Unfortunately accidents do happen, and when they do it is important to investigate to understand why happened and why their consequences were as sever as they were.
Then we need to learn from them and to take actions to seek to avoid a repetition. Investigation and learning from accidents, incidents and near misses (whether they be safety, environmental or operational) is a key part of any organisation’s management systems. It is a regulatory requirement for major hazard facilities. Good investigation goes beyond immediate and basic technical causes to examine human actions and identify root causes, barrier failures and management system deficiencies.
We have experience in leading accident investigations; building investigation teams, working to identify the root causes and management system deficiencies, working with laboratories, supporting in developing improvement actions, and more.
Mark Boult, Director, was the manager of the technical investigation for the Royal Commission into the fire and explosion at the Longford Gas plant in Victoria Australia.
You can access a copy of the report at: https://www.parliament.vic.gov.au/papers/govpub/VPARL1998-99No61.pdf