job safety meetings this might measure meeting length, the number
of attendees, or the seriousness on a risk scale of the topics
discussed. Cross-referencing this data against a chronology might
reveal that the certain types of incidents are happening within
a specific time frame in relation to meetings or other activities.
Alphabetizing all the workers, supervisors or
safety representative's names will provide a good cross-reference
list to check against the previously generated chronologies and
continuum lines. Who attended what meetings? Is there a pattern
of missed meetings? Are the same names popping up in relation
to incidents? You might further evaluate these names by adding
length of service with the organization, training, journeyman
status etc.
Evaluating by location,
that is listing where on the site the incident occurred, provides
an excellent cross-reference list to check against the previously
generated chronologies and continuum lines. If, for example, potentially
incidents are occurring at a distance from competent supervision,
the increased number of incidents might be easier to understand.
Topically listing all the subjects discussed
in a months worth of pre-job meetings will further enhance recognizing
incidents where supervision might be a critical factor; or where
incident causing factors have not been reviewed for some time.
Under each subject, an investigator can identify the risks involved.
Then using the skills and competencies identified for each participant,
an investigator might demonstrate that the worker in a critical
phase of his or her job may not have been adequately trained or
supervised.
Wurman's five information tools can powerfully integrate the data
found in documentary evidence; they can turn the mere reading
of documents into a thoughtful observing process.
Summarized from the article How to Increase
Your Powers of Observation by Ronald L. Mendell, CLI
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