Immediately following the Chemical Safety and Hazard Investigation Boards (CSB) published investigation report of the chemical spill into the Charleston, West Virginia, public water supply, you have been contracted as a safety engineer consultant to evaluate the investigation report from a system safety engineering perspective. As a macro-level evaluation of the past event, you have been asked to help the CSB understand what hazards may have been prevented if the bulk chemical tank owners had utilized a safety management system (SMS) with system safety engineering inherent in the SMS design. You will present a complete case study of just the six numbered statements within the Technical Analysis section on page 28 of the report. Access the CSB website and download the Chemical Spill Contaminates Public Water Supply in Charleston, West Virginia final report using the instructions from the unit lesson in the study guide, or click here.