Tools
Pattern Altitude
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- Aug 6, 2020
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Tools
Sooooo…. Pretty probable an air boss issue.
But you have to ask what/why more than once to get to the root cause.
What happened? Fighter flew into a bomber.
Why? Loss of situation awareness.
Why did he lose it? Bad plan on the fly.
Who? Air boss.
WHY? Inexperienced?
Thence… how could he be air boss? Selected by air show organizers.
WHY?
That answer will get us closer to root cause.
Ironically I think TPS (Toyota Production Systems) says you have to ask WHY like seven times before you get the real answer….
But you have to ask what/why more than once to get to the root cause.
What happened? Fighter flew into a bomber.
Why? Loss of situation awareness.
Why did he lose it? Bad plan on the fly.
Who? Air boss.
WHY? Inexperienced?
Thence… how could he be air boss? Selected by air show organizers.
WHY?
That answer will get us closer to root cause.
Ironically I think TPS (Toyota Production Systems) says you have to ask WHY like seven times before you get the real answer….