Incident Question:

For each decision point, consider the following:

Errors If an error occurred, what was it?
Optimal How should the decision have been made?
Ambiguous What information could have helped make the decision. Was any information missing?
Error Avoidance Could the error have been avoided? If so, how?
Environmental Factors What aspects of your environment influenced your decision?
Expert / Novice Do (or would) experts and novices differ in their decision making?
Information What information was used in making the decision? How was it obtained?
Training Others If you were training new employees, what would you teach them about this kind of incident?