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    Education

    Causality

    Chain of Events. Cause and Effect. We analyse what went right and what went wrong as we discover that many outcomes can be predicted, planned for and even prevented.

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    • Apple Podcasts
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    • Spotify

    Latest Episodes:
    45: Granville Apr 02, 2022
    Show notes

    In 1977, a commuter train from the Blue Mountains, destined for Sydney central station would derail just before Granville Station, causing a bridge to collapse and crush many aboard. It remains Australia's worst ever rail disaster that was predicted by 11 engineering department heads just a year earlier. We look at how management decisions led to a completely avoidable disaster.
    With John Chidgey.

    This show is Podcasting 2.0 Enhanced

    Links of Interest:

    • Granville rail disaster
    • The Day of the Roses
    • Public Transport Commission of NSW
    • Granville Train Disaster (Archive.org)
    • Turnouts
    • CityRail
    • Australia’s worst rail disaster
    • The Granville Train Disaster Association
    • Revisiting the Granville Train Disaster of 1977: Barry Gobbe
    • Remembering the Day of the Roses
    • Wheel was covered up (Archive.org)
    • 45 years since Granville Train Disaster
    • Granville Train Disaster Memorial Garden
    • The rail disaster that changed Australia
    • Mixed response as NSW Government apologises for Australia’s worst train disaster
    • Granville Railway Disaster
    • Granville train disaster: victims speak out

    Formal Investigation Extracts:

    • Formal Investigation State Records Authority
    • Report on the formal investigation
    • Formal Investigation extract: Research Data
    • Research Data Australia Search

    Informal Investigations:

    • Permanent Way Institution Granville Search
    • Granville: The Untold Story
    • The Granville Train Disaster
    • The Granville Disaster

    Video:

    • Granville Train Disaster Documentary (Video)

    Support Causality on Patreon
    Episode Gold Producers: 'r' and Steven Bridle.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Kevin Koch, Shane O'Neill, Oliver Steele, Lesley Law Chan, Hafthor, Jared, Bill, Joel Maher and Katharina Will.

    44: Beirut Warehouse 12 Feb 11, 2022
    Show notes

    In Beirut in August of 2020, an explosion at the Port of Beirut destroyed a huge part of the city. We look into how an oxidising agent, improperly handled can become an explosive and attempt to comprehend how something so dangerous was ignored repeatedly by key people, despite many warnings of an imminent disaster.
    With John Chidgey.

    This show is Podcasting 2.0 Enhanced

    Links of Interest:

    • 2020 Beirut Explosion
    • Condensation Cloud
    • Prill
    • ANFO
    • Ammonium Nitrate
    • How an unscheduled port visit led to disaster
    • Beirut Ammonium Nitrate Blast
    • Government Amends Ammonium Nitrate Rules
    • FBI probe shows amount of chemicals in Beirut blast was a fraction of original shipment
    • Beirut Whistleblower Returns to Work
    • Ideal Gas Law
    • Gases, Liquids and Solids (PDF)

    Reports into the incident:

    • Human Rights Watch (PDF)
    • The Beirut Port Explosion, Forensic Architecture

    Video and Images:

    • Video of Explosion 1 (Twitter)
    • Video of Explosion 2 (Twitter)
    • Video of Wilsons Cloud Ring (Twitter)

    Documentary:

    • Beirut Blast: The Story Of Warehouse 12 (2021)
    • Beirut Blast: The Story of Warehouse 12 (2021) - IMDb

    Ammonium Nitrate Information:

    • Storage requirements for security sensitive ammonium nitrate (SSAN) | Resources Safety & Health Queensland
    • Orica Mining Services, Report for Kooragang Island Uprate PHA MOD1 Report (PDF)
    • Ammonium Nitrate Advisory USEPA (PDF)
    • Orica ANFO MSDS (PDF)

    Support Causality on Patreon
    Episode Gold Producers: 'r' and Steven Bridle.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Kevin Koch, Shane O'Neill, Oliver Steele, Lesley Law Chan, Hafthor, Jared, Bill, Joel Maher and Katharina Will.

    43: Triangle Shirtwaist Factory Nov 10, 2021
    Show notes

    In 1911 in Manhattan, New York, a clothing factory went up in flames just before closing time. We look at how faulty equipment, poor design and a fear of theft contributed to a wholly preventable incident that had such terrible consequences, but would trigger reforms that still impact the United States, a century later.
    With John Chidgey.

    This show is Podcasting 2.0 Enhanced

    Links of Interest:

    • Triangle Shirtwaist Factory Fire
    • Brown Building
    • Shirtwaist
    • Court Transcript of the Criminal Trial
    • The Triangle Fire of 1911
    • Sweatshop Tragedy
    • Brown Building (PDF)
    • Sweatshop Definition
    • Machinery Needed for Garment Manufacturing
    • Different Types of Sewing Line Layout
    • World Tallest Building Passive Fire Prevention
    • Early 19th Century Firefighting

    Cornell University’s Excellent Resource on the Incident:

    • The Triangle Factory Fire
    • The Triangle Factory Fire: Report Summaries
    • The Triangle Factory Fire: Timeline

    Support Causality on Patreon
    Episode Gold Producers: 'r' and Steven Bridle.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Shane O'Neill, Kevin Koch, Oliver Steele, Lesley Law Chan, Hafthor, Jared, Bill and Joel Maher.

    42: Royal Canberra Hospital Sep 17, 2021
    Show notes

    The original Royal Canberra Hospital was flagged to be demolished in 1997 to make way for the new National Museum. A demolition via implosion was selected, but the implosion resulted in an explosion instead, and debris showered the huge crowd of onlookers with fatal consequences.
    With John Chidgey.

    This show is Podcasting 2.0 Enhanced

    Report into the Incident:

    • Inquest Into The Death of Katie Bender (PDF)

    Video Footage of the Demolition:

    • Canberra Hospital Implosion 1997 - YouTube
    • Royal Canberra Hospital Implosion - TEN News 13 July 1997 - YouTube

    Video of Interest:

    • Miami Resort | Building Demolition | BlowDown

    Links of Interest:

    • Royal Canberra Hospital
    • Building Implosion
    • Royal Canberra Hospital Implosion
    • Royal Canberra Hospital Implosion Images
    • Project Coordination
    • The 1996 Australian Federal Election
    • Successful ACT WorkSafe prosecutions

    Explosives Used In Demolition:

    • Shaped Charge
    • RIOGEL TRONER HE
    • What is Powergel explosive?
    • C-4 Explosive

    Support Causality on Patreon
    Episode Gold Producers: 'r' and Steven Bridle.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Shane O'Neill, Kevin Koch, Oliver Steele, Lesley Law Chan, Hafthor, Jared and Bill.
    With thanks to Infamous Sphere for the topic suggestion.

    41: Florida International University Jul 09, 2021
    Show notes

    The university wanted a bridge for its students over a busy roadway that would appear intriguing from afar. Instead it collapsed before it was even finished. We look into how design errors, poor peer review and denial led to a collapse that claimed six peoples lives.
    With John Chidgey.

    This show is Podcasting 2.0 Enhanced

    Report into the Incidents:

    • NTSB Final Report (PDF)

    Design Criteria and Bid:

    • FIU Pedestrian Bridge Design Criteria Rev 0 (PDF)
    • FIU Pedestrian Bridge Design Criteria Rev 1 (PDF)
    • MCM / FIGG Proposal (PDF)

    Civil Structural References:

    • Truss
    • Truss Bridges
    • Steel Bridge Design
    • What is Post-tensioning?
    • Prestressed, Pretensioned and Post-Tensioned Concrete
    • Engineer of Record Definition
    • Non-Destructive Concrete Evaluation & testing

    Companies Involved:

    • Louis Berger is now part of WSP
    • WSP Global
    • FIGG Engineering
    • FIGG Bridge Engineers

    Links of Potential Interest:

    • Florida bridge collapse has some hard lessons
    • Florida International University pedestrian bridge collapse
    • University-City Prosperity Project
    • Meet the prominent Miami firm behind the collapsed FIU bridge
    • Miami Bridge Failure Part 3: The Peer Review
    • FHWA proposes 10-year debarment for FIGG Bridge Engineers
    • Louis Berger only firm refusing to settle FIU bridge collapse
    • Bankrupt construction company that built FIU bridge reaches deal to pay victims $42M
    • Lessons learnt 3 years since Florida tragedy
    • FHWA proposes 10-year debarment for FIGG Bridge Engineers
    • Judge Rejects FIGG’s Motion to Halt 10-Year Debarment

    Riverside Expressway:

    • Glimmer of hope?
    • Riverside Expressway

    Support Causality on Patreon
    Episode Gold Producers: 'r' and Steven Bridle.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Shane O'Neill, Kevin Koch, Oliver Steele, Lesley Law Chan, Hafthor and Bill.

    40: Ocean Ranger May 25, 2021
    Show notes

    The largest semi-submersible Offshore Drilling Rig of its day, sank in a storm in 1982 whilst two smaller nearby rigs survived with minimal damage. We dive into how not closing a portlight cover, triggered a series of events that cost 84 people their lives.
    With John Chidgey.

    This show is Podcasting 2.0 Enhanced

    Report into the Incidents:

    • Official Report

    Links of Potential Interest:

    • Ocean Ranger
    • Hydrodynamic Model Studies of the Ocean Ranger Marine Disaster
    • The Loss of the Ocean Ranger
    • Royal Commission Called (Video)
    • Ocean Ranger report blames equipment and training (Video)
    • Hypothermia Table
    • History of offshore drilling units
    • Glossary of nautical terms
    • Roustabout
    • Davit
    • 25 years later (Archive.org)

    Support Causality on Patreon
    Episode Gold Producers: 'r' and Chip Salzenberg.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Kevin Koch, Oliver Steele, Lesley Law Chan, Hafthor, Shane O'Neill and Bill.
    With thanks to Gregory Hess for the topic suggestion.

    39: Therac-25 Mar 23, 2021
    Show notes

    The successor to the Therac-6 and Therac-20 RadioTherapy machines would integrate the powerful DEC PDP-11 mini-computer to control all of the Therac-25s functions, including the safety interlocks, for the first time. In two years the 11 machines in service would overdose six people across two countries, killing three of them before they figured out why.
    With John Chidgey.

    This show is Podcasting 2.0 Enhanced

    Reports into the Incidents:

    • An Investigation of the Therac-25 Accidents
    • ‎Medical Devices: The Therac-25
    • The Therac-25: 30 Years Later
    • A Usage-Model Based Approach to Test Therac-25
    • Good Computing: A Virtue Approach To Computer Ethics: Chapter 6

    Links of Potential Interest:

    • Therac-25
    • The PDP-11 Assembly Language
    • PDP-11
    • Digital Equipment Corporation
    • Programmed Data Processor
    • Rad (unit)
    • Order of Magnitude
    • Myelitis
    • Collimator
    • Fatal Dose: Radiation Deaths linked to AECL Computer Errors
    • Reactor Accidents: The Human Fallout
    • An Overview on Radiotherapy: From Its History to Its Current Applications in Dermatology
    • In MedTech History: Mammography
    • The programmer behind the THERAC-25 Fiasco was never found
    • AMA: My professor investigated the Therac-25 incident
    • How history, principles and standards led to the safety PLC

    Support Causality on Patreon
    Episode Gold Producers: 'r' and Chip Salzenberg.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Kevin Koch, Oliver Steele, Lesley Law Chan, Hafthor and Shane O'Neill.

    38: Thunder River Rapids Jan 24, 2021
    Show notes

    A popular family-friendly ride at DreamWorld would claim the lives of four people in 2016. In nearly thirty years of operation the ride had several similar but non-fatal incidents with blame placed on the operator every time, when a three thousand dollar modification could have prevented a horrific incident.
    With John Chidgey.

    Investigation Report:

    • DreamWorld (PDF)

    Links of Potential Interest:

    • River Rapids Ride
    • Thunder River Rapids Ride
    • Dreamworld operator Ardent Leisure Fined $3.6M for Thunder River Rapids Ride Deaths
    • Class Action Over Dreamworld Deaths
    • Shutdown Impacts Dreamworld’s Plans For New Rollercoaster
    • Dreamworld Chief Resigns After Damning Evidence At Inquest
    • Dreamworld Pays $1.8M In Termination Payouts
    • Dreamworld’s Missing Accountability
    • Dreamworld Accident Spurs Queensland Safety Crackdown

    Support Causality on Patreon
    Episode Gold Producer: 'r'.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Kevin Koch, Oliver Steele, Lesley Law Chan, Hafthor and Shane O'Neill.

    37: Variola Birmingham Nov 27, 2020
    Show notes

    In 1978 on the cusp of the eradication of SmallPox a Medical Photographer became infected and would ultimately die from the Variola virus. We look at how admiration, promotion and delegation led to a wholly avoidable outcome.
    With John Chidgey.

    Investigation Report:

    • The Shooter Report (PDF)

    Medical Analyses:

    • CDC Analysis of the R0 of SmallPox (PDF)

    Links of Potential Interest:

    • SmallPox
    • History of Smallpox
    • Biosafety Level 4
    • A Bioweapon Expert Explains Four Ways A Pathogen Can Escape From A Lab
    • Review of Medical Errors in Laboratory Diagnostics and Where We Are Today
    • Pathogens Sometimes Escape the Lab With Deadly Results
    • 1970s Chinese pandemic was a lab mistake
    • Bio-Unsafety Level 3: Could the Next Lab Accident Result in a Pandemic?
    • SmallPox is not Dead
    • Caroline Foulkes looks back at the 1978 outbreak
    • Smallpox virus retention debate
    • Lessons learned from smallpox outbreak

    Support Causality on Patreon
    Episode Gold Producer: 'r'.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Kevin Koch, Oliver Steele, Lesley Law Chan, Hafthor and Shane O'Neill.

    36: Big Dig Sep 16, 2020
    Show notes

    A series of concrete ceiling tiles in a tunnel portal collapsed on a moving car killing the passenger in downtown Boston in 2006. The selection of the epoxy used in the ceiling tile anchors was unusual and a failure to heed the warning signs were at odds on a huge project under pressure to deliver when already twice over time and five times over budget.
    With John Chidgey.

    Investigation Report:

    • NTSB Report (PDF)

    Technical Links:

    • Epoxy
    • Tunnel

    Links of Potential Interest:

    • Big Dig ceiling collapse
    • Collapse of Big Dig Ceiling in Boston Is Tied to Glue
    • Public demand for Big Dig accountability
    • ‘Epoxy Creep’ Main Factor in Big Dig Ceiling Panel Collapse
    • $28M settlement in fatal Big Dig Collapse
    • Big Dig Ramp Reopens
    • HNTB
    • The Big Dig Tunnels and Bridges

    Support Causality on Patreon
    Episode Gold Producer: 'r'.
    Episode Silver Producers: Mitch Biegler, John Whitlow, Kevin Koch, Oliver Steele, Hafthor and Shane O'Neill.
    With thanks to Sean for the topic suggestion.

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