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by sgift
3430 days ago
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When people are afraid to loose their jobs if they make an error you can be pretty sure they will do everything in their power to hide the fact that they made an error, which is the exact opposite of the behavior you want. To allow process improvements it must be absolutely clear that errors will not be punished, but used to help everyone to learn. |
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https://en.wikipedia.org/wiki/Japan_Airlines_Flight_2#The_.2...
The Captain basically got up before the NTSB and when asked what happened, he responded "I F__ked Up!" instead of trying to deflect blame onto an unforeseen system glitch or other excuse. Its since been known as the "Asoh Defense"
They also have the NASA ASRS for reporting near misses, and incidents without fear of FAA enforcement.
https://en.wikipedia.org/wiki/Aviation_Safety_Reporting_Syst...