AS332L2 Ditching off Shetland: 23rd August 2013

[212man]

There's a lot of interesting in this paper published a few years ago by Ohio State University:

http://csel.eng.ohio-state.edu/woods..._hand_chap.pdf

Early Episodes of “Human Error”
Consider these episodes where some stakeholders reacted to failure by
attributing the cause to “human error,” but where more careful examination
showed how a combnation of factors created the conditions for failure.1

Obviously "careful examination" didn't spot the human error in the title