September 9, 2010 | Mark Paradies

Double Fatality in Tarrytown Sewer Accident reports that violating a clear standard (the confined space entry law) was the cause of a double fatality in Tarrytown.

What’s the root cause of not following (using) the standard? We probably will never know but Enforcement NI on the TapRooT® Root Cause Tree® is a likely posibility (especially since the supervisor was at the scene).

Have a look at the definition for “SPAC Not Uses – Enforcement NI” in the Root Cause Tree® Dictionary and see if you think it is a possibility.

Here is the video of what happened…

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