Actionable items go onto the backlog. The backlog grows from the top.
As a stopgap, a manual pre-flight check is added. The number of manual pre-flight checks becomes a ridiculous overhead but it gives a clear person to blame when something goes wrong.
insanetake · · focus · HN ↗
1. timeline of events
2. impact
3. 5 whys — the details of how and why things happend
4. actionable items
I've never seen a post-mortem without actionable items.
Pxtl · · focus · HN ↗
As a stopgap, a manual pre-flight check is added. The number of manual pre-flight checks becomes a ridiculous overhead but it gives a clear person to blame when something goes wrong.