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A systemic analysis of the Edge Hill railway accident
Accident Analysis & Prevention, 10/19/09
Santos–Reyes J et al. – The findings are related to causal factors of failure of systems 1–5 as well as missing channels of communication amongst those involved in the maintenance work. It is hoped that this systemic analysis will help to identify ‘learning points’, which are relevant for preventing accidents; especially accidents involving track–side workers.
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