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Ep. 119: Should we ask about contributors rather than causes?

The Safety of Work

CHAPTER

Reevaluating Incident Interpretations and Investigative Approaches

The chapter explores a reevaluation of a spacewalk incident, shedding light on missed failure modes due to production pressure and a breakdown in learning between two spacewalks. It emphasizes the importance of learning from past events within organizations like NASA, focusing on solutions and understanding work adaptations rather than just pinpointing causes.

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