Originally Posted by
alf5071h
Dr. David Woods discussing automation surprise, learning from incidents and complexity surrounding the Boeing 737 Max.
“...The industry has to stop rationalising away the lessons from accidents - the difficulties of learning after accidents have occurred are profound. It is easier to look at each event in isolation seeing only the specific details that define a narrow set of changes needed to facilitate a return to normal. But this narrow focus on one accident at a time makes it easy to discount the fundamental common vulnerability that needs to be addressed as an industry-wide priority. Neither the regulators nor the safety organisations have been able to recognise this critical vulnerability nor have they been able to energise a coherent, fundamental approach to overcome this vulnerability.”
i.e. we, the industry, are still at risk of an accident from design and certification processes; the continuing task is to minimise this risk.
"Attempts to prevent pilot error by additional regulation, both federal and corporate, have increased the complexity of the environment and increased pilot (design, engineering, test, certification) workload."