“Despite efforts to improve safety, several hundred accidents happen every year, and most such crashes are blamed on human error or outdated signaling equipment.”
Active Failures vs. Latent Organizational Failures
These conflicts are always in the spotlight after tragedies. It took me many years working for some great leaders who always challenged me to look deeper to understand WHY “they did what they did.” The key to this approach is TRUST and CREDIBILITY. When the people involved know that you just want the facts to help ensure it does not happen to someone else, it is amazing what we can LEARN from our mistakes.