https://youtu.be/V8ZmOgMlyRE “Forklift accident brings down a warehouse in Russia” In

https://youtu.be/V8ZmOgMlyRE “Forklift accident brings down a warehouse in Russia” In your paper, review the immediate and basic causes and their corresponding Root Cause. Remember to reference your causal analysis worksheet for assistance. Root causes are divided into Operational and Organizational categories. List possible root causes that you would assess for in preparation for a complete countermeasure. We are only listing Immediate Causes and Basic Causes with corresponding possible Root Causes Basic Facts for Video: Forklift Brings Down the Warehouse Unit 1 operator (man working in aisle as video begins) has been working at the facility for less than a month. It is a midnight shift, 0230 hours. Unit 2 operator (second forklift to appear and working while man is in aisle) stops and asks the other worker. “Can you move the forklift to the front area so I can unload a truck?” When you spoke with Unit 2 operator he said that he meant for the man to tell him no if he was not trained to operate the forklift. Unit 1 operator was not trained by your company to operate forklifts. Challenge questions to be answered separately from Causal Analysis: 1. If Unit 1 operator reported that his boot got stuck between foot controls, and if you found this to be credible, what root cause might be indicated and what solution would be suggested? 2. What evidence is present that indicates Unit 1 operator is not competent? 3. What if Unit 1 operator was intoxicated? Causal Analysis Worksheet​IC#​Page: of Incident with Injury â–¡ Incident without Injury â–¡ Death â–¡ Medical Treatment â–¡ First Aid â–¡ Illness â–¡ Condition â–¡ Crime against person â–¡ Exposure â–¡ Near Miss â–¡ Incidental Spill â–¡ Property Loss â–¡ Crime against property â–¡ Security Breach â–¡ Equipment/Machine Failure â–¡ Unplanned Release â–¡ WORKSTATION: NAME______________ Environmental Conditions:(circle) Indoor or Outdoor Temp. _____ WBGT. ____ Wind Speed____ User Satisfaction Score: / 360 Safety Efficiency: total: ___/ 18 Behavior Based Composite Score: ___________ Hazard Recognition Accuracy/Level 1 Hazards: ________ General Description:(circle) rain snow ice icy wet dry cloudy sunny windy fog dusty Lighting: (circle) dawn daylight dusk dark- outside lighting on indoor plant lighting on dark- outside lighting off indoor plant lighting off dark- outside lighting inop indoor plant lighting inop Noise Rating: Action Level â–¡ Below Action Level â–¡ Below Latest Usability Assessment Attached: Yes â–¡ No â–¡ Constant Environmental Conditions: o Indoor o Windy Notes:/Other: o Outdoor o Fog o Debris on ground/floor o Dusty o Rain o Dawn Noise Rating: o Snow o Day o Ice o Night o Wet o Temperature . o Dry o Lights turned on o Cloudy o Lights turned off o Sunny o Lights inoperable Glare: â–¡ ____________________________________________________________________________________________ CHAIN OF EVENTS: Number Description Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ Event #: Concurrent Step â–¡ #____ • Copy and Use additional Chain of Event Sheet if necessary Risk Assessment Risk from Employment: Yesâ–¡ Noâ–¡ Risk Personal to Injured: Yesâ–¡ Noâ–¡ Employment Risk Factors: â–¡ Height â–¡ Exertion â–¡ Surface â–¡ Motion â–¡ Confined Area â–¡ Congested Area â–¡ Noise â–¡ Heat/Cold â–¡ Weather â–¡ Other: _________________________ Personal Risk Factors: â–¡ Medical â–¡ Mental â–¡ Failed to take medication â–¡ Balance Condition â–¡ Hearing â–¡ Eyesight â–¡ Previous Injury â–¡ Other:______________________ Probability: Highâ–¡ (3) Mediumâ–¡ (2) Lowâ–¡ (1) Experience: Routine Occurrence â–¡ (3) Occasional Occurrence â–¡ (2) Rare Occurrence â–¡ (1) Exposure: Several Persons â–¡ (3) Few Persons â–¡ (2) Single Person â–¡ (1) Risk Rating Total: Incident Map: (map the events of the incident in chronological order; place causes beneath each event) (Add additional pages if necessary; Orient page to portrait/landscape) (Students: Hand Draw, scan or take digital photo and re-attach) Immediate Cause Immediate Cause:​Unsafe Condition: Select principal factor that directly preceded and resulted in the injury/ illness o Inadequate guards/barriers o Wrong PPE o Inadequate PPE o Congested or tight space o Defective/ worn/ maladjusted vehicle o Defective/ worn/ maladjusted equipment o Inadequate warning system o Exposure to animals/ insects/ plants o Exposure to bloodborne pathogens o Inadequate guards, barriers, or warning system o Slip, Trip, Fall Hazard o Uncontrolled Hazard: ___________________________ o Exposure to extreme weather o Exposure to ionizing radiation o Exposure to non-ionizing radiation o Exposure to smoke/ dust/ fumes/ or vapors o Fire or explosion hazard o Guest/ visitor contact o High or low air temperature o High or low surface temperature o Housekeeping, unsafe placement, slip/ trip hazards o Improper fitting parts, materials, fasteners o Inadequate time allotted to task o Loss of utilities o Overpressure/ underpressure o Sharp edge on part, workstation, or equipment o Spilled/ splashed chemicals or leaking containers o Unsafe food or drink o Wet, icy, snowy road or walkway Unsafe Act: Select principal factor that directly preceded and resulted in the injury/ illness o Ascending/ descending stairs improperly o Assigned rotation or rest intervals not used o Did not heed warning signals, lights, sounds o Employee awareness/ attentiveness o Employee in danger zone/ line of fire o Equipment/ tool used improperly o Failed to execute LOTO o Miscellaneous Acts: ____________________________ o Failure to follow procedure: ____________________________ o Failed to use proper fall protection o Failed to warn or barricade o Horseplay or distracting behavior o Improper force/ posture/ position o Improper lifting o Improper loading o Improperly placed/ secured mats, tools, furniture o Inadequate check for obstacles in vehicle path o Inadequate clearance for safely stopping vehicle o Inattention to established procedures o Operated vehicle improperly o Proper PPE not used for task o Removed or disabled safety devices or guards o Used area not intended for walking/working o Wrong/ defective item used (Add additional page if necessary) Basic Cause Job Factors: Inadequate equipment; Harsh weather; On slope; Congested area; Complex work; High physical demand; Repetitive action; Schedule; Indoor; Outdoor; Daylight; Dark; Normal Hours; Off peak hours; If other specify. Job Factors are conditions of operation other than those prohibited by standard/policy. Job Factors Event from Map Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Personal Factors: Stressed from life events; Inexperience; Untrained; Impaired(substance); Fatigued; Motivation; Deliberate Risk; Euphoria; Hurry; Frustration Involved Person Personal Factor(s) Event from Map Name: Witness â–¡ Injured â–¡ Focus â–¡ Other â–¡ Mgt â–¡ Supervisor â–¡ Name: Witness â–¡ Injured â–¡ Focus â–¡ Other â–¡ Mgt â–¡ Supervisor â–¡ Name: Witness â–¡ Injured â–¡ Focus â–¡ Other â–¡ Mgt â–¡ Supervisor â–¡ Name: Witness â–¡ Injured â–¡ Focus â–¡ Other â–¡ Mgt â–¡ Supervisor â–¡ Name: Witness â–¡ Injured â–¡ Focus â–¡ Other â–¡ Mgt â–¡ Supervisor â–¡ Name: Witness â–¡ Injured â–¡ Focus â–¡ Other â–¡ Mgt â–¡ Supervisor â–¡ (Add additional page if necessary) Human Centered Design Rate Demand Low Medium High Physical Demand of task/workstation: Environmental Demand: Mental Demand of task/workstation: 1. Do controls fit the worker Yâ–¡ Nâ–¡ 2. Do controls match worker expectations Yâ–¡ Nâ–¡ 3. Is transfer effect limited Yâ–¡ Nâ–¡ 4. Placement of controls is readily visible Yâ–¡ Nâ–¡ 5. Controls use redundant coding Yâ–¡ Nâ–¡ 6. What type of feedback is given to worker from controls: Manual Control â–¡ Visual Feedback â–¡ Automated assist â–¡ Auditory Feedback â–¡ Voice activated â–¡ Olfactory Feedback â–¡ Sensor activated â–¡ Somatosensory: Manual Computer â–¡ Tactile and haptic â–¡ Temperature â–¡ Kinesthetic â–¡ Last Usability Score : Notes for Human Centered Design: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Root Cause Root Causes are management system failures or oversights Organizational Errors Objectives o Inadequate Objectives o Inadequate standards of performance o Inadequate analysis/measurements Organization o Inadequate chain of command o Lack of competency o Over delegation o Lack of delegation Operations o Improper layout o Lack of policy/Scope o Lack of resources o Procurement Issues o Scheduling o Lack of procedural development o Lack of Environmental Planning Operational Errors Conduct o Sets poor example o Sets poor example o Supervisor o Manager Responsibility o Instructions not understood o Instructions not accepted o Pressure of immediate task obscures o Out of scope of responsibility o Supervisor o Manager Authority o Fails to make decision o Failed to delegate o Out of scope of competency o Out of scope of Authority o Supervisor o Manager Rules/Procedures o Fails to enforce o Fails to follow up o Uneven enforcement o Supervisor o Manager Coaching o Fails to explain why o Failed to listen o Failed to coach o Inadequate instructions o Supervisor o Manager Morale o Tension with labor o Not confident o Lacks motivation to labor force o Supervisor o Manager Operations o Improper job placement o Lack of equipment to worker o Inefficient workloads/flow o Supervisor o Manager Root Cause Consequence Event from Map Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ Entire Incident â–¡ (Add additional page if necessary) Root Examination Had hazard been previously reported and corrected Yes â–¡ No â–¡ N/A â–¡ Was the task covered in a JHA Yes â–¡ No â–¡ N/A â–¡ Involved persons trained: ___/____/_____ Yes â–¡ No â–¡ N/A â–¡ Did training include specific knowledge Yes â–¡ No â–¡ N/A â–¡ Did policy cover situation Yes â–¡ No â–¡ N/A â–¡ Training update ordered Yes â–¡ No â–¡ N/A â–¡ Policy update ordered Yes â–¡ No â–¡ N/A â–¡ Cross functional committee review ordered Yes â–¡ No â–¡ N/A â–¡ Cultural Examination: (rate from 1 to 5; 5 being highest positive outcome) The causes reflect a positive indication to the cultural criteria: Workforce Associate (1-5) Cultural Criteria Management (1-5) • Participation • Commitment • Attitudes • Perceptions • Competency • Compliance 1. What topics and corresponding standards or laws did you reference in determining what substandard conditions applied or were specific to this incident? (10 pt

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