1. Investigate the accident [15 Points]
   1. Develop a 5-Whys Tree and determine the Root Cause (5 Points)
   2. Develop a JSHA (10 Points)

CASE

JOHN EDD DUNNIVANT, 57 AUTO WORKER, WEST POINT, GEORGIA. GRANDFATHER OF 12 CRUSHED TO DEATH IN AUTO PLANT John Edd Dunnivant had worked at the KIA Motors West Point, Georgia plant since it opened in 2009, giving over his days to the manufacture of Sorenta and Santa Fe sport utility vehicles and Optima sedans. Little did he know that he would also give his life. The tragedy unfolded on the morning of Tuesday, October 7th, 2014. According to early incident reports written by first responders, reports The LaGrange Daily News: Dunnivant was working in the metal stamping section of the plant when some stacked metal framework stamping plates shifted, slid and fell on Dunnivant." It took two hours for a crane to arrive and pull the heavy metal plates off of him. Troup County Coroner Jeffrey Cook found that Dunnivant died of asphyxiation. "His breath was cut off," Cook told The Columbus Ledger-Enquirer. "It's called compression asphyxia due to the weight that was on him." An OSHA investigation is still ongoing. Dunnivant is survived by his wife, a daughter, two stepchildren, and twelve grandchildren. BLS data shows that 312 workers died in the manufacturing industry in 2013. Dunnivant's death was the first inside the Kia plant since it began operations in 2009, but it is not the first fatality linked to the operations of the 2,200 acre, $1 billion facility, which now employs more than 3,000 people. Ollie Tate, a construction worker for subcontractor Superior Rigging & Erecting Co., was killed in January 2008, when a beam fell on his head while the Kia plant was under construction. OSHA found three serious health and safety violations and fined Superior Rigging $13,200 for failure to properly secure steel beams. 1 Teresa Pickard worked on the welding line at Sewon America, a LaGrange, Georgia plant that makes chassis, body and trim parts for the West Point Kia plant. She died of an on-the-job heart attack in May 2013 after reports of excessive heat in the facility. These deaths, like most workplace fatalities, are preventable. Steel beams, plates and other heavy equipment can be secured to prevent shifting, falling and other events that can endanger the lives of workers. Proper cooling, ventilation, rest breaks and regular access to fresh water can reduce the risk of heat exposure. Employees are safer on the job when they have a voice to advocate for improvements in their own working conditions. A Stanford Law School study of the mining industry, for instance, shows that fatalities and traumatic injuries decreased with unionization. Both the West Point Kia plant and its Sewon supplier are non-union facilities. Prospective workers sued Kia in 2011, saying that applicants with union backgrounds had been systematically rejected for employment at the plant