Loss of life

Root cause analysis investigation of a hospital hot water system following a patient death from legionnaires’ disease and authorship of the SIRI (Serious Incident Requiring Investigation) Report, with oversight of the required management system and engineering improvements required to avoid similar incidents.

Advice following a near miss of patient death arising from contamination of renal dialysate due to failures in reverse osmosis membrane disinfection techniques, to prevent re-occurrence.

These are examples of the experience of our team members.