You may recall the deaths of two SEALs back in Jan 2024, off
Yemen, during a night boarding operation in poor weather with 6 ft seas. One man slipped while climbing a scaling
ladder and fell into the sea. The second
man dove in to assist the first man who was struggling to regain the ladder. The Navy’s report states that the deaths were
preventable and attributes the deaths to,
The Navy identified what they consider the root cause of the
tragedy to be:
In this instance, the root cause was not the SEAL’s lack of
familiarity with the flotation equipment.
That was a low level cause but nowhere near the true root cause.
Moving up the root cause chain a bit, the person who
selected/specified unfamiliar equipment for the unit was a cause but, again,
not the root cause.
Proceeding further up the root cause chain, the assignment by
leadership of a mission in questionable weather by inadequately trained personnel
was a higher level cause but, again, not the true root cause. This is similar to whoever assigned the
riverine boats a mission beyond their capabilities which resulted in the boats
and crews being seized by Iran.
The true(er) root cause, then, was high level Navy
leadership who were unaware (or uncaring) of the equipment and level of
training of the unit and proceeded to assign a mission anyway under very
questionable weather conditions.
The truly ultimate root cause was a Navy system that
encouraged lackadaisical training, a never say no culture, an ignorance of real
world conditions, and a lack of personal responsibility towards those under
their command. To be clear, I’m talking
about SecNav and Chief of Naval Operations who fostered a flawed culture. This flawed culture has been evident
repeatedly in collisions, groundings, waivers leading to fatalities, capsized
amphibious vehicles, a surrender rather than fight mentality, acquisition
failures and coverups, prioritizing social issues over combat readiness, and so
on. There can be no disputing the failed
culture of the Navy.
Aside from the root cause, there is another aspect to this
tragedy and that is personal responsibility.
Frankly, given the SEALs supposed creed of attention to detail, I’m
astounded that they would embark on a mission with unfamiliar equipment and
known shortcomings in their training. I
know they (and the Navy/military, in general) have a ‘can do’ attitude (arrogance,
when it comes down to it) that drives them to do foolish things but there comes
a point where personal responsibility comes into play. In addition to knowingly endangering
themselves, each SEAL knowingly allowed their fellow SEALs to begin a mission
that they knew their fellows were not adequately trained or prepared for and
that danger was compounded by the darkness and weather conditions. Even if they wish to ignore the danger to
themselves, each SEAL is obligated to be responsible for his fellow team
members if he sees them about to do something foolish. Each SEAL member failed their obligation to
their teammates.
I’m deeply disappointed in the SEALs individually and as a
group culture.
Some of you may be offended by this analysis but that
doesn’t change the reality.
_____________________________
The cause of the deaths was attributed to poor training, unfamiliarity with flotation gear, and possible improper maintenance of personal flotation devices.[1]It is also noteworthy that the men were heavily loaded with gear.
Each SEAL carried about 50 pounds of personal and mission equipment. Navy Special Warfare Operator 1st Class Nathan Gage Ingram, 27, dived into the sea to assist Chambers. Ingram is believed to have carried about 80 pounds of gear when he dived in.[1]Diving into high seas with 50-80 lbs of gear is not a formula for success.
The root cause of the incident was unfamiliarity with personal flotation gear and a lack of standard procedure for using, training with, or wearing it.
Other team members told investigators that while they knew the importance of their tactical flotation system — which includes two inflatable floats that attach to a belt and foam inserts that can be added — few had ever operated one in training and there is little instruction on how to wear it.[1]Contray to the Navy's claim, that is not the root cause and the statement clearly indicates that the Navy doesn’t have the faintest idea what the term ‘root cause’ means or how to conduct a root cause analysis. A root cause is the ultimate reason something occurs and, inevitably, produces a cascading chain of lesser causes leading to the event itself. Almost invariably, the true root cause of anything lies with flawed leadership at fairly high levels and, almost inevitably, organizations stop their root cause analysis at a low level, well before they get to the true, upper level (leadership) cause (I wonder why they stop, he asked sarcastically, knowing exactly why).
https://redstate.com/streiff/2024/10/12/investigation-reveals-drowning-of-two-navy-seals-during-a-boarding-operation-was-entirely-preventable-n2180468