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TC Oil Cargo Train Decline: A Case Study

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TC Oil Cargo Train Decline: A Case Study
1.0 Informative Summary
In 2013, a Montreal, Maine & Atlantic(MMA) oil cargo train derailed in Downtown Lac Megantic starting a fire that before it was controlled left many people dead and economic loss. The catastrophe took place due to two main factors which are the lack of safety culture from MMA and the insufficient supervision of Transport Canada(TC). For instance, one factor that TC did not consider was the weaknesses in the oversight of the railway conditions. MMA has had issues regarding safety, that TC has been continuously reporting but not being sure those issues were effectively solved, such as the lack of quality in the crew arrangements and its training level. Another active factor was an improper repair of the mentioned train time ago, that ended up in the starting fire causing the procedures against fire were executed and initiating the
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Meanwhile, TC also introduced initiatives and an emergency directive, and even the U.S. Government issued procedures for railway safety. When the TSB finished its investigations 18 distinct causes were identified from which 16 were taken as a risk ranging from the danger of leaving trains unattended to not having emergency response plans. In January 2014, the TSB released three recommendations aimed to the railway companies, and in August 2014, TSB released two more recommendations, this time aimed to gubernamental institutions. Finally, the TSB concluded that the accident was not caused by any individual but by the combination of factors that the TSB will be continuously monitoring until the measures have been adopted properly.
2.0 Descriptive Summary
The report concerning the accident in Lac-Megantic contains four parts in which, the events as well as its causes are detailed. Firstly, in the introductory section, the cover page indicates with a picture, the situation after the accident in

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