The mine should not have opened, the mines inspectorate should not have been closed, and we should have better systems for co-ordinated response to such disasters.
Labour Minister Kate Wilkinson was quick to fall on her sword, although many would ask why it took a report to convince her to resign when the "right and honourable thing to do" as she put it, would have been to step aside immediately.
At least two constant and nagging questions have been answered, perhaps with finality. The report rules out the suggestion that, had a rescue been attempted straight away, lives might have been saved. Nor would a second entrance have helped improve the likelihood of survival.
We can't turn the clock back for the families and loved ones who still mourn their loss, but we can look forward and do as many of the things outlined in the report as possible to ensure nothing like this happens on our shores again.
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