StartPage

Commands	Report Number	Problem Statement / Issue Summary
Edit Select Delete	10-0853	PROBLEM STATEMENT (OBJECT-DEFECT-CONSEQUENCES) Using the Condition Report details, describe what OBJECT has/had a DEFECT and the CONSEQUENCES for this event or issue. EVENT / ISSUE SUMMARY Using the Condition Report details and any prompt investigation/interviews conducted, describe the Issue / Event in sufficient detail for the reader to understand it. You should address: What level of effort (people, money, and other resources) do you need to dedicate to the investigation? Is this a small event with minor consequences? Is it a catastrophic event with major equipment damage, or is it a precursor event that could have had significant consequences? What level of management involvement is needed? Is an investigation team needed? If so, who should lead it? How big should the investigation team be? Does this problem have widespread implications? What are some of them?
Edit Select Delete	17-1234	PROBLEM STATEMENT (OBJECT-DEFECT-CONSEQUENCES) Truck rolled down a hill and crashed into a parked auto at the bottom of the hill. EVENT / ISSUE SUMMARY Ajax Construction Company was awarded a contract to build a condominium on a hill overlooking the city. Prior to initiation of the project, a comprehensive safety program was developed covering all aspects of the project. Construction activities began on Monday, October 4, 1978, and proceeded without incident through Friday, October 8, 1978, at which time the project was shut down for the weekend. At that time, several company vehicles, including a 2 1/2 ton dump truck, were parked at the construction site. On Saturday, October 9, 1978, a nine-year-old boy, who lives four blocks from the construction site, climbed the hill and began exploring the project site. Upon finding the large dump truck unlocked, he climbed into the cab and began playing with the vehicle controls. He apparently released the emergency brake, and the truck began to roll down the hill. The truck rapidly picked up speed. The boy was afraid to jump out and did not know how to apply the brakes. The truck crashed into a parked auto at the bottom of the hill. The truck remained upright, but the boy suffered serious cuts and a broken leg. The resultant investigation revealed that, although the safety program specified that unattended vehicles would be locked and the wheels chocked, there was no verification that these rules had been communicated to the drivers.[1] An inspection of the emergency brake mechanism revealed that it was worn and easily disengaged. It could be disengaged with only a slight bump. There had been no truck safety inspections or requests to adjust the emergency brake linkage.

Commands

Edit
Select
Delete

10-0853

PROBLEM STATEMENT (OBJECT-DEFECT-CONSEQUENCES)

Using the Condition Report details, describe what OBJECT has/had a DEFECT and the CONSEQUENCES for this event or issue.

EVENT / ISSUE SUMMARY

Using the Condition Report details and any prompt investigation/interviews conducted, describe the Issue / Event in sufficient detail for the reader to understand it. You should address:

What level of effort (people, money, and other resources) do you need to dedicate to the investigation?
Is this a small event with minor consequences?
Is it a catastrophic event with major equipment damage, or is it a precursor event that could have had significant consequences?
What level of management involvement is needed?
Is an investigation team needed? If so, who should lead it?
How big should the investigation team be?

Does this problem have widespread implications? What are some of them?

Edit
Select
Delete

17-1234

PROBLEM STATEMENT (OBJECT-DEFECT-CONSEQUENCES)

Truck rolled down a hill and crashed into a parked auto at the bottom of the hill.

EVENT / ISSUE SUMMARY

Ajax Construction Company was awarded a contract to build a condominium on a hill overlooking the city. Prior to initiation of the project, a comprehensive safety program was developed covering all aspects of the project. Construction activities began on Monday, October 4, 1978, and proceeded without incident through Friday, October 8, 1978, at which time the project was shut down for the weekend. At that time, several company vehicles, including a 2 1/2 ton dump truck, were parked at the construction site. On Saturday, October 9, 1978, a nine-year-old boy, who lives four blocks from the construction site, climbed the hill and began exploring the project site.

Upon finding the large dump truck unlocked, he climbed into the cab and began playing with the vehicle controls. He apparently released the emergency brake, and the truck began to roll down the hill. The truck rapidly picked up speed. The boy was afraid to jump out and did not know how to apply the brakes. The truck crashed into a parked auto at the bottom of the hill. The truck remained upright, but the boy suffered serious cuts and a broken leg. The resultant investigation revealed that, although the safety program specified that unattended vehicles would be locked and the wheels chocked, there was no verification that these rules had been communicated to the drivers.[1] An inspection of the emergency brake mechanism revealed that it was worn and easily disengaged. It could be disengaged with only a slight bump. There had been no truck safety inspections or requests to adjust the emergency brake linkage.