Dr. Ayers focuses on one of the most neglected parts of incident investigations: following up on corrective actions. Finding the root cause is only half the job — the real impact comes from ensuring corrective actions are completed, verified, and effective.
Many organizations treat the investigation report as the finish line. Dr. Ayers stresses that the real finish line is when corrective actions are:
Implemented
Verified
Working as intended
Without this, investigations become paperwork exercises. Sources:
The episode highlights the need for:
Clear ownership
Due dates
Follow‑up checks
Documentation of completion
If no one owns the action, it won’t get done. Sources:
Dr. Ayers warns against piling on weak corrective actions just to “fill the list.” Effective corrective actions should:
Address the root cause
Reduce or eliminate the hazard
Be realistic and sustainable Sources:
A corrective action isn’t complete until someone confirms:
It was implemented correctly
It actually reduced the risk
Employees understand the change
Verification closes the loop. Sources:
An investigation isn’t complete until corrective actions are verified.
Assign ownership and deadlines to ensure follow‑through.
Focus on meaningful corrective actions, not long lists.
Verification is where safety improvement actually happens.