IDENTIFY THE HUMAN FACTORS THAT LED TO THIS INCIDENT

 https://open.alberta.ca/dataset/7071575b-9876-4c6b-8593-5789adaa84c7/resource/8f1ea562-4676-4fdd-b942-1bce0213206d/download/lbr-fatality-report-f-ohs-102998-22c81.pdf