the simple truth is that the deaths that occurred were all avoidable and those who lived in the tower were badly failed over a number of years and in a number of different ways by those who were responsible for ensuring the safety of the building and its occupants they include the government the tenant management organization the Royal burrow of Kensington and Chelsea those who manufactured and applied the materials used in the refurbishment those who certified their suitability for use on high-rise buildings the architect the principal contractor and some of its subcontractors in particularly Harley curtain wall and its successor Harley facades some of the consultants in particular the fire engineer exov Warrington fire the local authorities building control control department and the London fire brigade not all of them bear the same degree of responsibility for the eventual disaster but as our reports show all contributed to it in one way or another in most cases through incompetence but in some cases through dishonesty and greed