This paper from Sarah Gregson and Michael Quinlan applies his ten pathways framework to the Dreamworld accident in 2016, killing four people. I’ve skipped a lot. [** Yes, hindsight and outcome biases are present with this type of analysis, as with my own auditing work. Doesn’t mean there isn’t value in exploring learning opportunities, but… Continue reading Death at Dreamworld: Ten pathways to disaster and failure to learn