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wk_endtoday at 5:34 PM4 repliesview on HN

The NTSB - and aviation in general - as much as possible tries to avoid "pinning" issues on individuals. The purpose of an investigation isn't to ascribe blame, it's to try to understand what happened and how to prevent it from happening again, and prescribing "don't make mistakes" is not a realistic or useful method for preventing accidents from recurring.


Replies

rectangtoday at 6:01 PM

Yes! But every news organization is leading with "I messed up." And the US President commented "They messed up", though it's unclear who that was in reference to.

Humans have a powerful need to affix blame and punish individuals. On the internet, you are forever the worst moment of your life.

We set air traffic controllers up to fail, and then when something goes wrong we torture them until they die, and then torture their memory after they die.

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hectormalottoday at 7:28 PM

Indeed. Similar accident (USAir 1493/Skywest 5569) shows that thinking exactly.[1] Was easy to pin on the controller, they went far beyond that in their analysis. Almost always impressed with the professionalism of those organizations. I sometimes wonder how software would look if we had such investigations for major incidents.

1: https://admiralcloudberg.medium.com/cleared-to-collide-the-c...

film42today at 6:02 PM

I hope it comes down to the NTSB recommending more controllers (or better conditions for controllers) to avoid task saturation, not just more process. It's incredible what a single controller is capable of doing, but for major areas like NYC, it's not enough.

awakeasleeptoday at 6:06 PM

Understand what happened and prevent it from happening again, so long as this can be done without expanding staffing, reducing OT, structural change, etc

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