Systems Innovation LabPeople · Systems · Design
Services02 · Systems diagnostic

Understand why the same problems keep returning.

You have closed the finding, reminded the team or repeated the training, and the same problem returns. A systems diagnostic reads your records alongside the work as it actually happens, to identify what keeps allowing it back and what to change first.

01 · When this can help

When this can help.

01The same incidents, defects or complaints return after corrective action.
02Leaders want an independent view of what needs attention before committing resources.
03You need to understand how a new site or a subcontractor’s management system works in practice.
02 · How we work

How we work.

01
Review the evidence

We agree which incident, defect, audit and complaint records to review, then look for recurring patterns and missing information.

02
See the work

We observe the relevant tasks and speak with the people doing them, including where handovers, approvals and workarounds affect the result.

03
Agree what matters first

We connect the findings to their evidence, explain likely contributing conditions, and prioritise practical changes with your leadership team.

03 · What you get

What you receive.

The proposal confirms the outputs, boundaries and responsibilities for your engagement.

A one-page summary of the main issues and decisions for your leadership team
A detailed report linking each finding to the records, observations or interviews supporting it
A prioritised improvement list, including what each change would involve
A briefing to the board or executive team
If requested, a separate proposal to help implement the agreed changes
Discuss this problem →
04 · Is this the service you need

Scope, and what this is not.

This review focuses on recurring problems and the conditions behind them. It can draw on audit findings, but does not replace certification audits or required inspections. We agree the sites, records, people and questions included before starting. You receive the findings whether or not you ask us to help with implementation.
05 · An example of the work
97 · 13 · 118

One diagnostic brought together 118 findings into 13 recurring themes, documented in a 97-page report and a one-page leadership summary. These figures describe the scope of analysis in one engagement, not a measured improvement or a typical result. Read the engagement example →

06 · Questions clients ask first

The questions clients ask first.

Is this an audit?

It is not a certification audit. The focus is why problems recur and what could change in the work. Existing audits are useful evidence, and the diagnostic can complement them.

Can it be done remotely?

Records and initial discussions can be reviewed remotely. Where understanding the task requires observation, we agree site access and time with your team as part of the scope.

What if we do not proceed to a re-design?

The diagnostic stands alone. You can use its findings with your own team or another provider. A further engagement is optional.

Optional: the method behind the work
The thinking behind it

The method, for anyone who wants it.

We compare documented expectations with how work is carried out. This is sometimes called work as imagined and work as done. Records are grouped by recurring conditions, then checked against observation and interviews; a pattern is a question to investigate, not proof of a single cause.

As they arrive
A hundred findings. Each with an owner and a due date.
Closed one at a time. Reopened one at a time.
Related

Tell us what is happening at your workplace.

Start with the problem, not a service name. We will discuss whether we can help, what information is needed and what a sensible next step could be.

Tell us what is happening →