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. 2022 Jan 28;15(3-4):1361–1382. doi: 10.1007/s12063-021-00248-2

Table 8.

Assumed risks

MORT reference Description Was the decision taken properly?
SB1-a2-b4-c2 Did not use machinery to install and to remove de valve No
SD5-a4-b3-c11-d9 Consider the problem of damaging the valve with low risk potential No
SC2-a1-b1 The barrier was not impossible and yet it was not implemented. Machinery to install and remove the valve exists, addition, there were conditions to develop a suitable tool for this process No
SC2-a1-b3-c1 The same barriers mentioned above were not provided by the manager No
SA2-a1-b2-c6 The company was slow to start looking for solutions to the problem in question. The developed tool was only implemented after a few incidents No

Source: Own elaboration