A fatality occurred at Fortescue’s Creek mine when a young labourer died in a work related incident. It is the second occurrence in four months’ that a worker was killed at the same mining site in Western Australia being operated by Fortescue Metals Group.
So if we see the active failures as outcomes of some underlying cause, then we can start to say, well what are these underlying causes. And these underlying causes are generally called Latent Conditions, which may result from a faulty design or management decision that may lie dormant for a long time, until such time as a correct mix of circumstances lines up and we have an accident.
If we look at organisational accidents, in some ways they are completely random in the way that the contributing factors come together to achieve adverse outcomes. It is very rare that two accidents are exactly the same. There’s always something different, generally, even if it is only the victim that is different.