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Post-Incident Review and Root Cause Analysis

Recovery and review · 2 min read

Don’t waste the incident

Every incident is expensive. The post-incident review (PIR) is how the organisation gets something back: an honest look at what happened, why, and what will change so it doesn’t happen again, or is caught sooner next time. One CISM task is to conduct post-incident reviews covering root-cause analysis, lessons learned, corrective actions and risk reassessment.

The review

Timeline, root cause, what worked, what didn't, corrective actions, reassess risk.
  1. Timeline: what happened, when, and what was done.
  2. Root cause: why did it happen? Why wasn’t it stopped, or seen, sooner?
  3. What worked: keep doing it.
  4. What didn’t: the plan, tools, people, decisions.
  5. Corrective actions: each with an owner and due date, tracked to closure.
  6. Reassess risk: update the risk register, plans and playbooks.

Finding the root cause

Five whys example leading from a symptom to a fixable root cause.

Techniques include the five whys (keep asking why until you reach something fixable), fishbone (Ishikawa) diagrams and timeline analysis. Don’t stop at the immediate cause:

LevelExample
Immediate causeAn employee clicked a phishing link
Contributing causesNo MFA on the VPN; an alert was ignored overnight
Root causeNo MFA standard enforced; the SOC isn’t staffed 24x7
Corrective actionsEnforce MFA (IT, 30 days); MDR service for nights (CISO, 60 days)

Running it well

  • Timing: soon after closure, while memories are fresh, often within two weeks.
  • Participants: responders, owners, legal, communications, and sometimes the supplier involved.
  • Blameless: focus on process and systems, not individuals, so people speak honestly.
  • Output: a report to management, tracked actions and updated risk.

Example. A review of a ransomware attack finds the entry point was an unpatched VPN appliance flagged three months earlier. The root cause isn’t the patch team: the critical-patch SLA didn’t cover network appliances. The standard is updated, and appliances join the vulnerability program.

How the exam asks about it

If the question asks…The answer is usually…
Main purpose of a post-incident reviewIdentify root causes and improvements
A technique for root cause analysisFive whys or a fishbone diagram
Corrective actions need…Owners, due dates and tracking
The right culture for reviewsBlameless, focused on process
What else to update after a reviewRisk register, plans, playbooks and controls

In short

  • Post-incident review practices are a named CISM topic; a CISM task is to conduct reviews covering root cause, lessons learned, corrective actions and risk reassessment.
  • The review reconstructs the timeline, identifies root and contributing causes, and asks what worked and what didn't.
  • Root cause analysis techniques: five whys, fishbone (Ishikawa) diagrams, timeline analysis.
  • Corrective actions have owners and due dates, and are tracked to closure like risks.
  • The risk register, plans, playbooks and controls are updated; results are reported to management.
  • Reviews are blameless, focusing on process, so people speak honestly.

Exam traps

  • Skipping the review means the same incident can happen again.
  • Stopping at the immediate cause (the phishing click) misses the root cause (no MFA, weak detection).
  • Blame-focused reviews make people hide information.
  • Actions without owners and dates rarely get done.

Slides

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CISM · Domain 4 · Recovery and review

Post-Incident Review and Root Cause Analysis

How the post-incident review turns an incident into improvement: building the timeline, finding root causes, deciding corrective actions with owners and dates, and reassessing risk.

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