A10.09
Human reliability and blame culture
Cards in this group · 5
- A10.09.1Assigning a single error-probability number to a task only works under narrow, checkable conditions
- A10.09.2Calling the cause human error restates what went wrong without explaining why
- A10.09.3Reporting an honest mistake should cost a person nothing, or reports simply stop coming
- A10.09.4Before blaming the person, an investigation should ask what about the system made the slip likely
- A10.09.5Novices and experts fail in different ways, so one safeguard can't protect both