Suppose that you are a midsize company or a b2b service, so you want to make sure that your service has minimum downtime.
This means that you need sysadmins in close proximity to your hardware to do hardware swapping/troubleshooting. Or you need to engineer your system to not have a SPOF (which is not easy). So you're looking at employing at least 2 engineers near your datacenter.
Really? We basically never go onsight. Ticket in with the colo and they can help.