Task Details:
The aim of this assessment task is for students to develop a comprehensive set of logic diagrams describing the sequence of events, causation sequences and outcomes of an accident. The resultant set of logic diagrams are then to be incorporated in a report which describes the event, the analysis undertaken, the sequence of events, causation sequences and outcomes of the accident.
Assessment Task:
In this assessment task you must analyse an accident (Fatality on a Production Line) and prepare:
• A Timeline to explain the sequence of events that led to the accident, and
• A set of Event Tree or Bowtie diagrams, to explain all the causal factors sequences and outcomes of the accident
• A report, incorporating your completed diagrams, describing your analysis and findings.
Your comprehensive analysis should involve at least six (6) lines of enquiry (eg failures in equipment design, physical systems, organisation and culture, operating environment, documentation and the human errors, omissions and/or violations involved).
Attachments:
There are two extra attachments to this order. One is the information on this accident and the other is photos of the accident. This information is regarding the Fatality on a Production Line accident, the topic that you will be answering the above questions too.
