Getting to the Bottom of a SPAD Incident

This page forms part of the SPAD Management Toolkit topic covering ‘Tackling the causes of SPADs’.  Below are two dummy SPAD investigation summaries. Both are reports into the same incident, but the investigators have taken different approaches. Read the narrative of the incident, which lists the key facts, then look at the two investigation summary reports

Which investigation do you think gets to the underlying causes and makes recommendations that will help prevent other similar incidents from happening?

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