Exxon Valdez: Human Error, Plain and Simple
Keywords:
Exxon Valdez, human error, oil spill, human failureAbstract
Much has been made of the Exxon Valdez going aground on Bligh Reef in Prince William Sound in 1989 — and rightfully so. The effects of the disaster continue to this day. Why the Exxon Valdez went aground is straightforward, although not widely well understood. As can be expected, various interests seized upon the catastrophe to support their causes or improve their lots. Whereas it is now clear that the ship went aground purely as a consequence of human errors — there were no mechanical or electrical failures — the event has been used to justify changes that, while desirable, would not have prevented the Exxon Valdez from going aground, or the subsequent oil spill. Those changes include, inter alia, a variety of improved navigational aids, expanded Coast Guard monitoring capabilities, increased requirements for harbor pilots and required crew rest. In looking back, one might be led to believe that the ship went aground in a sea of red herrings. This article reviews what really happened on that night and incontrovertible evidence that supports human errors — onboard the Exxon Valdez and thousands of miles away at the Exxon Shipping Company — in a failed safety culture as solely responsible for the disaster.
References
National Transportation Safety Board (NTSB), Marine Accident Report: Grounding of the U.S. Tankship Exxon Valdez on Bligh Reef, Prince William Sound near Valdez, Alaska March 24, 1989, PB90-916405, NTSB/MAR-90/04, Washington, DC:, Office of Surface Transportation Safety, 1990.
http://www.solarnavigator.net/boats/exxon_valdez.htm
Ibid.
http://en.wikipedia.org/wiki/Greg_Palast#Exxon_Valdez
http://www.gregpalast.com/court-rewards-exxon-for-valdez-oil-spill/
Hq USCG, The Coast Guard’s Role in the EXXON VALDEZ Incident, Historian Office, Washington, DC http://www.uscg.mil/history/articles/EV.pdf
http://answers.yahoo.com/question/index?qid=20080109150820AAyLbG3
NTSB, op. cit.
Levinson, N.G., A New Approach to System Safety Engineering, MIT, August 2006.
NTSB, op. cit., p. 163.
USCG, op. cit., Appendix J, “Speech Examination Information,” pp. 219-255.
Ibid., p. 54.
Grove, C., “BLIGH REEF: Lack of crew communication about boat position, course is cited,” Anchorage Daily News, May 10, 2011. http://www.adn.com/2011/05/10/1855776/report-faults-captain-in-tugboat.html
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