“Whenever a worker dies, there is a natural inclination to hunt for a huge, single failure that can be blamed. In reality, a worker’s death is usually caused by a series of small, bad decisions made by many individuals, none of which, on its own, would have been enough to produce a fatality. Disaster strikes only when all the holes in the Swiss cheese line up.”
— Feb 20, 2024 05:22PM
Add a comment
