It concluded the organizational structure and processes were sufficiently flawed and that a compromise of safety was expected no matter who was in the key decisionmaking positions
त्यांना सामावून घेणे, नव्याने वेतन ठरविणे, कामाचे व्यवस्थापन इत्यादींबाबतीत नियम ठरविणे आवश्यक होते.