Read Case III located on pages 560-562 in your textbook. Once you have read all of the materials, write an incident report utilizing the Guide for Identifying Causal Factors & Corrective Actions located on pages 156-160 in the textbook.

What are your findings? What is/are your recommended corrective action(s)? Who is at fault, if anyone? Could this have been averted? How, or why?

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