PBY said:
May be a pilot error should be called management-pilot error. Because he pilot is usually dead after the accident and there is nothing to improve anymore.
But the systemic management incompetency could be improved upon.
And we would have less management-pilot errors in the future.
This type of error forcing already exists in Human Factors assessments. The Human Factors Analysis and Classification System (HFACS) actually puts Organizational Influences first in its 'fault tree' and second is 'Unsafe Supervisions'
HFACS, Inc | The HFACS Framework. The problem is not that it is not known, it is more that it is not chased up by the accident investigators as much as a mechanical fault would be. Recommendations by the investigation agencies for an aircraft system fix that is required are almost certain to be carried out. Recommendations from investigation agencies for organizational or supervisory changes are far less likely to be acted on.