The Baker Panel Report - ABSA

to confirm the application of lessons learned to sites other than Grangemouth. Perhaps because no fatalities occurred at Grangemouth, the Panelbelieves that BP eventually focused on other concerns as time passed and the internal and external scrutiny surrounding the incidents faded.No one knows whether BP could have prevented the Texas City accident had the company made more comprehensive and lasting changes afterthe Grangemouth incidents in 2000. But the Panel believes that in its response to Grangemouth, BP missed an opportunity to make and sustaincompany-wide changes that would have resulted in safer workplaces for its employees and contractors.Finding:BP does not effectively use the results of its operating experiences, process hazard analyses, audits, nearmisses, and accident investigations, such as the Grangemouth investigation, to improve process operationsat its five U.S. refineries and process safety management systems.Performance Evaluation, Corrective Action, and Corporate Oversight C 224