Related: CAST analysis http://sunnyday.mit.edu/CAST-Handbook.pdf Intended to focus on maximal learning about all factors that contributed to an accident. It subsumes several approaches, including a blameless analysis and that each factor doesn't just have a single "cause" but that different factors form a network of interaction. Also nitpicking about the headline: You haven't been in a place crash because you wouldn'…
Why you've never been in a plane crash
11–20 of 310 posts
Re: Why you've never been in a plane crash
#12Re: Why you've never been in a plane crash
#13Related: CAST analysis http://sunnyday.mit.edu/CAST-Handbook.pdf Intended to focus on maximal learning about all factors that contributed to an accident. It subsumes several approaches, including a blameless analysis and that each factor doesn't just have a single "cause" but that different factors form a network of interaction. Also nitpicking about the headline: You haven't been in a place crash because you wouldn'…
Re: Why you've never been in a plane crash
#14Related: CAST analysis http://sunnyday.mit.edu/CAST-Handbook.pdf Intended to focus on maximal learning about all factors that contributed to an accident. It subsumes several approaches, including a blameless analysis and that each factor doesn't just have a single "cause" but that different factors form a network of interaction. Also nitpicking about the headline: You haven't been in a place crash because you wouldn'…
Re: Why you've never been in a plane crash
#15This is the first time I've heard of "just culture" and wish it would spread to other areas of the world and life.
If one concentrates on blaming individuals, the system is not fixed.
Re: Why you've never been in a plane crash
#16...by Kyra Dempsey, a.k.a. Admiral Cloudberg, who has a long series of in-depth airplane crash investigation articles on Medium: https://admiralcloudberg.medium.com/ This is her Medium article on the LAX runway collision: https://admiralcloudberg.medium.com/cleared-to-collide-the-c... - with further details that would probably have distracted from the point she's trying to make in the Asterisk article (e.g. that the…
Re: Why you've never been in a plane crash
#17This is the first time I've heard of "just culture" and wish it would spread to other areas of the world and life.
The ability to drop blame from the equation is a credit to the aviation industry and would drastically improve any team, organisation, or industry to adopt it.
This is all done in such a smart, seamless, obvious way to deliver a lesson that would make the Brothers Grimm feel cheated.
Strongly recommend.
https://www.youtube.com/watch?v=2sIzfGzf_50
Re: Why you've never been in a plane crash
#18Related: CAST analysis http://sunnyday.mit.edu/CAST-Handbook.pdf Intended to focus on maximal learning about all factors that contributed to an accident. It subsumes several approaches, including a blameless analysis and that each factor doesn't just have a single "cause" but that different factors form a network of interaction. Also nitpicking about the headline: You haven't been in a place crash because you wouldn'…
I have long wanted to write a review/summary of it on my blog but it's so dense in useful content it's hard to compress further. (There's a reason I have not published it so please try not to judge it for its rough edges, but this is what the draft looked like when I gave up last time: https://two-wrongs.com/root-cause-analysis-youre-doing-it-wr...)
Re: Why you've never been in a plane crash
#19One of the most important pieces of legislation in the UK that helped improve safety in workplaces was the Health and Safety at Work Act 1974, which placed a duty of care on organisations to look after the wellbeing of their staff. One of the tenets is to take near misses seriously. According to a health and safety engineer in a course I attended, near misses are like gifts from the heavens, as they show you exactly…
In general, I think that piece has a bit of a European blind side when starting by “The United States leads the world in airline safety.”
Re: Why you've never been in a plane crash
#20...by Kyra Dempsey, a.k.a. Admiral Cloudberg, who has a long series of in-depth airplane crash investigation articles on Medium: https://admiralcloudberg.medium.com/ This is her Medium article on the LAX runway collision: https://admiralcloudberg.medium.com/cleared-to-collide-the-c... - with further details that would probably have distracted from the point she's trying to make in the Asterisk article (e.g. that the…
I'm not a pilot or planespotter or particularly interested in planes generally, I've just fallen down that rabbit hole a couple of times for some reason, can be quite interesting. It has made me wish the in-flight entertainment included a 'listen to pilot/tower comms' option.