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APPENDIX B 653<br />

The Baker panel looked at BP s corporate safety oversight, the corporate safety culture,<br />

and the process safety management systems at BP at the Texas City plant as well at BP s<br />

other refineries.<br />

Basically, the Baker panel concluded that BP had not provided effective safety<br />

process leadership and had not established safety as a core value at the five refineries<br />

it looked at (including Texas City).<br />

Like the CSB, the Baker panel found that BP had emphasized personal safety in<br />

recent years and had in fact improved personal safety performance, but had not<br />

emphasized the overall safety process, thereby mistakenly interpreting improving<br />

personal injury rates as an indication of acceptable process safety performance at its<br />

U.S. refineries. In fact, the Baker panel went on, by focusing on these somewhat<br />

misleading improving personal injury rates, BP created a false sense of confidence that<br />

it was properly addressing process safety risks. It also found that the safety culture at<br />

Texas City did not have the positive, trusting, open environment that a proper safety<br />

culture required. The Baker panel s other findings included the following.<br />

BP did not always ensure that adequate resources were effectively allocated<br />

to support or sustain a high level of process safety performance.<br />

BP s refinery personnel are overloaded by corporate initiatives.<br />

Operators and maintenance personnel work high rates of overtime.<br />

BP tended to have a short-term focus and its decentralized management system<br />

and entrepreneurial culture delegated substantial discretion to refinery plant<br />

managers without clearly defining process safety expectations, responsibilities,<br />

or accountabilities.<br />

There was no common, unifying process safety culture among the five refineries.<br />

The company s corporate safety management system did not make sure there<br />

was timely compliance with internal process safety standards and programs.<br />

BP s executive management either did not receive refinery-specific information<br />

that showed that process safety deficiencies existed at some of the plants, or did<br />

not effectively respond to any information it did receive. 1<br />

The Baker panel made several safety recommendations for BP, including the following.<br />

1. The company s corporate management must provide leadership on process<br />

safety.<br />

2. The company should establish a process safety management system that identifies,<br />

reduces, and manages the process safety risks of the refineries.<br />

3. The company should make sure its employees have an appropriate level of<br />

process safety knowledge and expertise.<br />

4. The company should involve relevant stakeholders in developing a positive,<br />

trusting, and open process safety culture at each refinery.<br />

5. BP should clearly define expectations and strengthen accountability for process<br />

safety performance.<br />

6. BP should better coordinate its process safety support for the refining line<br />

organization.<br />

7. BP should develop an integrated set of leading and lagging performance indicators<br />

for effectively monitoring process safety performance.<br />

8. BP should establish and implement an effective system to audit process safety<br />

performance.<br />

9. The company s board should monitor the implementation of the panel s<br />

recommendations and the ongoing process safety performance of the refineries.<br />

10. BP should transform into a recognized industry leader in process safety<br />

management.<br />

1 These findings and the following suggestions based on BP Safety Report Finds Company s Process Safety<br />

Culture Ineffective, Global Refining & Fuels Report, January 17, 2007.

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