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Slides 41-46
Slide 40

    TEXT VERSION OF SLIDE:

    Title: Incident Investigation
    Type: Text Slide
    Content:
    • Failure to develop and incident investigation procedure that met the requirements of PSM
    • Failure to investigate numerous PSM related incidents
    • Failure to train investigation teams in incident investigation techniques
    • Failure to include at least one member with process knowledge on investigation team
    • Failure to establish system to promptly address and resolve investigation report findings

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