PART 1 - TONS OF PUNKS, ONE BIG JERK CHAPTER 2: NO MOAT IN BLOAT From Cosmic Rays to Bungee Jumps

"The Therac-25 relied more heavily on software for safety functions and did not duplicate all of the hardware safety mechanisms and interlocks used in earlier machines."

The investigation explains that AECL shifted more safety responsibility into software and chose not to duplicate all existing hardware interlocks and backup mechanisms.

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