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Re:Boeing missing key elements of safety culture: FAA report by ethbr1 on Tuesday February 27, 2024 @11:24AM (#39525943)
I thought this was critical:

>> It also noted that employees do not understand how to use the different reporting systems and which reporting system to use and when.

As was noted by the purported insider, re: multiple overlapping systems of record/not-record, Boeing's actual processes themselves are badly in need of overhaul.

This feel like a clear example of where top-down + bottom-up independent read-back verification would have been useful.

I.e. management decides they're going to create Safety Process X using Systems A, B, and C. They do so, then circulate training (top-down). THEN you conduct independent interviews with employees at the bottom, to measure whether the new processes are understood at that level (bottom-up). If results aren't satisfactory, then add additional training or reengineer the processes.

Too often, it seems like this shit gets done at the VP PowerPoint level, and ground reality diverges without anyone noticing.

The map is not the world: interviews with a representative random sampling aren't hard.

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