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Root cause

Accidents happen at the end of a chain of events. Very often, the immediate cause, just before the accident, is a human error. But before that, there will be other actions, decisions or events influenced by various conditions that are part of the overall cause of the accident. By finding the root causes, it may be possible to prevent future similar accidents.


  • From Human Factors briefing notes, The Institute of Petroleum, 2003

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