Health laboratory / Astronautics Dept. Massachusetts Institute of Technology October / /
IndustryTerm
wrong control law / software module / municipal water systems / causal chain / water quality infrastructure / water systems / manufacturing processes / manufacturing process / propellant gas release / public water utilities operators / /
Organization
Ministry of the Environment / Canadian federal government / Health Unit / Massachusetts Institute of Technology / Walkerton Public Utilities Commission / BGOS Medical Department of Health Provide / Ministry of Health Ensure / Spills Action Center / Ministry of the Environment Ensure / Department of Health / Ministry of Agriculture / BGOS Health Unit / Ministry of Health / /
Person
Frank Koebel / Province / Mirna Daouk / Stan Koebel / Nancy Leveson / Nicolas Dulac / Karen Marais Aeronautics / /
Position
Manager / general manager / foreman / Sensors Human Supervisor / pediatrician / local public health inspector / representative / controller / Automation Displays Controls Measured variables Automated Controller / /
A Systems Theoretic Approach to Safety Engineering Nancy Leveson, Mirna Daouk, Nicolas Dulac, Karen Marais Aeronautics and Astronautics Dept. Massachusetts Institute of Technology October 30, 2003