Personal Details
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General
Please select the appropriate section related to this event
Detailed Account of the Event
Keeing in mind the topics shown below, discuss those that you feel are relavant and anything else you think is important. Include what you believe really caused the problem and what can be done to prevent a recurrence, or correct the situation
Chain of events: How the problem arose, How it was discovered, Contibuting factors, Corrective action
Human Performance considerations: Perceptions, judgements, decisons; Actions or Inactions; Factors affecting the qualities of human performance
Are you a human?:
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