Online Help on OCHS3004 Case Study 2
Case Study 2
Present a critical analysis following incident summaries from WorkSafe WA*:
- h p://www.dmp.wa.gov.au/Documents/Safety/MSH_SIR_249.pdf
Your tasks are as follows:
- Present an Event and Causal Chart and one (1) of the analytical the incident (use the RCA chart using the fishbone template)
- Summarise your findings based on your analyses (what are the immediate/direct cause(s) of the incident? What are the contributing factors? What are the likely root cause(s) to the incident?)
- Based on the incident summary:
- Evaluate and discuss whether the investigation found all relevant cause(s) for the incident;
- Are the recommendations appropriate and practicable?
- How would you classify the level of success of this investigation? What difficulties may investigators find in investigating this incident?
Maximum words for report: 1500 words
Notes:
*the definitions of immediate/contributing/root cause(s) may not necessarily correspond directly to the language used in the safety alert – use your judgement based on your knowledge from OCHS3004 in itemizing these.
