- that a known risk was not controlled properly
- that a risk was not identified so that it could not be managed
If you like this at a higher level of abstraction we could go for:
- Official approaches to risk management did not work
- Official approaches to risk management were not used properly
When the Heathrow Express tunnel collapsed, all tunnelling projects using the same New Austrian Tunnelling Method were suspended pending the investigation. When we merely lose half a billion pounds of tax payers money and wreck a few more lives we don't even pause to ask.
I guess this means that the mandated management approaches are a sham:
- Either nobody expected them to work in the first place and/or
- Best practice is always what we invent today
My impression of all this fiasco is that language and stated purpose is so bent and twisted by the political pressures that piss-ups in breweries are impossible to organise. In the positivist world of IT you cannot take any statement at face value and there is no such thing as reliable information. Risk manage that!