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Using the Case at the End of the Chapter as Your

Question 38

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Using the case at the end of the chapter as your source material, describe the concepts, methods, and personnel you would use to implement and perform an effective investigation of this incident. Use the domino theory or Swiss cheese model as your theoretical foundation to help you classify the causes and determine what can be done to ensure that incidents of this type do not occur in the future. In addition to writing up the foregoing, prepare a Supervisor's Accident/Incident Report (long form), filling in as much information as you can (similar forms to the example in the textbook can be downloaded from the Internet).

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