Accident reports may not tell us everything we need to know |
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| Authors: | Trevor A. Kletz |
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| Affiliation: | 1. Department of Chemical Engineering, Texas A&M University, USA;2. Department of Chemical Engineering, Loughborough University, 64 Twining Brook Road, Cheadle Hulme, Cheadle SK8 5RJ, UK;1. LISES – Dipartimento di Ingegneria Civile, Chimica, Ambientale e dei Materiali, Alma Mater Studiorum – Università di Bologna, Via Terracini 28, 40131 Bologna, Italy;2. Dipartimento di Ingegneria Civile e Industriale, Università di Pisa, Largo Lucio Lazzarino, 56126 Pisa, Italy;1. Laboratory of Industrial Safety and Environmental Sustainability - DICAM, Alma Mater Studiorum – Università di Bologna, via Terracini n.28, 40131 Bologna, Italy;2. Dipartimento di Ingegneria Civile e Industriale, Università di Pisa, Largo Lucio Lazzarino n. 2, 56126 Pisa, Italy;3. Faculty of Environmental Sciences and Engineering, Babe?-Bolyai University, Fântânele Street, n. 30, 400294 Cluj-Napoca, Romania;1. N. D. Zelinsky Institute of Organic Chemistry, Russian Academy of Sciences, 119991 Moscow, Russian Federation;2. FSRC ‘Crystallography and Photonics’, Russian Academy of Sciences, 119333 Moscow, Russian Federation;1. Department of Marine Technology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. |
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| Abstract: | Accident reports often miss some of the lessons that can be learned. We should try to read between the lines and look for the recommendations that might have been made but, for various reasons, were not. They may not have been foreseen, or there may have been reasons for deliberately excluding them, such as reluctance to embarrass colleagues or to admit that a similar accident had occurred before, but had been forgotten. Examples are described. |
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