Incident insights from NASA, NTSB, and the CDC
summary
A cross‑industry survey names concrete practices: the NTSB catalogs ~140,000 transport incidents; a 2014 IP routing bug knocks out 9‑1‑1 across seven states for eight hours; NASA uses causal factor trees instead of linear RCAs; airlines adopt crew resource management after United 173 and routine checklists from the B‑17 era; the Aviation Safety Reporting System lets pilots file anonymous near‑miss reports; retailers (Walmart) and Waffle House codify disaster playbooks and the Waffle House index to measure operational health.
AI-written summary · about
chapters (15)
- 0:00Incident Insights Learning from NASA, NTSB, and the CDC
- 0:51April 9, 2014
- 4:39Tombstone Mentality
- 5:00Proactive
- 8:30Mitigation
- 10:05Probabilistic Risk Assessment
- 12:12Preparedness
- 13:06Laguna Fire
- 16:22Response
- 19:12Thought Automation
- 22:41Crew Resource Management
- 24:50Never waste a good crisis
- 26:53human error
- 28:52Aviation Safety Reporting System
- 31:04Future is coming faster than we think.
related talks
56mLearning from Disaster
53mMayday! Software lessons from aviation disasters
53mMayday Mark 2! More Software Lessons From Aviation Disasters.
42mHow to not kill people
26mThe top IT failures in history
09mSpeaking Planely for the Grounded Professional
30mPilot your Project: Avoiding Anti-Patterns While Handling Incidents and Planning
40mBuilding Resilience: How to Learn More from Incidents