September 08, 2011

A pervasive lack of proactive measures

"Organizational accidents typically have multiple contributing causes, involve people at numerous levels within the organization, and are characterized by a pervasive lack of proactive measures to ensure adoption and compliance with a safety culture. They are generally catastrophic in nature and require complex organizational changes. All these aspects are present in this accident."
 -- September 3, 2011 San Bruno Pipeline Blast: NTSB lays out another system failure

A summary of facts and technical findings presented by Ravi Chattre, NTSB engineer and chief investigator.