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