Lessons From Disaster - How organisations have no memory and accidents recur

Author: Trevor Kletz
Publisher: IChemE
Publication year: 1993 
Extent: Paperback, 184 pages

The central message is the apparent inability of organisations to learn, and retain in the long term, the lessons drawn from accidents. Thus, incidents of a similar type recur within the same company at intervals of a decade or so, as the personnel involved move on to other jobs. Kletz illustrates his thesis with detailed cases, and he offers his own advice on how to improve the corporate memory.