46 votes

The United States leads the world in airline safety. That’s because of the way we assign blame when accidents do happen.

8 comments

  1. [5]
    CannibalisticApple
    Link
    This article sums up pretty well why I've found write-ups of plane crash investigations by Admiral Cloudberg so reassuring. The investigations focus on determining why the accident happened, and...

    This article sums up pretty well why I've found write-ups of plane crash investigations by Admiral Cloudberg so reassuring. The investigations focus on determining why the accident happened, and how to prevent it again. Every write-up I've read included a list of changes that resulted, from policies to manufacturing decisions. So knowing the causes wouldn't repeat made me feel safer about flying. (This is also why the recent string of Boeing accidents has made me so wary of the company since they're demonstrating a lack of care for safety compared to the rest of the industry.)

    If more industries followed a similar model, the world would be a much better place. Too often businesses go after scapegoats and then make no other changes, allowing problems to repeat themselves or people to withhold from reporting issues for fear of repercussions. Blaming someone is a natural instinct since we want something to direct our anger at, and blaming a person is quicker than launching a full investigation. Sometimes though, there isn't someone to be blamed, or greater forces behind their mistake. And for some jobs like the aviation industry, the consequences of their mistakes are a far heavier punishment than anything a judge or court could levy on them.

    40 votes
    1. [2]
      blueshiftlabs
      Link Parent
      In case you missed it, Admiral Cloudberg (Kyra Dempsey) is the author of this article as well!

      In case you missed it, Admiral Cloudberg (Kyra Dempsey) is the author of this article as well!

      11 votes
      1. CannibalisticApple
        Link Parent
        I did miss it, thank you! I didn't know that was Admiral Cloudberg's real name. Now I know to keep an eye out for it in the future!

        I did miss it, thank you! I didn't know that was Admiral Cloudberg's real name. Now I know to keep an eye out for it in the future!

        6 votes
    2. TheRTV
      Link Parent
      There was a podcast I listened to, Black Box Down, that went over aviation incidents. It was kind of like a mystery podcast where they go over what happened. Then at the end, they review the...

      There was a podcast I listened to, Black Box Down, that went over aviation incidents. It was kind of like a mystery podcast where they go over what happened. Then at the end, they review the investigation report and the consequences. I was always interested to see how each crash or whatever resulted in some improvement in the airline industry.

      7 votes
    3. updawg
      Link Parent
      I set the human factors in aviation class in college and it was really interesting to learn about all these things. We did group projects on tons of different Aviation accidents, ranging from...

      I set the human factors in aviation class in college and it was really interesting to learn about all these things. We did group projects on tons of different Aviation accidents, ranging from obscure to extremely well-known. It was interesting to learn what went wrong in each of them, why they often "couldn't" have been prevented, and what we've done since then to prevent similar incidents.

      5 votes
  2. hobbes64
    Link
    It's a little weird which things trigger our empathy, but two quotes about the responsible controlelr trigger mine for sure. I've made mistakes in my life and I know the horrible feeling when I...

    It's a little weird which things trigger our empathy, but two quotes about the responsible controlelr trigger mine for sure.

    It was a devastating realization, but an important one, so in an act of great bravery, she returned to the tower, pointed to flight 5569, and told her supervisor, “This is what I believe USAir hit.”

    Cutting straight to the case, Wascher was not punished in any way. At first, after being escorted, inconsolable, from the tower premises, her colleagues took her to a hotel and stood guard outside her room to keep the media at bay. Months later, Wascher testified before the NTSB hearings, providing a faithful and earnest recounting of the events as she recalled them. She was even given the opportunity to return to the control tower, but she declined. No one was ever charged with a crime.

    I've made mistakes in my life and I know the horrible feeling when I realized it. Owning up to them is hard. I feel very fortunate that I never made such a tragic one.

    18 votes
  3. skybrian
    Link
    From the article: …

    From the article:

    In the aftermath of a disaster, our immediate reaction is often to search for some person to blame. Authorities frequently vow to “find those responsible” and “hold them to account,” as though disasters happen only when some grinning mischief-maker slams a big red button labeled “press for catastrophe.” That’s not to say that negligence ought to go unpunished. Sometimes there really is a malefactor to blame, but equally often there isn’t, and the result is that normal people who just made a mistake are caught up in the dragnet of vengeance, like the famous 2009 case of six Italian seismologists who were charged for failing to predict a deadly earthquake. But when that happens, what is actually accomplished? Has anything been made better? Or have we simply kicked the can down the road?

    It’s often much more productive to ask why than to ask who. In some industries, this is called a “blameless postmortem,” and in aviation, it’s a long-standing, internationally formalized tradition. In the mid-20th century, when technical investigations of aircraft accidents were first being standardized, an understanding emerged that many crashes were not the result of any particular person’s actions. Most famously, in 1956, the Civil Aeronautics Board’s Bureau of Aviation Safety, the predecessor to today’s NTSB, concluded that no one was at fault in a collision of two airliners over the Grand Canyon because the two crews likely could not have seen each other coming until it was too late. The cause of the accident, they determined, was the lack of any positive means to prevent midair collisions.

    Sometimes, employers independently decide to fire pilots involved in accidents, but the practice is subject to heavy criticism from pilots’ unions and just culture experts. Equally as often, pilots who make honest mistakes get to keep their jobs, such as the first officer aboard American Airlines flight 1420, whose failure to arm the ground spoilers before landing in Little Rock in 1999 contributed to a runway overrun accident that killed 11 people. As of 2019 he was still flying for American Airlines — and had been promoted to captain — because his mistake was due to deeper cultural issues in the airline industry. And besides, given what he went through, it’s hard to imagine that he would ever forget to arm the spoilers again.

    13 votes
  4. DiggWasCool
    Link
    What an interesting article. Great read!

    What an interesting article. Great read!

    2 votes