- Before
- Leads 3–4 reviews a month on top of planning work. “I spend three days lining up timestamps before I can even start thinking.”
- Now
- Opens the event already on one timeline, plays it back, confirms the causes and signs a draft in which every sentence points to its moment.
One feeder lockout, from the trip to a signed report
On Friday 9 October 2026 at 18:41:52, a cable joint fails on feeder F12 out of Corran Vale primary, a 33/11 kV substation of the fictional Lumina Utilities. 6,412 customers lose power, among them 3 life-support customers, Holmewood care home and Lumina's own Tamsin Hill water booster station. Here is the review, screen by screen, in the working solution.
- 01Oct 10, 07:58
The review opens itself
Mara Lindqvist · review leadThe event passed a trigger — more than 1,000 customers off — so PER-2026-0219 opened in the register on its own, for 6,412 customers and 273 minutes. Mara, a senior operations engineer, sees it beside the other open reviews and their clocks: PER-2026-0207 with its report due Oct 21 and two sections unsigned, Storm Ilse at sign-off with Ruth Abernathy, and her own report due Nov 8.
“41 reviews in 2026 · opened automatically when an event passes a trigger · 4 open”
- 0208:05 → 08:41
Seven sources, one clock
Event assemblerThe event assembler reads 11,479 records for the event window: 1,284 SCADA events, 4 relay records, 416 outage-system records, 7,921 smart-meter events, 1,744 crew GPS pings, 96 control-room log lines and 14 care-team calls, plus 9 crew job notes. It aligns every clock to SCADA GPS time: the outage system was 2 s out, the care-team log 1 min 12 s, and the control-room log, typed to the minute, is anchored to SCADA on 11 lines.
“The event assembler reads this source and never writes to it. The correction is shown on every item it moved.”
- 03The agents' run
Three delays, five decision points, a lesson that did not hold
Delay finder, Protection reviewer, Lessons matcherAgainst Lumina operating standards v7, the delay finder marks 5 decision points and measures D1, dispatch at 23 min 04 s, and D3, the life-support call-back at 37 min. The protection reviewer reads CB-12's settings against the feeder as built — reclose on, feeder 82 % cable — and flags a possible misoperation (D2). The lessons matcher finds D1 in three earlier reviews.
Lessons matcher: “D1 matches PER-2026-0088, 0131, 0177 · ACT-2026-0061 not checked”
- 04Play from 18:40
She plays the evening back
Mara Lindqvist · review leadFive lanes on one time axis: protection and SCADA, the control-room log, customer calls and meters, dispatch and crew GPS, priority customers and sites. At 18:58:40, 16 min 48 s after the trip, the rail shows the event as the control room saw it: 6,412 customers off, 189 calls, 9 alarms open, and no crew sent — van LV-214 is still on a streetlight job in Brindle, 9.4 km away. The D1 bar fills as the playhead crosses it.
Not known yet at 18:58:40: “Where on the feeder the fault is · Which crew is going, and when · Whether the 3 life-support customers are safe”
- 0519:06:14
Twenty-three minutes, lost in a shift handover
Delay finderThe outage system predicted the outage at CB-12 at 18:49 from 27 calls and 1,980 last gasps, but a dispatcher must confirm before a crew is raised. At 18:58 the log reads “Handover in progress, F12 dispatch with incoming shift”, and the incoming shift sent LV-214 at 19:06:14. Against the 10-minute standard, the 13 extra minutes cost 83,356 customer minutes, 13.4 % of the event.
Decision point 3: “Decision held for the incoming shift with 9 alarms open.” The delay finder names the decision, never the person.
- 06One click
D1 goes into the report, with its evidence
Mara Lindqvist · review leadEach delay on the timeline carries its evidence from every lane: the first call at Kellmere Road, the prediction, the log line, the dispatch. Mara adds D1 to the report. It lands in section 4, Delays and decision points, numbered with its timestamps, and the draft goes from 46 to 50 citations.
“D1 added to the report · section 4, with 4 citations”
- 07The causes
Six barriers: three failed, three held
Protection reviewer · Dev RamaswamyThe barrier analysis lists what should have limited the event. Failed: no auto-reclose on cable feeders (D2), crew dispatched within 10 minutes (D1), life-support call-back within 30 minutes (D3). Held: fault passage indicators found the section 13 minutes after arrival, back-feed from F9 restored 1,203 customers at 20:31, and the booster's standby generator took load in 2 min 28 s, with no water supply lost. The protection review of CB-12 goes to Dev Ramaswamy, due Feb 6, 2027, with 14 similar feeders listed.
D1 root cause, proposed at 91 %: “Dispatch depends on a manual confirm, and the handover does not carry open dispatch decisions”
- 08Before signing
The same delay, four times
Lessons matcherDispatch held over a shift handover also happened at Saltmarsh Way F7 in April (19 min over the 07:00 handover), Fenwick Close F2 in June (16 min) and Orrin Lane F4 in August (21 min). ACT-2026-0061, a handover checklist change, was closed in May and never checked; ACT-2026-0102, dispatcher cover at 19:00, was closed in August and failed. Mara reopens ACT-2026-0061 with an effectiveness check on the next 5 handovers with an open fault.
“Two actions were closed without a check against a later event; the delay came back after each.”
- 09Signed · 26 days left
The cited report, signed and on its way
Mara Lindqvist · review leadThe report writer drafted the post-event report in Lumina's template — summary, network and customers, sequence of events, delays and decision points, causes, what worked, customer and safety impact, actions — with a citation on every sentence that jumps back to its moment on the timeline. Mara signs as review lead. It goes to Dev Ramaswamy for the protection section, then Callum Achebe for safety and life support, then Ruth Abernathy for the Commission.
The report writer's limit: no sentence without a citation, and the report stays draft until the review lead signs.
- 10Until it works
Five actions, each with the check that proves it
Action trackerACT-2026-0144: raise the dispatch automatically when the outage system predicts a lockout — Sasha Morrow, Nov 20. ACT-2026-0145: no dispatch decision carried across a handover — Ade Okonjo, Oct 30. ACT-2026-0146: auto-reclose off on F12 and the 14 feeders over 70 % cable reviewed — Dev Ramaswamy. ACT-2026-0147: life-support call-backs start on the lockout — Ines Barlow. ACT-2026-0148: joint failure analysis — Lena Varga. Each carries the check that proves it: the next 5 lockouts, the next 5 handovers with an open fault, a settings audit of the 14 feeders, the next 5 events with life-support customers, the lab report.
“Every action from every review, with its owner and the check that proves it worked”