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.Formal Report:
<ul>
<li><a href="https://www.csb.gov/us-chemical-safety-board-issues-final-report-into-fatal-2022-fire-at-bp-husky-refinery-near-toledo-ohio/">U.S. Chemical Safety Board Issues Final Report into Fatal 2022 Fire at BP-Husky Refinery</a></li>
<li><a href="https://www.csb.gov/assets/1/6/final_report_-_20241.pdf">Fatal Naphtha Release and Fire at BP-Husky Toledo Refinery (PDF)</a></li>
<li><a href="https://www.csb.gov/assets/1/20/bp_husky_investigation_update.pdf?16928">CSB June 2023 Investigation Update (PDF)</a></li>
<li><a href="https://www.csb.gov/assets/1/6/csb_comment_ltr_-_osha_psm_std_modernization_fr_notice_11-9-2022.pdf">CSB Comments on the OSHA September 20, 2022, Federal Register Notice (PDF)</a></li>
</ul>
News Releases and Articles:
<ul>
<li><a href="https://ehsdailyadvisor.blr.com/2023/03/bp-faces-156k-osha-fine-in-refinery-explosion/">BP Faces $156K OSHA Fine in Refinery Explosion</a></li>
<li><a href="https://www.ft.com/content/9e260d2d-cc40-41f7-8b0d-98362fb973ae">BP accused of serious violations after fatal blast at US refinery</a></li>
</ul>
General Information:
<ul>
<li><a href="https://www.sciencedirect.com/topics/engineering/naphtha">Naphtha</a></li>
<li><a href="https://www.abs-group.com/Knowledge-Center/Insights/What-You-Need-to-Know-About-Californias-PSM-Regulation-for-Refinery-Safety/">What You Need to Know About California&rsquo;s PSM Regulation for Refinery Safety</a></li>
<li><a href="https://www.osha.gov/penalties">OSHA Penalties</a></li>
</ul>
Support Causality on <a rel="payment" href="http://patreon.com/johnchidgey" title="Causality on Patreon"> Patreon</a>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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