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E-book Fallibility at Work : Rethinking Excellence and Error in Organizations
Pilot Jarle Gimmestad sat in the cockpit at Oslo Airport one late even-ing, waiting for takeoff. “The flight was already delayed by one hour, and I was eager to get onto the runway. As usual, I was in dialogue with the co-pilot to make final adjustments before takeoff. Suddenly, the driver of the pushback tractor on the ground drew our attention to a wet substance that dripped from one of the wings and onto the asphalt below. It had already formed a stain on the ground. The driver hinted that there could be an oil leak from the wing or motor. He suggested that we should get the motor engineers out to identify the cause of the dripping.” Gimmestad talked with his co-pilot about it. Together they concluded that the stain was too small to give cause for alarm, and con-tinued to prepare for takeoff.The pushback tractor driver was still concerned about the dripping. Now he started to count the number of drops per minute that still came from the wing, and reported it to the men in the cockpit. He also measured the size of the stain on the asphalt, to indicate how serious he thought the matter was. Gimmestad suggested to him that contribu-tions to the stain on the ground could have come from other planes that had been parked on the same spot earlier in the day. It is normal to find such stains near the gate: “I tried to get the driver down below to accept that explanation, but he was not convinced. Now I suggested that the substance dripping from the wing probably was only water, and nothing to worry about. I asked the driver to sniff the substance. He did that, and his verdict was that it had a chemical smell, and so was not water.”Gimmestad took in this information, talked with the co-pilot again, and decided to continue and get ready for takeoff. He had now taken the matter from an operations level, where you listen to advice and sug-gestions, to a leadership level, where the person in charge has to take an authoritative decision. With this move, dialogue and reflection close down, to be replaced by monologue and action: “Conditions are acceptable, we proceed to takeoff.” The driver of the pushback tractor should now have understood that the matter was out of his hands, and closed. Instead, he persisted to voice his worry about the state of the plane. After a few seconds of hesitancy, he said: “Do you know what? I don’t think you should do that.” This remark woke up the pilot and got him to reconsider. Signals from the unassuming but persistent man on the ground finally got through to him. The pilot postponed takeoff and asked the motor engineers to do a thorough investigation of the source of the substance dripping down from the wing.
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