The Vulnerable System¶
Weick, K. E. (1990). The Vulnerable System: An Analysis of the Tenerife Air Disaster.
Cited by¶
1 citation across 1 artifact.
Each citation links to the sentence it supports in the citing article.
Domain-specific¶
- Precondition for Unsafe Act
- But the precondition layer names the operator-and-team conditions that raised the odds of exactly that act: fog that eliminated visual confirmation (a physical limitation), schedule and duty-time pressure weighing on the captain (an adverse mental state), and — decisively — a steep authority gradient, with the KLM flight engineer and first officer voicing doubt about clearance yet not forcefully halting a senior, revered chief training pilot
This sourceThe reading of the Tenerife collision in which hierarchical distortion of cockpit communication, under stress and interrupted routines, let small errors compound.
Supported in partVerified against the source
- But the precondition layer names the operator-and-team conditions that raised the odds of exactly that act: fog that eliminated visual confirmation (a physical limitation), schedule and duty-time pressure weighing on the captain (an adverse mental state), and — decisively — a steep authority gradient, with the KLM flight engineer and first officer voicing doubt about clearance yet not forcefully halting a senior, revered chief training pilot
Verification¶
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Registry ID ref:4c3b3ba60142 · see in the full table