The Baker Panel Report - ABSA

TABLE OF CONTENTSI. The Panel’s Review ............................................1A. Scope and Methodology .......................................1Visits to the Refineries and Public Meetings ........1Interviews of BP Refinery Personnel andCorporate-Level Management ...........................1Process Safety Reviews ........................................5Process Safety Culture Survey ..............................7BP Briefings .......................................................11Targeted Document Review ................................11Meetings with Other CompaniesAbout Process Safety ......................................12B. Qualifications and Limitations ..........................12Purposes and Limitations of thePanel’s Review ................................................12Focus on Process Safety .....................................13Qualifications Relating to thePanel’s Findings .............................................14II. Precipitating Events for the Panel’sAssessment and Report ..................................17A. CSB Urgent Recommendations ..........................17B. CSB’s Preliminary Findings Related toTexas City .......................................................17C. OSHA’s Investigation of the TexasCity Accident ..................................................18D. BP’s Investigation of the Texas CityAccident—the Mogford Report .......................18E. The Stanley Report .............................................19III. Overview of Process Safety, Personal Safety,and Corporate Safety Culture .......................21A. Comparison of Process Safety andPersonal Safety ...............................................21B. Leading and Lagging Indicators for SafetyManagement Systems ....................................22Reactive Monitoring: Use ofLagging Indicators .........................................22Active Monitoring: Use of Leading Indicators ....23Using Both Leading and Lagging Indicators ......23C. Corporate Safety Culture ....................................23IV. Overview of BP’s Organizational Structureand Its Five U.S. Refineries ...........................27A. BP Management Framework ..............................27BP’s System of Delegationsand Accountabilities .......................................27Planning and Performance Management ...........28B. BP’s Global Stucture ..........................................29BP Group ............................................................29Regions ..............................................................30Business Segments ...........................................30Strategic Performance Units ..............................31Business Unit (Refinery) ....................................32C. U.S. Refining Organizational Chart ....................32Executive Management ......................................32Corporate Refining Line Management ................33Refinery Management, Supervisors,and Workforce .................................................34Functions Influencing Process Safety ................36Other Positions Influencing U.S. RefineryProcess Safety ................................................40Engineering Authorities:“Strong Dotted Line” ......................................41D. The Five Refineries .............................................42Carson ...............................................................42Cherry Point .......................................................42Texas City ...........................................................43Toledo ................................................................43Whiting ..............................................................43V. BP’s HSSE Management Framework andProcess Safety-Related Standards .................47A. Regulation of Process Safety in theUnited States ..................................................47Overview of OSHA’s Process SafetyManagement Standard ...................................47Overview of the Clean Air Act’s General DutyClause and EPA’s Risk Management Program 48