RCA Case Study - Industrial Accident
Completion requirements
Submissions opened: Friday, 21 November 2025, 2:50 PM
Assessments closed: Wednesday, 10 December 2025, 2:50 PM
Setup phase
Workshop timeline with 5 phasesSkip to current tasks
- Setup phaseCurrent phase
- Task info The workshop is currently being set up. Please wait until it is switched to the next phase.
- Submission phase
- Task info Open for submissions from Friday, 21 November 2025, 2:50 PM (104 days ago)
- Assessment phase
- Task info Assessment deadline: Wednesday, 10 December 2025, 2:50 PM (85 days ago)
- Grading evaluation phase
- Closed
Description
´ 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