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Latest / Deep End Era. Engineering with Sankalp

Holes in the Cheese: Piper Alpha, Bhopal, Deepwater Horizon and the Drift into Failure

None of the twelve items on the list is an emergency, yet each has come before a catastrophe somewhere. Nadia Ferrante and Gideon Ashworth (both fictional) trace how a missing safety valve and a decayed permit system killed 167 men, how a plant being run down left nothing between a tank of methyl isocyanate and a sleeping city, and how seven barriers on Macondo failed together. A rig was celebrating its injury record on the night it blew out. It finishes with how ordinary people making reasonable decisions drift an organisation towards disaster, and what a manager can do on Monday morning…

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