~/talk

System Crash, Plane Crash: Lessons from Commercial Aviation and Other Engineering Fields

Talkat LISA17 · 2017-10-29..11-03· [software-architecture]
links:none on file
slides:none on file

Comparisons use concrete incidents and fixes: Air France 447 stalls and Air France 447 228 dead expose sensor failure plus missing manual training, United 232 shows improvised control and 60% survived after hydraulic loss, US Airways 1549 ditches with zero passenger fatalities since 2009 cited as a safety metric. Recommendations include checklists, flight-simulator style drills, crew resource management, stricter test matrices, automated CI for certified code and exploring structured distributed tracing for reconstructing outages.

AI-written summary · about

  1. 0:00Introduction
  2. 1:15Im tired of bad experiences
  3. 1:35Disclaimers
  4. 2:27Memory Lane
  5. 3:31Korean Airlines 002
  6. 4:14United 232
  7. 4:58US Airways 1549
  8. 5:32Air France 447
  9. 6:04Two Outcomes
  10. 6:26Why do we have this contradiction
  11. 7:04Allan Deal quote
  12. 7:33Dave Donald Dolan quote
  13. 8:03What happened
  14. 12:38Sensors go bad
  15. 15:10Plane crashes
  16. 16:14Complex systems
  17. 17:44The big one
  18. 18:08World War II
  19. 18:36Wild West
  20. 19:59Life Safety
  21. 20:24Spectrum of Choice
  22. 21:14Data Control
  23. 21:54Machine Learning
  24. 23:10Life Safety Critical
  25. 24:53Narrative Conflict
  26. 25:53Unknown Phenomenon
  27. 26:29Person vs Society
  28. 26:53Automation
  29. 28:37Human Performance Factors
  30. 29:54PostMortem Reports
  31. 30:57Collective Reports
  32. 33:09How Many of You Are Lying
  33. 35:03The MGM Grand Fire
  34. 36:35Checklists
  35. 37:55Humans are bad
  36. 38:33Cognitive load under stress
  37. 39:01Pattern matchers
  38. 39:59Sterile cockpit rule
  39. 41:44Cognitive biases
  40. 42:03Normalization ofdeviance
  41. 42:36Confirmation bias
  42. 43:18Near misses
  43. 44:10Ethics fails
  44. 47:02Crew Resource Management
  45. 48:36Communication Training
  46. 49:52Culture Matters
  47. 51:04UI Interactions
  48. 51:53UI Matters
  49. 52:55Logging
  50. 54:01Training
  51. 55:50Regulation
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