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PS-REC-121 · r3 RECOVERY INFERRED OBSERVED

EXCEPTION WITHOUT PROCEDURE

The written procedures cover what was foreseen. This was not.

01   DEFINITION

Condition in which a state arises that no prepared sequence addresses, so the people in it are improvising while the surface goes on offering the steps for states they are not in.

02   CONDITIONS

UNCERTAINTY MISSING Nothing states that this state is one the preparation does not cover.
TIME PRESSURE SHORT The improvising happens while the situation continues.
ERROR ASYMMETRY ASYMMETRIC Following an ill-fitting procedure and having none are not comparable failures.
OPERATOR STATE DEDICATED The person is in it and the surface is still describing something else.

03   WHERE IT APPEARS

MEDICALA presentation falls outside every protocol and the system keeps offering the protocols.
ENERGYA plant state matches no written response and the board still presents the written ones.
PUBLIC SERVICEA case fits no category the process anticipated and the form offers only the categories.
MANUFACTURINGA stoppage has no matching sequence and the station displays the sequences it has.
CONSTRUCTIONA site condition is outside method statements written for the ones that were foreseen.
AI EXP.An input falls outside what the system was built to handle and it responds as though it had not.

04   WHERE THIS IS SURFACING

This surfaces wherever the prepared set is finite and the situations are not. Interfaces are built around the prepared set, so the unprepared case is met on a screen still describing something else.

What stays unresolved is what a surface offers when it has nothing to offer — presenting the nearest procedure invites people to follow one that does not fit, and presenting nothing removes the only structure available at the worst moment.