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by timenotwasted
208 days ago
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"I don’t know. I wish technical organisations would be more thorough in investigating accidents." - This is just armchair quarterbacking at this point given that they were forthcoming during the incident and had a detailed post-mortem shortly after. The issue is that by not being a fly on the wall in the war room the OP is making massive assumptions about the level of discussions that take place about these types of incidents long after it has left the collective conscience of the mainstream. |
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The author asks for a deep, system-theoretic analysis... immediately after the incident. That's just not how reality works.
When the house is on fire, you put it out and write a quick "the wiring was bad" report so everyone calms down. You don't write a PhD thesis on electrical engineering standards within 24 hours. The deep feedback-loop analysis happens weeks later, usually internally.