SEARCH

SEARCH BY CITATION

Abstract

We learn more from accounts of accidents than from codes and standards or exhortations to follow them. Incident reports are more likely to spur us into action. We are unlikely to read a code until an accident report has shown us the need. This paper describes a number of accidents, some old, some recent, which can teach us lessons of general interest. It looks at the underlying causes as well as the immediate technical ones.