Sharing the lessons learnt from incidents is the responsibility of all stakeholders. This includes academia involved in the training of students and research, industry associations, non-governmental organisations (NGOs), the insurance industry including brokers, intergovernmental organisations (IGOs) as well as industry and public authorities.
Lessons from accidents need to be identified and disseminated and the appropriate actions implemented. This needs to become a process of continuous improvement for all involved (Box 12.1).
Efforts should be made to promote sharing of lessons learnt and facilitate communication as quickly as possible.
It is important to avoid repeating accidents by paying particular attention to lessons that have already been identified from accidents or incidents that occurred, either inside the enterprise or elsewhere.
It should be recognised that it may not be enough to simply publicise “lessons learnt”; efforts should be made to understand how to communicate the information in a way that will result in appropriate actions being taken. In this regard, lessons learnt can form an extremely important part of education and training programmes.
Efforts should be made to identify barriers to sharing information about investigations and lessons learnt including possible concerns about legal issues and protection of confidential business information, and finding ways to minimise these.