Description:

This Master Prompt extends Root Cause Analysis beyond physical or technical failure to investigate the human, task, procedural, organizational, managerial, environmental and system-level conditions that shape adverse events. It is intended for complex socio-technical systems in which people interact continuously with equipment, technologies, procedures, information, organizational structures and operational environments. Rather than treating an operator action, procedural deviation or decision error as the end point of investigation, the Master Prompt guides researchers upstream to determine why that action became possible, reasonable, likely or difficult to avoid under the prevailing system conditions.