SELECT Tableau, "Fail" AS AccessVerification, Tableau.Access AS CurrentAccessRights
FROM Tableau
LEFT JOIN AAL_Matrix ON (Tableau.[AAL] = AAL_Matrix.[AAL]) AND (Tableau.[Access] = AAL_Matrix.[PrimaryRole])
LEFT JOIN TblApprovedExceptions ON (Tableau.[EID] = TblApprovedExceptions.[EID]) AND...