--- to_be_filed/sf_code/esrgweba/htdocs/devels/quote_farm/quote_farm.htm	2017/06/14 02:03:18	137
+++ to_be_filed/sf_code/esrgweba/htdocs/devels/quote_farm/quote_farm.htm	2017/07/02 03:14:26	138
@@ -17,6 +17,7 @@
 <hr>
 <p><b><u>Bookmarks (To This Page)</u></b></p>
 <ul>
+  <li><a href="#accident_investigation">Accident Investigation</a>
   <li><a href="#attractiveness_female">Attractiveness, Female</a></li>
   <li><a href="#aviation_and_space" target="_self">Aviation And Space</a></li>
   <li><a href="#beer" target="_self">Beer</a></li>
@@ -90,6 +91,21 @@
   <li><a href="#acknowledgements" target="_self">Acknowledgements</a></li>
 </ul>
 <hr>
+<p><b><u><a name="accident_investigation"></a>Accident Investigation</u></b></p>
+<ul>
+  <li>&quot;Many accident investigations make the same mistake in defining causes.&nbsp;
+      They identify the widget that broke or malfunctioned, then locate the person most closely connected with the 
+      technical failure: the engineer who miscalculated an analysis, the operator who missed signals or pulled
+      the wrong switches, the supervisor who failed to listen, or the manager who made bad decisions&nbsp;
+      When causal chains are limited to technical flaws and individual failures, the
+      ensuing responses aimed at preventing a similar event in the future are equally limited:
+      they aim to fix the technical problem and replace or retrain the individual responsible.&nbsp;
+      Such corrections lead to a misguided and potentially disastrous belief that the underlying
+      probem has been solved.&quot;--This appeared in a CRM book by Earl L. Wiener, Barbara G. Kanki, Robert L. Helmreich
+      and cites a 2003 NASA item, need to locate the item
+   </li>
+</ul>
+<hr>
 <p><b><u><a name="attractiveness_female"></a>Attractiveness, Female</u></b></p>
 <ul>
   <li>&quot;She's got what I call bobsled looks: going downhill fast.&quot;--Craig Nova</li>