Karl E. Weick (1990)
Journal of Management, 16(3), 571-593.
DOI: https://doi.org/10.1177/014920639001600304
Abstract. Weick's foundational analysis of the 1977 Tenerife disaster (583 dead, the deadliest aviation accident in history) as sociotechnical-system failure rather than pilot error. The reference cited in safety-culture and CRM literature for the most-studied accident in aviation.
Tags: aviation error case-study foundational