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“ Why shouldn’t they be punished or reprimanded? Because an engineer who thinks they’re going to be reprimanded is disincentivized to give the details necessary to get an understanding of the mechanism, pathology, and operation of the failure. This lack of understanding of how the accident occurred all but guarantees that it will repeat. If not with the original engineer, another one in the future.
@allspaw
Blameless PostMortems and a Just Culture « Code as Craft
(via fred-wilson)
(via fred-wilson)
