Why This Industry Is So Good At Not Repeating Mistakes

Why This Industry Is So Good At Not Repeating Mistakes

Over the years, I have shared numerous leadership insights from the aviation industry. These include the communication principle of Aviate, Navigate, Communicate , and the value of fixing things before they break. ?

We recently saw a dramatic example of another strength of the airline industry: the ability to learn from and improve upon mistakes. The industry has an incredible track record of making improvements after accidents, often responding by creating significant safety protocol enhancements and emergency procedures.??

Last week, Japan Airlines Flight 516 collided with a Japanese coast guard aircraft on the runway at Tokyo's Haneda Airport during its landing, sparking a major fire. While the crew of the coast guard aircraft tragically perished, the crew of Flight 516 managed to evacuate all 379 passengers in just 18 minutes. This is an astonishing feat given that the plane was rapidly engulfed in flames and ultimately reduced to rubble.?

The Flight 516 crew’s responsiveness and heroism is likely the product of painful lessons learned from past tragedies. For example, in 1980 Saudia Flight 163 had a successful emergency landing after a fire in the cargo hold; however, the delay in evacuation led to the loss of all 301 people on board. This incident became a turning point in emphasizing the need for cabin crews to decisively lead evacuations.??

Another salient example was the 1985 Manchester Airport disaster, where 55 people were killed due to an engine fire during an aborted takeoff. This tragedy led to significant structural design changes in standard aircraft, such as more accessible exits, illuminated floor paths, improved exit signs, and cabin materials that emit less toxic smoke. Not surprisingly, all these features were on the relatively new Airbus A350-900 jumbo jet that was evacuated during Flight 516.?

The rescue of Flight 516 is a testament to the aviation industry's commitment to continuous learning and improvement. From meticulous emergency response drills to designing aircraft for rapid evacuation, every facet of the aviation industry undergoes constant refinement and training to avoid needless disasters. Plus, these safety measures often spread—airlines will share their best practices with competitors, with all players working together for the greater good.?

Our greatest strength is not an ability to achieve perfection, but a capacity to continuously learn, adapt, and prepare for future challenges. The story of Flight 516 is not merely a tale of disaster averted; it's an example of how history’s darkest moments can guide us to create a better future and avoid repeating our mistakes. To that end, I expect this crash will likely lead to new protocols in the coming months and years to prevent the type of runway confusion that caused the accident.?

We can apply this learning approach widely to our own lives and professions. We are often reluctant to thoroughly analyze our failures or to invest in preparation for unlikely events—including ones we have experienced before. However, the aviation industry's example shows that while life is unpredictable, it is possible to anticipate and prepare for disaster, and it is even more feasible to avoid making the same mistake twice—or to mitigate the damage if we do.??

To apply the aviation industry’s approach to learning from history, several steps are necessary:?

  • First, we must objectively acknowledge what went wrong, setting aside the urge to assign blame and instead pursue the truth, whatever it may be.?
  • Second, we need to concur on the improvements that could have prevented those mistakes or mitigated the damage.?
  • Third we need to then alter policies and protocols and ensure the necessary people are trained in them.?

Only after we do these three things can we avoid needless failures and disasters.?

What actually disappoints me the most about the COVID-19 crisis is that –after four years, millions of lives lost and trillions of dollars spent on the response--I don’t believe there is any consensus on what should be done differently next time. No one has been willing to admit where they were wrong with the benefit of hindsight, even if those decisions were based on fast-moving, incomplete information. This lack of reflection of course increases the likelihood that we’ll simply repeat many of the past mistakes in the next pandemic. It’s inexcusable to learn so little from a tragedy that history tells us is likely to recur in the future. ?

In our personal and professional lives, significant advancements often stem from a thorough analysis of our failures and a commitment to perpetual improvement.??

It’s worth asking yourself as a leader if your organization is doing everything possible to transform today's mistakes into tomorrow's successes. If not, maybe you need to encourage your teams to embrace honest reflection and implement the three steps above to ensure that a regrettable mistake today does not become a preventable disaster in the future.

Quote of The Week

“In the face of adversity, we don't rise to the level of our expectations, we fall to the level of our training.” - Archilochus

The above note is part of my Friday Forward series, which reaches over 200,000 leaders in 150+ countries each week.

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Learn more about my speaking, writing and work at www.robertglazer.com

Absolutely! As Bruce Lee once said, "Mistakes are always forgivable, if one has the courage to admit them." ?? Flight 516's story is a powerful reminder of our resilience and capability to turn challenges into stepping stones for growth. Let's embrace our journey of continuous learning and improvement! ?? #Inspiration #GrowthMindset #Resilience

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Geoff Krige

Director at GK Structural Consulting

10 个月

We sometimes learn from mistakes but too often not. History shows that in politics we never learn from mistakes, so the suggestion in this article to learn from the COVID pandemic is, I fear, wishful thinking. Wars are a mistake, but our major nations go on and on developing more and more sophisticated weapons for killing each other. Sure, mistakes were made in handling the COVID pandemic, but we don’t even know what they were because we have no way of measuring the outcomes, nor of assessing the outcomes if different decisions had been made. There is a mountain of research information available, most of which shows that most governments probably did quite well in the circumstances, unless of course you talk to the emotive, politics-driven anti-vax constituency. Global warming is another area in which a similar argument applies. We cannot wait to learn from our mistakes, because by the time they become glaringly obvious to everybody it will be too late to learn. We are already refusing to learn from the climate turmoil we see daily around the world, because of high emotions and vested interests.

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Jennifer Miller

Senior Director of Engineering

10 个月

Robert, while I always enjoy your insights, this hits close to home as I work in the aviation industry. I preach the value of our quality systems and even the regulatory overhead! How could we get the 'world' to do a lessons-learned on the covid-19 nightmare? And better yet, read "Mistakes Were Made but Not by Me" before doing so!?

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James Keir

Turning data into strategic information. With a very broad knowledge base I quickly find gaps and nuances in source data to extract the maximum ROI.

10 个月

I am a firm proponent of learning as much as possible from other industries and other people. After all: Life is way too short to make all the mistakes yourself! and; why struggle if someone else has already solved the cause of your struggle...

Excellent, as usual, the reference to Covid is very relevant and it is disturbing to know that neither government officials nor medical and other professionals are in agreement and have formulated a unified way forward to deal with the next pandemic

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