Citation
Investigation Report: Refinery Explosion and Fire (15 Killed, 180 Injured)
TL;DR
15 deaths, 180 injuries from refinery explosion
Investigation of 2005 Texas City refinery explosion revealing systemic problems rooted in excessive decentralization - inadequate corporate oversight, varying safety standards across business units, and cost-cutting pressures in autonomous units.
Key Findings from Board (2007)
- 15 deaths, 180 injuries from refinery explosion
- Inadequate maintenance and safety management
- Corporate oversight of operational risk was inadequate
- Safety standards varied across business units