Safety is here to stay and we have to adapt or loose out. We can all complain about it, we can all quote mountaineering and such like as I’ve done it myself, but it wont change the situation. As David says, and I agree with him 100%, we just can’t keep saying 'one of those unfortunate things'

We can argue until we’re blue in the face about not blaming anyone or there should be a no blame culture. But in order to move forward, and that’s what we all want to see, we need to know the reasons for such incidents. When you probe into any given situation that results in failure it will always seem as if someone is being blamed.

Oh, I also think we need to re-read the very last part of the report.