Investor Presentaiton

• Organisation of the Book Determining Causal Factors • Determining Root Causes • The Impact of Human Factors • • • Developing Recommendations Preparing a Report Implementing Recommendations Sharing and Institutionalising Lessons Learned • Improving the Investigation Program . ⚫ Checklists 。 Evidence preservation, the investigators toolkit, report writing, auditing BAKERRISK Hazards 29 | CCPS Incident Investigation Book 3rd Edition | 23 May 2019 | 16:25-16:50 17

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