Is “Failure to Test” a “Root Cause”?
The Sydney Morning Herald reported:
“Failure to test a cement casing at an oil well in the Timor Sea was a root cause of a blowout that caused Australia’s worst offshore oil spill, an inquiry has heard.“
See the article at:
It sure seems like there were many more “root causes” to me and that the analysis should have led to root causes that were much more in-depth. And it would be a big help if there was a SnapCharT® to help identify all of the Causal Factors.
What do you think?
Here’s the March 15 meeting transcript:
And here’s the link to the Commission’s web site for more information:
http://www.montarainquiry.gov.au/index.html
