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When bad things happen to good organizations

from By Mark Huber

I recently spent several months looking into a rather baffling fatal helicopter accident. A well-trained pilot was flying a new helicopter outfitted with all the latest safety bells and whistles. The pilot worked for a top-rate organization that is a well-known industry innovator in safety management and perennially recognized for excellence by the Federal Aviation Administration. Sifting through various court documents and the official accident report of the National Transportation Safety Board, one thing became crystal clear: There was no single cause for this tragedy. more

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