Grenfell Tower was plagued by a ‘culture of non-compliance’

Grenfell Tower was plagued by a ‘culture of non-compliance’ with basic fire safety measures, a damning report has concluded.

Dr Barbara Lane, an expert commissioned by the Grenfell Tower inquiry, listed an astonishing series of shortcomings in the systems intended to mitigate fire risk.

Failure to abide by regulations were identified with the block’s lifts, ventilations systems, fire mains and fire doors.

These would have hindered the escape of residents on the night of the fire, as well as the effort to tackle the fire, while also worsening the spread of smoke.

An image from the night of the fire shows the flames spreading up the 25-floor building

Her conclusions came as another expert looking into the Grenfell Tower fire warned of the danger of using ‘guidelines and simple tests’ to test buildings and of ‘incompetency’ within the industry.

Professor Jose L Torero hit out at the inadequacy of building guidelines and tests which allow for ‘obvious dangers’ to be incorporated into cladding systems routinely.

He warned that that a ‘culture shift’ is needed, otherwise ‘the increasing complexity of building systems will drive society in unidentified paths towards irresponsible deregulation by incompetency.’

Dr Lane and Professor Torero were among five fire safety experts drafted in to aid the Grenfell inquiry into the blaze last June which killed 72 people.

Dr Lane wrote: ‘The number of non-compliances signify a culture of non-compliance at Grenfell Tower.

‘I am particularly concerned about the maintenance regime of the active and passive fire protection measures.

‘I note that multiple automatic systems such as the control of the fire lift and the smoke ventilation system, appear not to have operated as required.’ 

Residents had been told to 'stay put' in the case of a fire, but fire doors were inadequate

Residents had been told to ‘stay put’ in the case of a fire, but fire doors were inadequate

The weakness of the fire doors would have also hindered the ability of firefighters to rescue many people on the tower’s upper floors.

Smoke leaked through gaps in the frames and some would probably not have self-closed after fleeing residents, allowing it to spread further. 

The firefighters themselves may have contributed to the spread of fire and smoke into the stairwell by leaving doors ajar as they fought the blaze, she added.

In one particularly grim case, a fire door leading to the stairwell was propped open by a body, the inquiry was told. 

Five experts have given reports into the blaze for the inquiry

Five experts have given reports into the blaze for the inquiry

The automatic air ventilation system in the building was also not ‘in accordance with current statutory guidance’ and there was evidence it did not operate as intended, she added.

The lifts in the building similarly failed to perform effectively in the fire, hampering firefighter equipment transport and creating an ‘unnecessary risk’ to residents who could not use it to escape.

For firefighters, the tower had a ‘dry fire main’ – meaning the fire service had to pump it with its own water – that was ‘non-compliant with the design guidance in force at the time of the original construction and is also non-compliant with current standards’.

This stopped crews getting water to the upper floors as effectively as a wet main, which provides more pressure by being already charged with a pump that is connected when the service arrives.  

Professor Torero hit out at the inadequacy of building guidelines and tests which allow for ‘obvious dangers’ to be incorporated into cladding systems routinely.  

In his report, Prof Torero said the current regulatory framework relies ‘very heavily’ on competent professionals interpreting the guidelines in such a way that will bridge any gaps and ambiguities.

Fire safety experts Dr Barbara Lane and Professor Jose L Torero both warned about regulations

Fire safety experts Dr Barbara Lane and Professor Jose L Torero both warned about regulations

Fire safety experts Dr Barbara Lane and Professor Jose L Torero both warned about regulations

But he claimed there was no definition of the level of competency required from professionals involved in designing and installing cladding systems which would guarantee the delivery of ‘societally acceptable levels of safety’.

He wrote: ‘There is a need to shift from a culture that inappropriately trivialises ‘compliance’ to a culture that recognises complexity in ‘compliance’ and therefore values ‘competency’, ‘performance’ and ‘quality’.

‘Otherwise, the increasing complexity of building systems will drive society in unidentified paths towards irresponsible deregulation by incompetency.’ 

He wrote: ‘Functional requirements, guidelines and simple standardised tests become insufficient tools to establish adequate performance of systems where performance is a function of the interactions of the building and the building envelope.

‘The inadequacy of these methods of performance assessment/regulation is such that systems that can introduce obvious dangers can be incorporated by designers in a routine manner.’  

What did the five experts examining Grenfell conclude? 

Dr Barbara Lane said the cladding system could not adequately resist the spread of flames, meaning a ‘stay put’ strategy for the building was not justifiable.

She wrote in her report that the ‘stay put’ plan had ‘effectively failed’ by 1.26am, around 32 minutes after the first call to emergency services. But it remained in place until it was finally abandoned at at 2.47am.

‘I am particularly concerned by the delay from 2.06am, when a major incident was declared, to 2.47am,’ Dr Lane continued.

Professor Jose Torero warned that increasing complexity of building projects will drive society towards ‘irresponsible deregulation by incompetency’ without a key culture shift.

He hit out at the inadequacy of building guidelines and tests which allow for ‘obvious dangers’ to be incorporated into cladding systems routinely.

Prof Terero said the current regulations rely ‘very heavily’ on competent professionals interpreting the guidelines in such a way that will bridge any gaps and ambiguities.

But he claimed there was no definition of the level of competency required from professionals involved in designing and installing cladding systems.

Professor Niamh Nic Daeid found the origins of the fire were ‘undetermined’ by probably came from ‘in or around’ a fridge freezer identified as the cause by a resident.

She wrote: ‘It is possible to say that the area of origin of the fire was in the south-east corner of the kitchen and that, given the available information, it is more likely than not that this was in or around the area of the tall fridge-freezer located along the south wall of the kitchen.

‘There is insufficient information and analysis undertaken at this time to be able to determine the cause of the fire that occurred at Grenfell Tower on June 14 2017. As a consequence, the cause of the fire remains undetermined at this point.’

Professor Luke Bisby also said there was ‘insufficient evidence’ that the fire started by a fridge-freezer.

Professor Luke Bisby wrote: ‘Some evidence exists to support a hypothesis that the fire started in the south-east side of the kitchen and in the general area of the Hotpoint FF175P fridge-freezer, however, there is currently insufficient evidence, even based on a balance of probabilities, in my opinion, to support the hypothesis that the fire originated in the fridge-freezer, and to exclude all other potential sources of ignition.

‘With regard to other possible sources of ignition, I have not seen sufficiently convincing evidence to confidently identify the origin of the initial fire.’.

Colin Todd reviewed the ‘different statutory and regulatory requirements in force over the lifetime of Grenfell Tower’.

He appears to have disagreed with a finding by Dr Lane that Aluminium Composite Material (ACM) used in cladding could not be considered a ‘filler’ under building regulations.

Mr Todd stated: ‘The inquiry may be aware that since the Grenfell Tower fire, there has been contention as to whether this term [filler material] applies to the core of [ACM], though, in my opinion, it would be somewhat illogical for it not to do so.’

The issue has relevance in relation to the issue of whether the ACM part of the cladding was against existing building regulations and how they should be changed in light of the disaster.

 

 



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