🗓️ WEEK 4: Root Cause Analysis Methods
Section outline
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Pros and Cons of QRA
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Submissions opened: Friday, 21 November 2025, 2:50 PMAssessments closed: Wednesday, 10 December 2025, 2:50 PM
´ Scenario: "Maintenance worker severely injured while repairing conveyor system"
Initial Facts:
´ Worker bypassed safety interlock
´ Machine started unexpectedly
´ No lockout/tagout procedure followed
´ Inadequate supervision
Investigation Findings:
´ Multiple system failures identified
´ Organizational and cultural issues
´ Training deficiencies
´ Equipment design flaws
Group Activity - RCA Diagram
´ Task: Create a Cause and Effect Diagram for the conveyor accident
´ Categories to Consider:
´ People: Training, competence, supervision
´ Methods: Procedures, work permits, communication
´ Machines: Design, maintenance, safety features
´ Environment: Lighting, noise, workspace
´ Management: Policies, resources, safety culture
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