BP's Gulf Spill Report Shows String of Failures

eldavojohn writes "News is out of BP's report on the gulf spill that shifts some of the blame on to other companies like Transocean that worked with BP in erecting the Deepwater Horizon rig. If you were affected by the spill, you might find the video, executive summary and 193-page report an interesting read. The summary outlines six or seven major failures in safety and engineering that all built up to the deaths of eleven workers and widespread contamination of the gulf. From incorrectly using seawater instead of drilling fluid to misinterpreting pressure test results, this report is just BP's side of the story as the blowout preventer has been pulled up and is still on its way to NASA where it will be analyzed by government investigators who will be able to compile their own report."

Comments

Re:Complex environment, complex causes

[cgenman]

Usually when you talk about complex causes, you mean that factors A, B, C, and D all interacted in unexpected ways to cause a failure, but that most of those factors on their own are basically innocuous. This can be the case in aviation, which a century out remains a tricky human endeavor.

Here, we're talking about several major failures, any one of which would be bad on their own. You can't write it off as a "complex cause" when the safety failed because it was improperly maintained, then the safety person failed because he was improperly trained, then the backup safety failed because nobody installed it, etc. The cause is very simple: cutting too many corners.