| The Swiss Cheese Model: Lessons for Manufacturing Test Strategy |
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| Written by Andrew Tek | |||
| Thursday, 31 May 2012 14:42 | |||
Do overlapping test strategies enhance reliability, or just add cost?On the night of July 1, 2002, at 36,000 ft. over southern Germany, Bashkirian Airlines flight 2937 collided in mid-air with DHL flight 611. The result was total fatality. In the ensuing investigation, no single cause was identified. Instead, multiple factors emerged as contributory causes that led to the tragedy. One was that one aircraft followed the Resolution Advisory’s instruction of the in-flight Traffic Collision Avoidance System (TCAS) to descend, in order to avoid collision, while the other followed the conflicting air traffic controller’s instruction to similarly descend. This by itself would not have caused the accident, as there were backup systems. There were other factors such as human error, organizational deficiencies, ambiguities in safety protocols, ongoing maintenance work to the radar system, faulty phone lines and more. Even in safety critical industries like air-travel, with its many redundant systems, accidents happen.
References Andrew Tek is product manager, In-circuit Test Group, Agilent Technologies (agilent.com); This e-mail address is being protected from spambots. You need JavaScript enabled to view it .
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| Last Updated on Thursday, 31 May 2012 17:53 |
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