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“But, as we increase our understanding of the complex socio-technical systems and interactions that enable safe outcomes (or do not), new views of safety (table 3) are emerging that see human error not as the cause of an accident, but as symptomatic of deeper issues.”
Gill Kernick, Catastrophe and Systemic Change: Learning from the Grenfell Tower Fire and Other Disasters

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Catastrophe and Systemic Change: Learning from the Grenfell Tower Fire and Other Disasters Catastrophe and Systemic Change
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Catastrophe and Systemic Change: Learning from the Grenfell Tower Fire and Other Disasters Catastrophe and Systemic Change
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Catastrophe and Systemic Change: Learning from the Grenfell Tower Fire and Other Disasters Catastrophe and Systemic Change
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