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#41 Posted : 18 March 2007 12:31:00(UTC)
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Posted By jom
Ian,

I'm still thinking the fundamental question is the placement of people, rather than the type of housing provided. I don't think it's a "chicken and egg" dilemma.

Did they need to be at that location to do their tasks?

>A flare is safer because it >prevents accumulation of an >unignited cloud

That's the first time anyone has given a reason why a flare is safer.

>"if there is no specific code, >we're not in violation"!

Well they accepted a 21 million dollar penalty from OSHA, so they were in violation.



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#42 Posted : 18 March 2007 22:08:00(UTC)
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Posted By Ian Waldram
The internal (Mogford) investigation is available on BP website, which is where I get most of my information.

Yes, the people did need to be round about there, they were carrying out a major shutdown on the adjacent unit. However, in retrospect, they didn't need to have their meeting room so close to their workplace - it was convenient, but not vital, if it increased risk significantly. The cause was that no one involved recognised there WAS a significant risk, the area near the flare just seems like a nice open space in which to put temporary cabins! (Though afterwards they couldn't find anyone who had actually signed the paperwork which was supposed to be in place before temporary cabins were put anywhere).

Yes, BP were fined for violations, but if you read the detailed wording, there's nothing about locating cabins in violation of ... And you'll also see how some of the minor fines were for items that were not directly linked to the fatalities - which is why those fines were quite low. The point I was trying to make is that, for some in US at least, there's so much detailed law for which you can be fined if you get it wrong, whether or not any injury or illness results, that they can easily concentrate on all those details, and miss the big picture - and I believe that applies to OSHA as much as it does to duty holders.

We may think there's lots of detail in UK legislation, but in fact you tend not to get fined for having something in the wrong format, or to a slightly wrong dimension - whereas these were much more common pre-1974 when UK legislation was pretty similar.

I've not worked in US myself, but have talked to several with personal experience, including some in BP. I'm happy to be corrected by others who know better, if I've got any details wrong in this or my previous postings.
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#43 Posted : 20 March 2007 17:06:00(UTC)
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Posted By steve e ashton
US Chemical Safety Hazard and Investigation Board final report due tonight - the press release has a fair amoount of detail for those who are following this story:
http://www.csb.gov/index...es&page=news&NEWS_ID=355

Steve
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#44 Posted : 21 March 2007 06:48:00(UTC)
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Posted By jom
I wonder if the fatigue and work overload of the panel operator will become the dominant factors in understanding the causes of this accident.

The CSB has made the point that it is more dangerous to be inside a lightweight building caught in an explosion compared to being out in the open.

The report and its recommendations have been adopted 5-0.

J.
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#45 Posted : 21 March 2007 07:26:00(UTC)
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Posted By Jay Joshi
There were several factors etc and all stakeholders have to learn and improve to prevent a repeat. Let us not concentrate on a single cause!
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#46 Posted : 21 March 2007 08:10:00(UTC)
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Posted By jom
I totally agree, Jay.

Watch out for any effort to push a "root cause" explanation.

All factors need to be examined and understood.

J.
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#47 Posted : 21 March 2007 08:21:00(UTC)
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Posted By Andy Brazier
Is the full report available on the web? I can only find the press release.
Thanks
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#48 Posted : 21 March 2007 10:25:00(UTC)
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Posted By jom
They say it will be out within the week.

335 pages.

J.
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#49 Posted : 21 March 2007 12:52:00(UTC)
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Posted By jom
I've gone back to looking at the Baker Report.

Has anyone actually read it from start to end? I find it ponderous.

The table of contents is on page 23. That isn't helpful.

What's with all the images? Pretty, but who wants them?

I wouldn't give it an award for good communication. Would you?

J.

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#50 Posted : 29 March 2007 08:49:00(UTC)
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Posted By Andy Brazier
The 337 page report is now available at http://www.csb.gov/compl...l%20Report%203.23.07.pdf

I have had a quick scan through the report and put together a summary, available at

http://andybrazier.blogs...f-bp-texas-accident.html
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