3 ms·
> Our blameless post-mortem process Theirs? Accident investigation agencies such as the AAIB and NTSB have been following "blameless" processes for decades.
by dingaling 8y ago
> Our blameless post-mortem process
Theirs?
Accident investigation agencies such as the AAIB and NTSB have been following "blameless" processes for decades. Find the causes and save lives. Who pressed the button or forgot to connect the oil line is irrelevant compared to the fact that the failure modes were possible.
- detaro 8y agoYes, their process, as in "the process they have implemented and documented", not as in "they've invented the concept". They widely reference prior art and experiences in other fields (e.g. the second sentence of the post the parent linked)