Evitar o blame game

Ouvi uma conversa em que o auditor interno corporativo dizia que não auditava as auditorias internas das unidades de negócio, para impedir que as unidades de negócio entrassem num esforço de esconder a realidade, com medo das auditorias corporativas.

Dias depois, recordei algo que li em "Caixa Negra" de Matthew Syed algures em 2018:

"if pilots anticipate being blamed unfairly, they will not make the reports on their own mistakes and near misses, thus suppressing the precious information that has driven aviation's remarkable safety record. This is why blame should never be apportioned for reasons of corporate or political expediency, but only ever after a proper investigation by experts with a ground-level understanding of the complexity in which professionals operate.

The jury did their best to make up their minds on the facts, but it is not easy while sitting in a staid courtroom to make a judgment about split-second decisions made in the cockpit of a 200-ton jumbo jet flying through thick fog at nearly 200 mph.

But if the Oscar November incident shows anything, it is just how easy it is to engage in the blame game. A tragedy very nearly happened, therefore someone had to be punished. Aviation is generally an industry with an empowering attitude toward error, and is rightly considered a leader when it comes to having a just culture. It rarely engages in blame and uses mistakes to drive learning.

...

But what the Oscar November incident reveals is that even a pioneering industry like aviation is not completely immune from the blame tendency. And perhaps it exposes, more than anything, just how far we need to travel to eradicate the blame instinct once and for all."