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Bowtie elements
Step 1 to build the bowtie focusing on aspects with the potential to cause injuries, damage or loss
Step 2 which describes the undesired system state
Step 3 showing possible direct causes
Step 4 in building the bowtie showing possible direct outcomes resulting in loss or damage
Step 5 to the bowtie to add any measures taken to prevent the threat and top event
Step 6 to the bowtie to add any measures taken to prevent the consequences
Step 7 showing a condition that affects the performance of the controls in place
Step 8 is adding any measure taken to prevent the escalation factors impacting the controls