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1. What Root Cause analysis technique they will use to analyze the scenario (5 why, Ishikawa, etc.). Be prepared to explain why you chose that

1. What Root Cause analysis technique they will use to analyze the scenario (5 why, Ishikawa, etc.). Be prepared to explain why you chose that particular method. 2. What information you are missing to aid in determining a root cause. Make a list of any pertinent information lacking in the details provided. 3. What is/are the root cause(s) of the incident based on their analysis. detail underlying or immediate causes relevant to the incident that go hand in hand with the root cause(s). AND YOU should clearly contain the information above as well as: Any diagrams you may want to create to explain your hypothesis and analysis if relevant. A list of the questions you would ask for a 5 Why or a drawing of the Fishbone diagram outlining the elements you find significant or impactful to the root cause analysis. You are not required to add any corrective actions as part of this assignment, but if you do, ensure they are clear, concise and reflective of the root causes identified. This is accident scenario number 1: An employee (electrician) is working on a ladder inspecting an overhead bank of lights and the ladder collapsed under the employee. The employee falls off the ladder and breaks their arm. The investigation reveals the following details: Employee had worked seven 12-hour shifts in a row. Accident happened at end of shift. Employee was standing on the top step of the ladder (an unsafe action). The employee was approximately 10 feet above floor level. No fall arrest or restraint system was used. A ladder inspection policy is in place, but there is no evidence that the ladder has ever been inspected. Investigation reveals the ladder was damaged and did not provide a stable working platform in any environment. Interview with facility manager reveals that he did not inspect the ladder when it was due for inspection. He was aware that ladder needed to be inspected. Extended work hours may have caused employee to be tired and not clear-headed. Employee violated safety rule (standing on top step). Ladder was defective and unusable. Facility manager was aware that ladder needed to be inspected but did not adhere to the existing policies and procedures for ladder inspections. What is the Root Cause? Which factor, if not present, could have prevented the accident?

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