38. 40
Schettino told the trial that it was common for
captains to take their ships close to islands in
order to provide a spectacle for passengers.
- The Telegraph
44. 48
OLD VIEW: BLAME
"We took that node down, unfortunately the
individual that was managing that issue did not
follow the correct procedure, and he
reconnected the customers to the
malfunctioning node, rather than transferring
them to the nine other redundant nodes that
he should have transferred people to."
45. 49
Why didn't individual follow procedure?
Does anyone ever follow procedure?
Did individual know of procedure?
NEW VIEW
48. 52
OLD VIEW: COUNTERFACTUALS
"We took that node down, unfortunately the
individual that was managing that issue did not
follow the correct procedure, and he
reconnected the customers to the
malfunctioning node, rather than transferring
them to the nine other redundant nodes that
he should have transferred people to."
53. 58
OLD VIEW: BAD APPLE “SOLUTION”
"While this work is under way, Telstra
Operations has a heightened awareness plan,
including executive-level review of any
changes planned for our mobile and core IP
networks.” - Telstra COO