Ensure the report follows the following format:
1. Title Page
2. Abstract
3. What happened (Analysis of the accident or incident)
4. Why it occurred (Synthesis)
a. Systems thinking
i. What systems are involved?
ii. How do the systems normally interact?
iii. In this instance, how did the systems interact to “set up” the accident or incident?
b. The human component
i. Individual actions or decisions of all involved including supervisors and/or management
ii. Interactions of teams directly or indirectly involved.
5. Recommendations. Make sure they are practical, feasible, and achievable.
6. References
Formatting
1. Style: APA
2. 12 pitch
3. Double-space
4. Citations and references
5. Length? There is no specified length. You must be able to clearly answer the questions of what, why, and provide clear, practical recommendation(s) as well as provide sufficient data to substantiate your conclusions and recommendations.
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