> >This isn't wrong, but I'm not sure it's particularly useful, either.

You're correct - in my mind that is a key challenge in writing Lessons Learned reports. Is the goal of these report to identify a "root cause" or corrective action related to a specific incident, or is it to raise awareness of the safety elements of the situation being discussed that contributed to the event?

I think that the DOE report is more helpful for the second purpose than the first.

Thanks for your comment on this.

- Ralph

Ralph Stuart, CIH, CCHO
Membership Chair
American Chemical Society Division of Chemical Health and Safety
membership**At_Symbol_Here**dchas.org

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