How ordinary failure could have a seismic effect on an industrial giant
How ordinary failure could have a seismic effect on an industrial giant
www.bbc.com
How ordinary failure could have a seismic effect on an industrial giant
Earlier this year, a Boeing aircraft's door plug fell out in flight – all because crucial bolts were missing. The incident shows why simple failures like this are often a sign of larger problems, says John Downer.
Calling "missing bolts" on a aircraft an "ordinary failure" is the understatement of the year.
If you read the article it explains why the fact that it is an ordinary failure is a bad thing. Ordinary failures (like some one not installing some bolts) are not supposed to happen in high reliability systems like passenger aircraft. Failures tend to come through "extraordinary" failures where multiple factors line up in an over looked way in order to create an unexpected failure mode.
A 10 year old could tell you not installing safety bolts where they are supposed to be would make things dangerous. The fact that that is how a potentially lethal failure happened is damming.
*damning
damming is when you build a wall across a river
This is still not an ordinary failure by your definition of it being a single point that failed. It's was like half a dozen "things" that went wrong for that plane to get into the air without those bolts. From not putting them in, to missing inspections, missing cross-checks. Sounds extraordinary to me. Which is the whole point of why it's a deeper issue, showing systematic problems at Boeing and it's partners, and the FAA not doing it's job, too.