Question 1 — Evidence and Timeline
(a) Examine the collected evidence for this incident and present this using the structure of the Swiss Cheese Model.
(b) You should present the layers of Organisational Influence, Unsafe Supervision, Preconditions and Unsafe Acts independently and highlight your reasons for placing each item within the layer. You should also state where there are shortcomings (gaps) in the evidence, the reasons why these shortcomings are so, and how they might be addressed (if possible).
(c) For all evidence that you use, you should present actual and/or potential scientific verification, and you should formally cite the source (s).
(d) From this evidence, create a timeline of events that led up to the rail crash at Clapham Junction and the loss of lives. Each element of the timeline should identify the evidences and from which layer of the Swiss Cheese Model these come from.
(e) You are free to use other additional tools to support your analysis, but if so, you should state your reason (s) for doing so.
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