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Old 8th Aug 2020, 13:21
  #63 (permalink)  
alf5071h
 
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TT, et al, lest we make the same mistake.

Learning involves being able to identify contributing factors, context, relevance, influences on human behaviour, and then applying these to other situations.

Starting from the statement '… learn from their mistakes …' assumes too much, akin to allocating blame.

Better to consider that the crew were attempting to do their best in the circumstances, as they understood it at the time, and from this, learn.

We can only truly learn from our own mistakes. Viewing the mistakes of others with hindsight, only constructs situations as we now see them.

flightleader #57

https://www.ergonomics.org.uk/common...rse-Events.pdf

https://hbr.org/2011/04/strategies-f...g-from-failure

https://safetydifferently.com/a-shor...learning-teams

https://facultyeportfolioresource.we...ingchapter.pdf

P.S. re tyres https://www.futuresky-safety.eu/wp-c..._D3.3_v2.0.pdf
Also see references by Horne, NASA.

Last edited by alf5071h; 8th Aug 2020 at 13:36. Reason: PS
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