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Systems approach to accident analysis : engine room fire on cruise ship "Le Boreal"

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Figure

Figure 1: Generic classification of control flaws that lead to hazards (N. Leveson, 2011)
Figure 2: Parties involved in safety control (high-level representation)
Figure 3: Safety control structure (shown information flows are not exhaustive)
Table 2: Summary of dysfunctional interactions in safety control of the Le Boreal incident
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