PPRuNe Forums - View Single Post - Average number of mistakes on each flight
Old 2nd Jun 2019, 16:17
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alf5071h
 
Join Date: Jul 2003
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CaptainGrizzley,
It would be interesting to understand why the reference is required, and how it would be used.

The quote ‘as long as those mistakes are identified, incidents and accidents can be avoided’ is open to interpretation. Normal operations can withstand many mistakes, some activities might rely on ‘mistakes’ for efficient operation. With identification, the quote qualifies outcome with ‘can’ be avoided, without assurance of success.

Also there could be a hidden assumption that all relevant mistakes will be detected, or if detected why whom, who judges relevance, consequence. The mistakes with consequence are those of interest, are the consequences significant or not, again who and how is this judged.

Sounds like Hollnagel, ‘what you find is what you look for’.




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