Blameless Postmortems and Learning
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Blameless Postmortem Principles
- Assume everyone acted with the information they had.
- Improve systems and processes, not individuals.
- Make learning visible: what we changed and why.
Meeting Agenda
- What users saw (impact)
- Timeline walkthrough (facts only)
- Contributing factors (tech + process)
- What went well / what was hard
- Action items and follow-up plan
Action Items Quality Bar
- Specific: "add alert on burn rate" not "improve monitoring".
- Measurable: success criteria defined.
- Owned: a person/team and a due date.
Failure Modes
- Postmortems as paperwork: no changes, same incident repeats.
- Too much narrative: not enough concrete prevention work.