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You couldn t question anything. but i got up and i walked out. the ntsb is mandated by congress to find a cause of an accident. we re actually one of the last industrial nations that determine a single probable cause. when congress created us, one of the things that they asked us to do was to determine the probable cause. that s been a part of our statute for over 40 years. when you look at a complex accident like this, you can t look at one individual thing, you have to look at the interactions. once we can put that term pilot error, it makes us feel better that we found what went wrong. we don t need to look any further. we have our scapegoat, and we can all take comfort in the system and move forward from here. if i just remove this person from the system, we would make it safer. we ve gotten what we also typically term the low-hanging fruit. the easy stuff to fix. we can t take all the pilots out, so we need to move so that we can actually create real safety. human error is ....
when congress created us, one of the things that they asked us to do was to determine the probable cause. that s been a part of our statute for over 40 years. when you look at a complex accident like this, you can t look at one individual thing, you have to look at the interactions. once we can put that term pilot error, it makes us feel better that we found what went wrong. we don t need to look any further. we have our scapegoat, and we can all take comfort in the system and move forward from here. if this person is bad and this person did a bad thing, if i just remove this person from the system, we would make it safer. we ve gotten what we also typically term the low-hanging fruit. the easy stuff to fix. we can t take all the pilots out, so we need to move so that we can actually create real safety. human error is a symptom of something much deeper in the system that is not correct. until we recognize that, we re going to have a really hard time bettering the system. ....
Accident like this, you can t look at one individual thing, you have to look at the interactions. once we can put that term pilot error, it makes us feel better that we found what went wrong. we don t need to look any further. we have our scapegoat, and we can all take comfort in the system and move forward from here. if this person is bad and this person did a bad thing, if i just remove this person from the system, we would make it safer. we ve gotten what we also typically term the low-hanging fruit. the easy stuff to fix. we can t take all the pilots out, so we need to move so that we can actually create real safety. human error is a symptom of something much deeper in the system that is not correct. until we recognize that, we re going to have a really hard time bettering the system. congress has to act and say, we will change our ntsb charter and we will say now you need to find the contributors rather than ....
Statute for over 40 years. when you look at a complex accident like this, you can t look at one individual thing, you have to look at the interactions. once we can put that term pilot error, it makes us feel better that we found what went wrong. we don t need to look any further. we have our scapegoat, and we can all take comfort in the system and move forward from here. if this person is bad, if this person did a bad thing and i just remove this person from the system, we would make it safer. we ve gotten what we also typically term the low-hanging fruit. the easy stuff to fix. we can t take all the pilots out, so we need to move so that we can actually create real safety. human error is a symptom of something much deeper in the system that is not correct. until we recognize that, we re going to have a really hard time bettering the system. congress has to act and say, we will change our ntsb charter and we will say now you need to find ....
Accident like this, you can t look at one individual thing, you have to look at the interactions. when we can put in that term pilot error, it makes us feel better we found out what went wrong. we don t need to look any further. we have our scapegoat and we can take comfort in the system and move forward. this person is bad, this person did bad things. if i just remove this person from the system, we would make it safe. we ve gotten what we term the low-hanging fruit. the easy stuff to fix. we can t take all the pilots out, so we need to move so that we can create real safety. human error is a symptom of something much deeper in the system that is not correct. until we recognize that, we re going to have a really hard time bettering the system. congress has to act and say, we will change our ntsb charter and say, now you need to find the contributors, rather than going ....