Originally Posted by
SASless
True statement when One does not look for a problem and ignores any report of a problem and relies upon established procedures and policies to be totally effective and compliant with all Rules and Regulations.
The reality is only through continuous examination and consideration of the way we do business can we be assured what we do and how we do it....is not subject to unrecognized potential failures.
Waiting for the Autopsy results is just waiting for proof positive we failed on the front end of the process and any changes we make after the fact ignores they should have been seen much earlier and acted upon.
Yes that's all true and of course is what we try to do. But it is most certainly not a perfect process. As I mentioned before, there were no reports of near misses during an NPA, no crew disquiet, in other words absolutely no indication that this would be our next serious accident.
Once you have eliminated all the know risks, the remainder can only be dealt with by to the autopsy approach. Sad but true.