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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Ultimately, this was a systemic failure - with air traffic control, with norms and procedures. People are fixating about a 100 feet. A 100 feet is nothing in a busy air traffic corridor. Imagine landing at Reagan and seeing a helicopter 100 feet away - that was deemed acceptable by air traffic control. These aircraft should never have been that close to begin with. This is an Air Traffic Control dereliction, combined with the awful normalization of some very risky flying. Runway 33 at DCA is used often enough that this shouldn't have been an issue when people are professional. It was an accident waiting to happen. The cowboy routes used by the military shouldn't have been allowed to begin with. But it is ATC not being on top of aircraft in an incredibly busy landing and takeoff space that is the biggest problem.  [/quote]

All failures in complex systems are systemic. Complex systems almost always operate in a failed state, relying on multiple redundancies for safety. [/quote]

They require less than 7 systemic errors to avoid a disaster. This had more. [/quote]

https://how.complexsystems.fail/[/quote]

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