March 15, 2010 | Mark Paradies

Is “Failure to Test” a “Root Cause”?

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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:

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