Investigation Report
Macondo Blowout and Explosion
Macondo Blowout and Explosion
- CSB
- Investigation Report
- ExplosionHydrocarbon ReleaseProcess Safety
- Barrier managementHuman factorsLeadership and safety cultureRisk managementSafety-performance measurement
- DrillingPressure testingWell abandonment
- Blowout preventerOperator displays and control interfaces
- Competence and trainingManagement of changeOperating and work proceduresRisk assessment
- Upstream oil and gas
- Offshore installation
Summary
Volume 3 examines human and organisational factors in the Macondo incident, including temporary abandonment, negative-test interpretation and riser gas handling. It analyses barrier assurance, change management, incident learning, process-safety indicators and corporate governance, contrasting written policies with operational practice and proposing improvements to major accident prevention.
Classifications: Barrier management; safety barrier management.
Classifications: Human factors; human performance; ergonomics.
Classifications: Leadership and safety culture; safety culture; safety leadership.
Classifications: Risk management; risk evaluation.
Classifications: Safety-performance measurement.
Classifications: Drilling; well drilling.
Classifications: Pressure testing; hydrostatic testing; pneumatic testing.
Classifications: Well abandonment; plug and abandonment; P&A.
Classifications: Blowout preventer; BOP; blow-out preventer.
Classifications: Operator displays and control interfaces.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Management of change; MOC; change management.
Classifications: Operating and work procedures.
Classifications: Risk assessment; hazard assessment.
Classifications: Upstream oil and gas; oil and gas extraction; upstream petroleum.
Classifications: Offshore installation; offshore platform; offshore rig.
Summary
The investigation examines a well blowout and subsequent explosion.
Themes: explosion, hydrocarbon release, process safety.