The system review 场景学习单

A single operator’s name is written above a timeline of twelve system decisions.

一名操作员的名字写在一条包含十二项系统决策的时间线上方。

CHAIR

Remove the operator, and this cannot happen again.

撤掉这名操作员，这件事就不会再发生。

INVESTIGATOR

One person can trigger a failure that the system prepared for years.

一个人可能触发系统多年准备出来的故障。

ENGINEER

Review the authority design, alarm visibility, rehearsal gaps, and incentives to stay silent.

复查权限设计、警报可见性、演练缺口，以及保持沉默的激励。

CHAIR

Assign one testable correction to each layer and publish the verification date.

为每一层指定一项可测试的改进，并公布验证日期。

The operator’s name moves beside, rather than above, the system timeline.

操作员的名字被移到系统时间线旁边，而不是上方。