Lessons will be Learned: Do We Take This Statement Seriously?

摘要

Drawing on historical data we show that the international community of process engineers has not been good at learning lessons from their past accidents. We call for a paradigm change in the way we approach this and the creation of a single new, multi-national, multilingual accident database that includes lessons learned. It must be user-friendly and free at the point of use. The purpose of this paper is to challenge those in authority, and with the power to do so, to make this happen. We give some preliminary views on what may be required. This could include an element of compulsion.