ABSTRACT
Many errors and their antecedents have been examined in this text, and numerous accidents were cited to illustrate the nature of the errors that led or contributed to those accidents. One accident in particular demonstrates several points about errors in complex systems. This accident also describes challenges that investigators could face, highlights the data gathering and analysis processes used to identify critical errors and their antecedents, and identifies recommendations that investigators can suggest to remediate system deficiencies highlighted in an investigation.
