LOSING CONTROL, ONE MISTAKE AT A TIME

"According to the Associated Press, on December 14, 1996, a 763-foot grain freighter, the Bright Field, was heading down the Mississippi at New Orleans, Louisiana, when it lost control, veered toward the shore, and crashed into a riverside shopping mall. At the time the Riverwalk Mall was crowded with some 1,000 shoppers, and 116 people were injured. The impact of the freighter demolished parts of the wharf, which is the site of two hundred shops and restaurants as well as the adjoining Hilton Hotel.

The ship had lost control at the stretch in the Mississippi that is considered the most dangerous to navigate. After investigating the accident for a year, the Coast Guard reported that the freighter had lost control because the engine had shut down. The engine had shut down because of low oil pressure. The oil pressure was low because of a clogged oil filter. And the oil filter was clogged because the ship’s crew had failed to maintain the engine properly.

Furthermore, this failure was not out of character. According to the

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