Is There Something in the System That Leads to That Accident?

The investigation element is to see if there was something in the system that potentially led to this happening the way it did. The old s school stuff in it swishtees, modle, buta even te newer school. I'm talking about just culture, you know, do everything in the physical health and safety space to defer away from individual responsibility? Now they are tiled at the top. What did the ruster look like? You know. So absolutely nead to look.