The framework · one of five rooms

Q1 · Predictable

Predictable

Documented, foreseeable risks that were ignored anyway. The failure is attention, not information.

Someone wrote it down before it happened. A report, an inspection, a memo, a complaint. The information existed and moved through the organisation, and the decision to act on it never got made.

How to spot it. Look for the paper trail that predates the event. In this room it almost always exists.

19Events in this room
9Marked · behaved like another room
18Arrived from another

Every event filed in Q1 Predictable

9 of these are marked: filed here, but running another room’s mechanism by the end. The paperwork never changed.

Filed elsewhere, behaved like Q1 Predictable

These sit in another room on the map. By the end they were running this room’s mechanism.

The other four rooms

The book

Every room has a chapter. Risky Business, by Claudia Zeisberger, David Munro and Joanna Reijgersberg-Siew, is the long version of what this register only records.

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