For Kim Woods Only

Unit VII Case Study: Heat Exchanger Rupture Incident

Review the attached Chemical Safety Board’s (CSB) Case Study on the 2008 Goodyear Heat

Exchanger Rupture incident.

1. Using the information in the CSB Case Study, identify probable direct causes, contributing causes, and root causes of the incident. Explain the reasoning you used

to reach these causes. You may make assumptions concerning any missing

investigative information as long as you clearly state your assumptions. Discuss how

and where your proposed causal factors fit into the causation model (attached). For

the root causes only, provide recommended corrective actions.

2. Create an Events and Causal Factors chart that follows the timeline of the incident. Be sure to include all causal factors you identified in your discussion, as

well as any other conditions and events that are relevant to understanding the

accident sequence.

The chart can be created using MS-Word, PowerPoint, or Excel, or it can be hand

drawn and scanned.

The completed case study must be a minimum of three pages and maximum of five

pages, not including the title page, reference page, and chart. Use APA formatting for all of

your assignment, as well as for all references and in-text citations.