The Manipal Teaching Hospital accident where 10 people were killed and nine seriously injured when the roof of the six story building collapsed has raised some serious questions. From the analysis till date it looks as though carelessness during the construction is the only reason for the collapse. There is not much reason to criticise the way the hospital and rescue workers managed the emergency after the accident. However this can't be the end of the story. The important question is how such carelessness was allowed to happen. Only three storey buildings are allowed in Pokhara. The fact that the building was being used even during construction is another issue. There must be a serious investigation into the building construction and overall process. The hospital management can declare an independent committee of technicians to investigate into the matter. However the government also has its responsibilities to form its own team to investigate the issue so this tragedy is not repeated.