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There was a chain of interconnected events that eventually led to this happening, just like the Bradford fire disaster and Hillsborough, these disasters led to changes in design and management of the public using these structures. It's quite obvious the processes involved in the management of this building failed, quite simply because it burnt down..
Take for instance the rubbish accumulated on the corridors and stairwells, why, why was it there, why was it not removed. The smoke extraction system failed to remove the smoke, why, the gas pipe ruptured, hampering the fire fighters, why? Why was the fire not contained in the flat, that process failed.
These events don't happen in isolation, knocking a glass of milk over is an accident, the deaths of people in a high rise fire is not an accident. |
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