Alistair_Heaton
Mechanical
- Nov 4, 2018
- 9,732

James Reason, Who Used Swiss Cheese to Explain Human Error, Dies at 86
Mistakes happen, he theorized, because multiple vulnerabilities in a system align — like the holes in cheese — to create a recipe for disaster.
Rest in peace Sir I will admit I didn't know it was you that gave the picture that so many have understood.