~/talk

Mayday! Software lessons from aviation disasters

Talkat NDC Sydney 2022 · 2022-10-12..10-14· [engineering-leadership]
slides:none on file

Two aviation investigations show precise takeaways: a 1989 crash kills 55 after counterfeit bolts cause resonant vibration that shears the tail—diagnosed by FDR/CVR analysis, reconstructing wreckage, and residue testing that initially misleads toward a bomb; a 1978 incident leaves 10 dead after fixation on landing gear causes fuel starvation, prompting mandatory crew resource management and protocols for situational awareness and assertive communication. Concrete practices: question your theory, follow the evidence, and treat audits and parts provenance as non‑optional.

AI-written summary · about

  1. 0:00Introduction
  2. 2:39Partnair flight 394 crash
  3. 13:59Finn Heimdall’s investigation
  4. 15:23Black box analysis counterfeit parts
  5. 21:08Chain of events leading to disaster
  6. 24:18Technical debt code quality
  7. 28:31Childhood flight anecdote
  8. 30:36United flight 173 case study
  9. 39:59Flight 173 aviation safety change
  10. 42:12Crew resource management
  11. 44:43Situational awareness in software
  12. 49:00Conclusion Q&A
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