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by marcosdumay 883 days ago
Just to point out, but aviation accident investigations do not use '5 Whys' or any dumbed-down framework like that.

They go and list everything that went wrong, without even a lot of concern for causality. They also list all reasonable points of improvement, regardless if they were important for this one incident or not.

Human error is always there, of course. But the idea that they are blaming this on the human is wrong. They are not blaming anything on anything.