On the 20th of September, 2022 at the BP Husky Toledo refinery in Ohio, a level transmitter change out from a month prior triggered a chain of events that would cost two operators their lives. We look at how poor Management of Change, high alarm rates and a resistance to stopping the job, let a plant upset turn into a disaster.
With John Chidgey.
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Episode Gold Producers: 'r', Steven Bridle and Kellen Frodelius-Fujimoto.
Episode Silver Producers: Mitch Biegler, Shane O'Neill, Jared Roman, Katharina Will, Chad Juehring and Ian Gallagher.
With John Chidgey.
Formal Report:
- U.S. Chemical Safety Board Issues Final Report into Fatal 2022 Fire at BP-Husky Refinery
- Fatal Naphtha Release and Fire at BP-Husky Toledo Refinery (PDF)
- CSB June 2023 Investigation Update (PDF)
- CSB Comments on the OSHA September 20, 2022, Federal Register Notice (PDF)
News Releases and Articles:
- BP Faces $156K OSHA Fine in Refinery Explosion
- BP accused of serious violations after fatal blast at US refinery
General Information:
Support Causality on Patreon
Episode Gold Producers: 'r', Steven Bridle and Kellen Frodelius-Fujimoto.
Episode Silver Producers: Mitch Biegler, Shane O'Neill, Jared Roman, Katharina Will, Chad Juehring and Ian Gallagher.
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