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by albert_e
858 days ago
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> removed for removing the door plug there was apparently two (identical) procedures -- one for "removing" the door plug and one for "opening" the door plug -- but only one of them actually called for paper-work and quality inspection after it is done. It seems they decided to "open" the door plug instead of "remove" it to work on the sealing issue? -- and thereefore documentary record of the work performed and inspection thereafter is lacking. It would be useful IMO to explore what led the team to prefer "opening" versus "removing" -- and if the subtle difference in documentation requirement was a consideration in preferring one over the other -- and if that points to deeper pervasive culture issues that leans towards less work rather than give safety and quality the primary importance. |
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I think there was an approved procedure (“removing the plug”) and a deviance from process, justified with ad hoc semantic games.