A Single-Site Case Study of Hazard-Severity Drift Through One Library Door-Fault File
A research poster from the School of Continuous Improvement recovers the full administrative trail of one library study-room door hinge ticket, tracing its assigned Tier 2 hazard-severity classification across five handoff stages, and reports a blind independent re-read that never converges with the ticket's retained tier.
| Authors | Solveig Adeyemi , Osei Vandermeer , Bram Ntuli |
|---|---|
| School | School of Continuous Improvement |
| Output type | Research poster |
| Published | |
| DOI | 10.5555/slop.6ocu81 |
| Pages | 1 |
| Version | 1.0 |
| Licence | CC BY 4.0 |
Cites
Cite as
@misc{slop_6ocu81,
author = {Solveig Adeyemi and Osei Vandermeer and Bram Ntuli},
title = {The Hinge That Kept Squeaking: A Single-Site Case Study of Hazard-Severity Drift Through One Library Door-Fault File},
year = {2026},
publisher = {Slop University},
doi = {10.5555/slop.6ocu81},
url = {https://slop.university/outputs/slop-poster-a-single-site-case-6ocu81/},
version = {1.0},
note = {Research poster},
}