|ABS||America Bureau of Shipping|
|BOEMRE||Bureau of Ocean Energy Management, Regulation, and Enforcement|
|CAIB||Columbia Accident Investigation Board|
|CCPS||Center for Chemical Process Safety|
|CSB||U.S. Chemical Safety Board|
|DHSG||Deepwater Horizon Study Group|
|DoD||U.S. Department of Defense|
|DNV||Det Norske Veritas|
|DOI||U.S. Department of the Interior|
|EIA||U.S. Energy Information Administration|
|GAO||U.S. General Accounting Office|
|HSE||Health and Safety Executive of the United Kingdom|
|IAEA||International Atomic Energy Agency|
|MMS||Minerals Management Service|
|NEI||Nuclear Energy Institute|
|NPC||National Petroleum Council|
|NTSB||National Transportation Safety Board|
|OECD||Organisation for Economic Cooperation and Development|
|Presidential Commission||National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling|
|PSA||Petroleum Safety Authority of Norway|
|SINTEF||Stiftelsen for Industriell og Teknisk Forskning|
|USCG||U.S. Coast Guard|
|U.S. NRC||U.S. Nuclear Regulatory Commission|
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References ABBREVIATIONS ABS America Bureau of Shipping BOEMRE Bureau of Ocean Energy Management, Regulation, and Enforcement CAIB Columbia Accident Investigation Board CCPS Center for Chemical Process Safety CSB U.S. Chemical Safety Board DHSG Deepwater Horizon Study Group DoD U.S. Department of Defense DNV Det Norske Veritas DOI U.S. Department of the Interior EIA U.S. Energy Information Administration GAO U.S. General Accounting Office HSE Health and Safety Executive of the United Kingdom IAEA International Atomic Energy Agency MMS Minerals Management Service NEI Nuclear Energy Institute NPC National Petroleum Council NTSB National Transportation Safety Board OECD Organisation for Economic Cooperation and Development Presidential Commission National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling PSA Petroleum Safety Authority of Norway SINTEF Stiftelsen for Industriell og Teknisk Forskning USCG U.S. Coast Guard U.S. NRC U.S. Nuclear Regulatory Commission 130
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131 References Aadnoy, B. S., I. Cooper, S. Z. Miska, R. F. Mitchell, and M. L. Payne. 2009. Advanced Drilling and Well Technology. Society of Petroleum Engineers, Richardson, Tex. ABS. 2011. Setting Standards for Service. http://www.eagle.org/eagleExternalPortal WEB/. Most recently accessed Jan. 17, 2012. Bea, R., I. Mitroff, D. Farber, H. Foster, and K. H. Roberts. 2009. A New Approach to Risk: The Implications of E3. Risk Management, Vol. 11, No. 1, pp. 30-43. Bierly, P. E., III, and J. C. Spender. 1995. Culture and High Reliability Organizations: The Case of the Nuclear Submarine. Journal of Management, Vol. 21, No. 4, pp. 639-656. BOEMRE. 2011. Report Regarding the Causes of the April 20, 2010 Macondo Well Blowout. http://www.boemre.gov/pdfs/maps/dwhfinal.pdf. Most recently accessed Jan. 17, 2012. Bommer, P. 2008. A Primer of Oilwell Drilling, 7th ed. University of Texas at Austin. Borthwick, D. 2010. Report of the Montara Commission of Inquiry. Commonwealth of Australia. http://www.ret.gov.au/Department/Documents/MIR/Montara-Report.p df. Most recently accessed Jan. 17, 2012. Bourgoyne, A. T., M. E. Chenevert, K. K. Millheim, and F. S. Young, Jr. 1991. Applied Drilling Engineering. SPE Textbook Series, Vol. 2. Society of Petroleum Engi- neers, Richardson, Tex. http://store.spe.org/Applied-Drilling-Engineering-P10.as px. Most recently accessed Jan. 17, 2012. BP. 2010. Deepwater Horizon Accident Investigation Report. http://www.bp.com/ liveassets/bp_internet/globalbp/globalbp_uk_english/gom_response/STAGING/local _assets/downloads_pdfs/Deepwater_Horizon_Accident_Investigation_Report.pd f. Most recently accessed Jan. 17, 2012. CAIB. 2003. Organizational Causes: Evaluating Best Safety Practices. In The CAIB Re- port—Volume 1, pp. 182-184. http://caib.nasa.gov/news/report/pdf/vol1/full/caib_ report_volume1.pdf. Most recently accessed Jan. 17, 2012. Carnes, W. E. 2011. Highly Reliable Governance of Complex Socio-Technical Systems. Deepwater Horizon Study Group Working Paper, Jan. http://ccrm.berkeley.edu/ pdfs_papers/DHSGWorkingPapersFeb16-2011/HighlyReliableGovernance-of-Co mplexSocio-TechnicalSystems-WEC_DHSG-Jan2011.pdf. Most recently accessed Jan. 17, 2012. CCPS. 1992. Plant Guidelines for Technical Management of Chemical Process Safety. Center for Chemical Process Safety, American Institute of Chemical Engineers, New York. CCPS. 2005. Building Process Safety Culture: Tools to Enhance Process Safety Per- formance. Center for Chemical Process Safety, American Institute of Chemical Engineers, New York. http://www.aiche.org/uploadedFiles/CCPS/Resources/Kno wledgeBase/Piper_Alpha.pdf. Most recently accessed Jan. 17, 2012. Chief Counsel. 2011. Macondo: The Gulf Oil Disaster. Chief Counsel’s Report, National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling. http://www.oilspillcommission.gov/sites/default/files/documents/C21462-408_CCR_ for_web_0.pdf. Most recently accessed Jan. 17, 2012. County of Santa Barbara. 2005. Blowout at Union Oil’s Platform A. Planning and Devel- opment, Energy Division. http://www.countyofsb.org/energy/information/1969blo wout.asp. Most recently accessed Jan. 17, 2012. Cronin, M. A., and L. R. Weingart. 2007. Representational Gaps, Information Processing, and Conflict in Functionally Diverse Teams. Academy of Management Review, Vol. 32, No. 2, pp. 761-773.
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132 Macondo Well Deepwater Horizon Blowout CSB. 2007. Investigation Report: Refinery Explosion and Fire (15 Killed, 180 Injured) BP Texas City, Texas, March 23, 2005. U.S. Chemical Safety and Hazardous In- vestigation Board Report No. 2005-04-I-TX. http://www.csb.gov/assets/docume nt/CSBFinalReportBP.pdf. Most recently accessed Jan. 17, 2012. Cullen, W. 1990. The Public Inquiry into the Piper Alpha Disaster. HM Stationery Of- fice, London. DHSG. 2011. Final Report on the Investigation of the Macondo Well Blowout. http://ccrm.berkeley.edu/pdfs_papers/bea_pdfs/DHSGFinalReport-March2011-tag. pdf. Most recently accessed Jan. 17, 2012. DNV. 2010. Energy Report: Beaufort Sea Drilling Risk Study. Project No. EP004855. DNV. 2011a. Forensic Examination of Deepwater Horizon Blowout Preventer, Vols. I and II (Appendices). Final Report for U.S. Department of the Interior, Bureau of Ocean Energy Management, Regulation, and Enforcement, Washington, D.C. Report No. EP030842. http://www.boemre.gov/pdfs/maps/DNVReportVolI.pdf, http://www.usc g.mil/hq/cg5/cg545/dw/exhib/DNV%20BOP%20report%20-%20Vol%202%20%282% 29.pdf . Most recently accessed Jan. 17, 2012. DNV. 2011b. Addendum to Final Report: Forensic Examination of Deepwater Horizon Blowout Preventer. Report No. EP030842. http://www.boemre.gov/pdfs/maps/Add endumFinal.pdf. Most recently accessed Jan. 17, 2012. DoD. 2000. Standard Practice for System Safety. MIL-STD-882D. Feb. 10. http://www. everyspec.com/MIL-STD/MIL-STD+(0800+-+0899)/MIL_STD_882D_934/. Most re- cently accessed Jan. 17, 2012. DOI. 2010a. Increased Safety Measures for Energy Development on the Outer Continen- tal Shelf for 30 CFR Part 250. http://www.boemre.gov/eppd/PDF/EAInterimSafe tyRule.pdf. Most recently accessed Jan. 17, 2012. DOI. 2010b. Report to Secretary of Interior Ken Salazar, September 1, 2010. Outer Con- tinental Shelf Safety Oversight Board. http://www.noia.org/website/download .asp?id=40069. Most recently accessed Jan. 17, 2010. EIA. 2008. The U.S. Petroleum and Natural Gas Industry. http://www.eia.doe.gov/emeu/ finance/usi&to/upstream/index.html#n9. Most recently accessed Jan. 17, 2012. GAO. 2004. Energy Markets: Effects of Mergers and Market Concentration in the U.S. Petroleum Industry. GAO-04-96. http://www.gao.gov/new.items/d0496.pdf. Most recently accessed Jan. 17, 2012. Gallander, F. 2010. Update to BOEM on JIP Study on Reliability of Subsea Blowout Preventers. Presented at BOEMRE Forum on Ocean Drilling; September 13, 2010; Lafayette, Louisiana; Panel II Presentation – 5. http://www.boemre.gov/forums/do cuments/Panel_II_Presentation_5_lafayette.pdf. Most recently accessed Feb. 2, 2012. Gardner, C. 2010. Letter Report of Cement Test Results to the National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling. Energy Technology Company, Houston, Tex., Oct. 26. Hartley, R. S., J. N. Tolk, and D. J. Swaim. 2008. High Reliability Operations: A Practi- cal Guide to Avoid the System Accident. Babcock and Wilcox Technical Services Pantex, U.S. Department of Energy. Hickman, T. A. 1984. Report One: The Loss of the Semisubmersible Drill Rig Ocean Ranger and Its Crew. Royal Commission on the Ocean Ranger Marine Disaster, Ottawa, Canada. Holand, P., and P. Skalle. 2001. Deepwater Kicks and BOP Performance. STF38 A01419. SINTEF, Trondheim, Norway. http://www.boemre.gov/tarprojects/383/
OCR for page 130
133 References 383%20AB%20Final%20report%20Deepwater%20Kicks%20and%20BOP%20Pe rformance.pdf. Most recently accessed Jan 17, 2012. HSE. 2006. Developing Process Safety Indicators: A Step-by-Step Guide for Chemical and Major Hazard Industries. http://www.hse.gov.uk/pubns/books/hsg254.htm. Most recently accessed Jan. 17, 2012. HSE. 2008. A Guide to the Well Aspects of the Offshore Installations and Wells (Design and Construction, etc) Regulation 1996, 2nd ed. http://www.hse.gov.uk/pubns/ priced/l84.pdf. Most recently accessed Jan. 17, 2012. HSE. 2011. Offshore Research. http://www.hse.gov.uk/offshore/offshoreresearch.htm Most recently accessed Jan. 17, 2012. IAEA. 1992. The Chernobyl Accident: Updating of INSAG-1. Safety Series No. 75- INSAG-7. Vienna, Austria. http://www-pub.iaea.org/MTCD/publications/PDF/Pub 913e_web.pdf. Most recently accessed Jan. 17, 2012. Kallman, R. E., and E. D. Wheeler. 1984. Coastal Crude in a Sea of Conflict . Blake Printery and Publishing, San Luis Obispo, Calif., p. 63 (as cited in Presidential Commission 2011). Leveson, N. G. 2011. Engineering a Safer World: System Thinking Applied to Safety. Massachusetts Institute of Technology Press, Cambridge. Maclachlan, M. 2007. An Introduction to Marine Drilling. Oilfield Publications. May, J. J., and H. Foss. 2000. Power Management System for the Deepwater Horizon, a Dynamically Positioned All Weather Semisubmersible. Presented at Marine Tech- nology Society’s Dynamic Positioning Conference, Oct. 17-18. http://www./ dynamic-positioning.com/dp2000/power_foss.pdf. Most recently accessed Jan. 17, 2012. McNutt, M., R. Camilli, G. Guthrie, P. Hsieh, V. Labson, B. Lehr, D. Maclay, A. Ratzel, and M. Sogge. 2011. Assessment of Flow Rate Estimates for the Deepwater Horizon / Macondo Well Oil Spill. Flow Rate Technical Group Report to the National Incident Command, Interagency Solutions Group, March 10. http://www.doi.gov/deepwater horizon/loader.cfm?csModule=security/getfile&PageID=237763. Most recently ac- cessed Jan. 17, 2012. Meshkati, N. 1995. Human Factors in Process Plants and Facility Design. In Cost- Effective Risk Assessment for Process Design (R. D. Deshotels and R. Zimmer- man, eds.), McGraw-Hill, New York, pp. 113-130. Meshkati, N. 1999. Cultural Context of Nuclear Safety Culture: A Conceptual Model and Field Study. In Nuclear Safety: A Human Factors Perspective (J. Misumi, B. Wil- pert, and R. Miller, eds.), Taylor and Francis, London, pp. 61-75. MMS. 1999. Investigation of Blowout and Fire Ship Shoal Block 354, OCS-G 15312 Well A-2, September 9, 1999. Gulf of Mexico off the Louisiana Coast. MMS 2001-009. http://www.gomr.boemre.gov/homepg/offshore/safety/acc_repo/accin dex.html. Most recently accessed Jan. 13, 2012. NEI. 2009. Fostering a Strong Nuclear Safety Culture. NEI 09-07. June. http://pbadup ws.nrc.gov/docs/ML0915/ML091590728.pdf. Most recently accessed Jan. 17, 2012. NPC. 2006. Oil and Gas Technology Development. Topic Paper 26 in Facing the Hard Truths About Energy. http://downloadcenter.connectlive.com/events/npc071807/pdf- downloads/Study_Topic_Papers/26-TTG-OGTechDevelopment.pdf. Most recently accessed Jan. 17, 2012. NTSB. 2010. Collision of Two Washington Metropolitan Area Transit Authority Metro- rail Trains near Fort Totten Station, Washington, D.C. June 22, 2009. Railroad Accident Report NTSB/RAR-10/02, PB2010-916302, Notation 8133C. Adopted
OCR for page 130
134 Macondo Well Deepwater Horizon Blowout July 27. http://www.ntsb.gov/doclib/reports/2010/RAR1002.pdf. Most recently ac- cessed Jan. 17, 2012. OECD. 2008. Guidance on Developing Safety Performance Indicators Related to Chemical Accident Prevention, Preparedness, and Response. Guidance for Industry. http:// www.oecd.org/dataoecd/6/57/41269710.pdf. Most recently accessed Jan. 17, 2012. Oedewald, P., E. Pietikäinen, and T. Reiman. 2011. A Guidebook for Evaluating Or- ganizations in the Nuclear Industry: An Example of Safety Culture Evaluation. Report No. 2011:20, Swedish Radiation Safety Authority. http://www.stralsaker hetsmyndigheten.se/Global/Publikationer/Rapport/Sakerhet-vid-karnkraftverken/ 2011/SSM-Rapport-2011-20.pdf. Most recently accessed Jan. 17, 2012. Paté-Cornell, M. E. 1990. Organizational Aspects of Engineering System Safety: The Case of Offshore Platforms. Science, Vol. 250, No. 4985, pp. 1210-1217. Paté-Cornell, M. E. 1993. Learning from the Piper Alpha Accident: A Postmortem Analysis of Technical and Organizational Factors. Risk Analysis, Vol. 13, No. 2, pp. 215-232. Presidential Commission. 2010. Causes of Blowout and Drilling Safety. Presentation at the5th Meeting on the BP Deepwater Horizon Oil Spill and Offshore Drilling, No- vember 8-9, 2010, Washington, DC. http://www.oilspillcommission.gov/sites/de fault/files/meeting5/Master_Presentation_v2.pdf. Most recently accessed Jan. 17, 2012. Presidential Commission. 2011. Deep Water: The Gulf Oil Disaster and the Future of Off- shore Drilling. Report to the President. http://www.oilspillcommission.gov/sites/ default/files/documents/DEEPWATER_ReporttothePresident_FINAL.pdf. Most re- cently accessed Jan. 17, 2012. Presidential Commission Staff. 2011. The History of Offshore Oil and Gas in the United States. Staff Working Paper No. 22. http://www.oilspillcommission.gov/sites/de fault/files/documents/HistoryofDrillingStaffPaper22.pdf. Most recently accessed Jan. 17, 2012. PSA. 2004. HSE and Culture. Petroleum Safety Authority Norway. http://www.ptil.no/get- file.php/z%20Konvertert/Products%20and%20services/Publications/Dokumenter/hes cultureny.pdf. Most recently accessed Jan. 17, 2012 PSA 2011a. Technical Report/Seminars/R&D. Petroleum Safety Authority Norway http://www.ptil.no/technical-reports-seminars-r-d/category162.html. Most recently accessed Jan. 6, 2012. PSA. 2011b. Acknowledgment of Compliance (AOC). http://www.ptil.no/acknowledge ment-of-compliance-aoc/category159.html. Most recently accessed Jan. 17, 2012. Rasmussen, J. 1997. Risk Management in a Dynamic Society: A Modeling Problem. Safety Science, Vol. 27, No. 2/3, pp. 183-213. Rasmussen, J., and I. Svedung. 2000. Proactive Risk Management in a Dynamic Society. Swedish Rescue Services Agency, Karlstad. https://www.msb.se/RibData/Filer/ pdf/16252.pdf. Most recently accessed Jan. 17, 2012. Reason, J. 1997. Managing the Risks of Organizational Accidents. Ashgate, Bur- lington, Vt. Republic of the Marshall Islands. 2011. Deepwater Horizon Marine Casualty Investiga- tion Report. Office of the Maritime Administrator. http://www.register-iri.com/ forms/upload/Republic_of_the_Marshall_Islands_DEEPWATER_HORIZON_M arine_Casualty_Investigation_Report-Low_Resolution.pdf. Most recently accessed Jan. 17, 2012.
OCR for page 130
135 References Roberts, K. H., and D. M. Rousseau. 1989. Research in Nearly Failure-Free, High- Reliability Organizations: Having the Bubble. IEEE Transactions on Engineering Management, Vol. 36, No. 2, pp. 132-139. Sabens, F. L., and V. L. Maki, Jr. 2002. Apparatus and Method for Estimating the Compressive Strength of Foam Cement. U.S. Patent No. U6,345,535B1. Date of patent: Feb. 12. http://www.google.com/patents?hl=en&lr=&vid=USPAT63455 35&id=_wIJAAAAEBAJ&oi=fnd&dq=Apparatus+and+Method+for+Estimating +the+Compressive+Strength+of+Foam+Cement%E2%80%9D&printsec=abstract t#v=onepage&q&f=false. Most recently accessed Jan. 17, 2012. Smith, D. K. 1990. Cementing. SPE Monograph Vol. 4. Society of Petroleum Engineers, Richardson, Tex., pp. 82-122. Transocean. 2008. Well Control Complications/Emergency. HQS-OPS-HS-01. http://de mocrats.energycommerce.house.gov/documents/20100512/TRO-Surface.BOP.Ope rations.From.Floating.Vessels.pdf. Most recently accessed Jan. 17, 2012. Transocean. 2011a. Macondo Well Incident. Transocean Investigation Report Vols. I and II (Appendices). http://www.deepwater.com/fw/main/Public-Report-1076.html. Most re- cently accessed Jan. 17, 2012. Transocean. 2011b. Response to Coast Guard Draft Report by Transocean Offshore Deep- water Drilling Inc. and Transocean Holdings LLC. http://www.deepwater.com/_file lib/FileCabinet/pdfs/Response_to_USCG_Draft_Report.pdf. Most recently accessed Jan. 17, 2012. USCG. 2011. Report of Investigation into the Circumstances Surrounding the Explosion, Fire, Sinking and Loss of Eleven Crew Members Aboard the Mobile Offshore Drilling Unit Deepwater Horizon in the Gulf of Mexico April 20-22, 2010, Vol. I. https://www.hsdl.org/?view&did=6700. Most recently accessed Jan. 17, 2012. U.S. NRC. 2009. Internal Safety Culture Task Force: Final Report. April. U.S. NRC. 2011. Safety Culture Policy Statement. NUREG/BR-0500. June. http://pba dupws.nrc.gov/docs/ML1116/ML11165A021.pdf. Most recently accessed Jan. 17, 2012. Weick, K. E., and K. M. Sutcliffe. 2001. Managing the Unexpected. Jossey-Bass, San Francisco, Calif. West Engineering Services, Inc. 2002. Mini Shear Study for U.S. Minerals Management Service. Requisition No. 2-1011-1003. Dec. http://www.boemre.gov/tarprojects/ 455/Final%20Report.pdf. Most recently accessed Jan. 17, 2012. West Engineering Services, Inc. 2004. Shear Ram Capabilities Study for U.S. Minerals Man- agement Service. Requisition No. 3-4025-1001. Sept. http://www.boemre.gov/tarpro jects/463/(463)%20West%20Engineering%20Final%20Report.pdf. Most recently ac- cessed Jan. 17, 2012. Zoback, M. D. 2010. Reservoir Geomechanics. Cambridge University Press.