[AR] Re: Damascus AR Incident

  • From: James Padfield <james.padfield@xxxxxxxxx>
  • To: arocket@xxxxxxxxxxxxx
  • Date: Wed, 18 Jan 2017 12:20:23 +0100

On 17 January 2017 at 18:33, Derek Lyons <fairwater@xxxxxxxxx> wrote:

It's covered in the book to a degree, I haven't seen the film and I
don't know if it's covered there, but this is really an accident that
shouldn't have happened.  The crew knowingly and intentionally used
the wrong tool.   Even if it had happened, it didn't have to be as bad
as it was - except the deluge system meant to mitigate exactly such an
accident was not fully operational.  Poor training, poor supervision,
poor procedural discipline, poor materiel condition, and you're
screwed every time.  It's not if, it's when.

Getting back on-topic hopefully....

If perhaps the valve (or whatever) had been designed so that it
required a special, particular tool, not "any old
spanner/wrench/socket", could the accident have been prevented?  i.e.
engineering in safety, rather than relying on training and operators
following correct procedure.  Relying on training and procedures
should always come _after_ engineering in safety (IMO).

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