Catastrophic Events and Human Error: A Few Rotten Apples or Organizational Dysfunction?

Peter V. Bridle
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Abstract

In July 2021, commemorations will be held to mark the 33 years since the 1988 Piper Alpha tragedy in the UK sector of the North Sea where 167 oil field workers lost their lives. Without question, the incident was a watershed event for the international oil and gas industry not simply because of the immediate toll in human lives lost, but also in terms of the devasting aftermath endured by countless friends, families and loved ones whose lives were forever changed. The tragedy also served to illustrate just how poorly the oil and gas industry really understood and managed those operating risks that possessed the potential for catastrophic loss, both in terms of business cost and overall reputational impact. In the wake of the public enquiry that followed and chaired by Lord Cullen of Whitekirk, one of the principal recommendations required that the international oil and gas industry do a much better job in determining both its major hazards (i.e. major operating risks) and also in creating the necessary operating conditions to demonstrate that such things were being well managed. The objective being to provide tangible assurance that the likelihood of the industry ever incurring such a calamitous event again in the future had been reduced to as low as reasonably practicable (ALARP). In taking its responsibilities very seriously, the international oil and gas industry responded by raising the profile of the management of Health, Safety and the Environment (HSE) across the wide spectrum of its global operations. By the mid-nineties, the industry had implemented comprehensive and structured systems of work within the framework of purposely built HSE Management Systems using templates designed and developed for the industry via the International Oil and Gas Producers (IOGP)*.
灾难性事件和人为失误:几个烂苹果还是组织功能失调?
2021年7月,将举行纪念活动,纪念1988年英国北海地区Piper Alpha悲剧发生33周年,当时有167名油田工人丧生。毫无疑问,这起事件是国际油气行业的分水岭事件,不仅因为人员伤亡,还因为无数朋友、家人和亲人的生活永远改变了,他们承受了毁灭性的后果。这场悲剧也表明,无论是在商业成本还是整体声誉方面,油气行业对这些可能造成灾难性损失的运营风险的理解和管理是多么糟糕。在Whitekirk的Cullen勋爵主持的公众调查之后,其中一项主要建议要求国际石油和天然气行业在确定其主要危害(即主要运营风险)以及创造必要的运营条件方面做得更好,以证明这些事情得到了良好的管理。其目的是提供切实的保证,即该行业在未来再次发生此类灾难性事件的可能性已降至合理可行的最低水平(ALARP)。国际石油和天然气行业非常重视自己的责任,在其全球业务范围内提高了健康、安全和环境(HSE)管理的形象。到90年代中期,该行业已经在专门建立的HSE管理体系框架内实施了全面和结构化的工作系统,这些系统使用的是国际石油和天然气生产商(IOGP)为该行业设计和开发的模板。
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