This failure will have been caused by an error chain. A series of semi related events that if a single one was interrupted would have prevented the failure.
An example of this was he Hyatt Regency Skywalk Collapse in 1981. The hotel added a suspended skywalk on the 4th and 2nd floors that were directly above each other. During a party with many people on each skywalk the structure failed and the top skywalk collapsed onto the lower skywalk and then into the floor killing 114 people.
The investigation found the following:
- The design called for steel rods to be threaded from the ceiling down through each skywalk where a nut and washer would support each load
- The design was later shown to only provide about 60% of the capability building codes required.
- This design was too challenging for the contractor to build so they modified it. The modification resulted in the upper washer and nut supporting the weight of both skywalks.
- The design and construction also put most of the weight on a weld.
- These changes reduced the load capacity of the skywalk to just bit more than it’s own weight.
- The contractor did not relay this change to the engineering firm. Nor did the engineering firm check on the construction.
If any of those links had been broken there would have been no collapse.
- If the engineer had a design that was able to be built it wouldn’t have failed
- If the design was up to code it likely would have had enough margin to survive even with the construction modification
- If the contractor had been able to build it as designed it wouldn’t have failed
- If the contractor had discussed the changes with the engineering firm the flaw would have been caught.
This bridge collapse will almost certainly follow the same pattern as do all engineering and construction failures.
In hindsight the links are easy to see. At the time they happen not so much.