The cause is not human error

Can we stop saying “human error”.
How about “system failure”.

What made them make an error? Fatigue, distraction, boredom, overload…
How could the system have prevented it? Poka yoke, capacity, safety…
Why was the system not resilient to it? Error trap, recovery…

Humans gonna error. If you’re not designing for it, that’s a fragile system.