“The Diving Officer of the Watch (DOOW) twice did not hear or acknowledge orders from the OOD, the first being to change the submarine’s depth to 160 feet and then the second command to slow the speed of the ascent to keep the submarine at that depth. The submarine subsequently leveled off at a depth of 36 feet, at which point portions of the boat had broached the surface.”
Serious breakdowns on the part of both.

"Serious breakdowns on the part of both."
Causing serious bow damage.
"Bow?,.. what bow?
Agreed. That’s why in important comms you not only ack the comm, you read it back. That way the sender knows you understood the message. I fault the OOD here. If you don’t get an ack on an order you damn-sure don’t just assume it was received. You repeat it or fix the comm problem - possibly by smacking someone up side the head. Figuratively or literally.