[wpietri]

For anybody that liked the style of this sort of analysis, let me strongly recommend Dekker's "Field Guide to Understanding 'Human Error'": https://www.amazon.com/Field-Guide-Understanding-Human-Error...

It focuses on air crash investigations. But it's very useful to tech people in understanding the right way to approach incident investigations. It can be very easy to blame individuals ("stupid pilot shouldn't have dropped his iPad", etc), but that focus prevents improving safety over the long term. Dekker's book is a great argument for, as here, thinking about what actually happened and why as a systemic thing. Which provides much more fertile ground for making sure it doesn't happen again.

[teachrdan]

The "Accidents in North American Climbing" series is a great intro to this style of analysis, too. A number of compelling, short accounts, usually with actionable analysis at the end. You get the added bonus of learning new things, like what an "air hammer" is, and how getting knocked out of your tent by one can help save you from an avalanche.

https://www.amazon.com/Accidents-North-American-Climbing-202...