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The Importance of Blameless Post Mortems
The European aeronautics body Yaza has mandated that in each airline, there must be a way to confidentially reveal mistakes that you made. Blameless post mortems are kind of a one instantiation of this, creating a safe space for people to make mistakes and viewing it not as an individual mistake but something bigger. If you have this culture of blaming people, it'll just push the mistakes underground and people won't even report them.