Quote:
Originally Posted by smadsen
A lesson I've learned over time: Every time something bad has happens, the event is usually preceded by one, two or three bad decisions in quick succession. It always becomes crystal clear in the postmortem. The ability to recognize those bad decisions BEFORE an "event" might be called wisdom.
|
In aviation circles, this is called "breaking the accident chain".
Like you said, a series of minor decisions adding up to an unfortunate event.
Eliminate even one, and perhaps we prevent a pile of bent metal.