Well in this case there were multiple failures... Should they have been identified earlier? Yes.
It's a truism that every accident is actually a chain of events, or at least it was 30+ years ago at Embry-Riddle. Lower stakes situations recognize this with the "5 whys" technique.
alt Hacker News
It's a truism that every accident is actually a chain of events, or at least it was 30+ years ago at Embry-Riddle. Lower stakes situations recognize this with the "5 whys" technique.