Episodios

  • 59: Bayer CropScience

    59: Bayer CropScience
    Apr 30 2025
    After an extended outage of the Methomyl Unit at the Bayer facility in Institute, West Virginia, the decision was made to commence a restart of the Unit even though the DCS upgrade was still incomplete and the newly replaced Residue Treater hadn't been fully recommissioned. An incident whose root cause was years in the making would ultimately cost two people their lives.
    With John Chidgey.

    Related Episodes:

    • Causality Episode 26: Bhopal

    Formal Reports:

    • Bayer CropScience Pesticide Waste Tank Explosion
    • CSB Final Report (PDF)
    • CSB Final Report News Release
    • CSB Hearing Testimony (PDF)
    • Public Meeting Transcript

    News Releases and Articles:

    • Lawsuit links student’s death to ‘08 Bayer explosion
    • Bayer Settles 2008 Fatal Plant Explosion Lawsuit
    • Bayer cited, fined in fatal explosion at plant in August

    General Information:

    • Bayer
    • Insecticide
    • Ovicide
    • Organising for Safety: How Structure Creates Culture

    Support Causality on Patreon

    Episode Gold Producers: 'r', Steven Bridle and Kellen Frodelius-Fujimoto.
    Episode Silver Producers: Mitch Biegler, Shane O'Neill, Jared Roman, Katharina Will, Chad Juehring, Ian Gallagher and Jamie Russell.
    Más Menos
    50 m
  • 58: West Fertilizer Company

    58: West Fertilizer Company
    Mar 31 2025
    In the early hours of the evening on the 17th of April, 2013 in the small city of West, Texas...smoke was seen emanating from the West Fertilizer Company building. In 20 minutes there was a massive explosion that levelled the facility and its surroundings, killing 15 people and injuring hundreds more. How this came to be, represented a failure of regulations, planning and grandfathering on every level.
    With John Chidgey.

    Related Episodes:

    • Causality Episode 44: Warehouse 12

    Formal Reports:

    • Preliminary Findings Chemical Safety Board (PDF)
    • Final Chemical Safety Board Report (PDF)
    • West Fertilizer Explosion and Fire
    • CSB releases final report on West, TX blast

    News Releases and Articles:

    • Fire that led to Texas fertilizer-plant explosion was deliberately set
    • West Texas Plant Explosion

    Regulations:

    • Code of Practice: Safe storage of Solid Ammonium Nitrate (PDF)

    General Information:

    • West Fertilizer Company Explosion
    • West, Texas
    • Polyolefin
    • Asphalt Shingle
    • Ammonium nitrate | H3N.HNO3 | CID 22985 - PubChem
    • This Month in Fire History: April 2024
    • City of West to Receive $10.4 Million in Lawsuit Settlement

    Support Causality on Patreon

    Episode Gold Producers: 'r', Steven Bridle and Kellen Frodelius-Fujimoto.
    Episode Silver Producers: Mitch Biegler, Shane O'Neill, Jared Roman, Katharina Will, Chad Juehring, Ian Gallagher and Jamie Russell.
    Más Menos
    31 m
  • 57: Stardust Nightclub

    57: Stardust Nightclub
    Jan 7 2025
    On Valentines Day in 1981 in the North of Dublin, Ireland a fire broke out in a nightclub just following a Disco Dancing competition. We look at how measures taken to prevent illegal entry and poor building material choices cost 48 young people their lives.
    With John Chidgey.

    Related Episodes:

    • Causality Episode 43: Triangle Shirtwaist Factory

    Formal Reports:

    • Report of the Stardust Victims’ Compensation Tribunal (PDF)
    • Report of the Tribunal of Inquiry on the fire at the Stardust

    News Releases and Articles:

    • Stardust: A timeline of the Tribunals, reports and inquests that led to this week’s verdict
    • Stardust: Apology call after nightclub fire deaths verdict
    • Stardust fire inquest of ‘paramount importance’
    • A grim uncertainty that haunts Stardust families
    • Stardust: Apology call after nightclub fire deaths verdict
    • How Did The Stardust Fire Start?
    • Stardust 30 Years On
    • Stardust Verdict
    • How tragedy unfolded at a Valentine’s disco
    • Irish government makes official apology
    • The night that started like any other
    • Law Society of Ireland Gazette
    • Stardust nightclub was pretty horrendous fire risk

    Regulations:

    • Fire Services Act, 1981, Section 37
    • The Public Dance Halls Act, 1935 on JSTOR

    General Information:

    • Dublin Corporation
    • Stardust Fire
    • A History of the Fire Service in Ireland

    Support Causality on Patreon

    Episode Gold Producers: 'r', Steven Bridle and Kellen Frodelius-Fujimoto.
    Episode Silver Producers: Mitch Biegler, Shane O'Neill, Jared Roman, Katharina Will, Chad Juehring and Ian Gallagher.

    With thanks to Aileen Brennan for the topic suggestion.
    Más Menos
    28 m
  • 56: BP Husky Toledo

    56: BP Husky Toledo
    Dec 17 2024
    On the 20th of September, 2022 at the BP Husky Toledo refinery in Ohio, a level transmitter change out from a month prior triggered a chain of events that would cost two operators their lives. We look at how poor Management of Change, high alarm rates and a resistance to stopping the job, let a plant upset turn into a disaster.
    With John Chidgey.

    Formal Report:

    • U.S. Chemical Safety Board Issues Final Report into Fatal 2022 Fire at BP-Husky Refinery
    • Fatal Naphtha Release and Fire at BP-Husky Toledo Refinery (PDF)
    • CSB June 2023 Investigation Update (PDF)
    • CSB Comments on the OSHA September 20, 2022, Federal Register Notice (PDF)

    News Releases and Articles:

    • BP Faces $156K OSHA Fine in Refinery Explosion
    • BP accused of serious violations after fatal blast at US refinery

    General Information:

    • Naphtha
    • What You Need to Know About California’s PSM Regulation for Refinery Safety
    • OSHA Penalties

    Support Causality on Patreon

    Episode Gold Producers: 'r', Steven Bridle and Kellen Frodelius-Fujimoto.
    Episode Silver Producers: Mitch Biegler, Shane O'Neill, Jared Roman, Katharina Will, Chad Juehring and Ian Gallagher.
    Más Menos
    40 m
  • 55: CrowdStrike

    55: CrowdStrike
    Oct 19 2024
    On Friday the 19th of July, 2024 millions of CrowdStrike Falcon Agents the world over would lead to a Windows system crash on business machines throwing parts of the world into chaos. We look into exactly what caused it and how complacency and a lack of understanding amplified the effect of this wholly preventable incident.
    With John Chidgey.

    About Causality (TV):

    • Introducing Causality TV
    • Causality TV Episode 1: CrowdStrike (Video Release)

    Formal Report:

    • Falcon Content Update Preliminary Post Incident Report
    • Channel File 291 Incident Root Cause Analysis (PDF)

    News Releases and Articles:

    • CrowdStrike releases root cause analysis of the global Microsoft breakdown
    • CrowdStrike Senior Executive Adam Meyers faces CyberSecurity Committee
    • CrowdStrike exec apologises before US Congress for software glitch behind July global outage | Reuters
    • 1 In 10 Orgs Dumping Their Security Vendors After CrowdStrike Outage

    General Information:

    • CrowdStrike
    • 2024 CrowdStrike incident
    • What is CrowdStrike?
    • Falcon Content Update Remediation and Guidance Hub
    • Antivirus XML Configuration File for CrowdStrike Falcon Sensor
    • Named Pipes
    • Pipes (Interprocess Communications)
    • Wildcard character

    Support Causality on Patreon

    Episode Gold Producers: 'r', Steven Bridle and Kellen Frodelius-Fujimoto.
    Episode Silver Producers: Mitch Biegler, Shane O'Neill, Jared Roman, Katharina Will, Chad Juehring and Ian Gallagher.
    Más Menos
    29 m
  • 54: Midland Resource Recovery

    54: Midland Resource Recovery
    Jun 25 2024
    In 2017 during an Odoriser decontamination procedure in West Virginia, two people were killed when it unexpectedly exploded. Barely a month later, a similar procedure at the same site led to a second explosion, killing someone else. We examine how poor hazard analysis and legal interference led to yet another fatality...right in front of the eyes of the investigators on site.
    With John Chidgey.

    Formal Report:

    • Midland Resource Recovery Explosion
    • Midland Resource Recovery Factual Update (PDF)
    • Improving Reaction Hazard Management (PDF)

    News Releases and Articles:

    • Chemical Tank Explosion in Barbour County Kills Two Employees Plus One Severely Injured
    • One Dead After Another Explosion at Midland Resource Recovery
    • Midland Resources Recovery Explosion Kills 2, Injures 1
    • McDonald Volunteer Fire Chief Laid To Rest After W.Va. Explosion
    • Widow Blames Natural Gas Odorization Company for Husband’s Death
    • CSB releases final report on explosions at Midland Resource Recovery Facility
    • Midland Resource Recovery Explosion 2017
    • Second Fatal Explosion at Midland Resources Recovery

    General Information:

    • About Midland Resource Recovery
    • The Growing Importance of Mercaptans
    • Sodium Hypochlorite (PDF)
    • Principles of Natural Gas Odorization (PDF)
    • Attorney-Work Product Privilege

    Support Causality on Patreon

    Episode Gold Producers: 'r', Steven Bridle and Kellen Frodelius-Fujimoto.
    Episode Silver Producers: Mitch Biegler, Shane O'Neill, Lesley, Jared Roman, Katharina Will, Chad Juehring and Ian Gallagher.
    Más Menos
    28 m
  • 53: Callide C Blackout

    53: Callide C Blackout
    Mar 30 2024
    In 2021 the Callide C Power Station experienced a unit failure that tore the turbine-generator apart, resulted in hundreds of thousands of premises losing power, and cost hundreds of millions to repair. We look at how design errors and ultimately a lack of information led to the incident escalating out of control, when it could have been recovered.With John Chidgey.Formal Reports: Callide Unit C4 Turbine Generator Failure 25 May 2021 (PDF)Animation of the Callide Unit C4 incidentTrip of multiple generators and lines in Central Queensland and associated under-frequency load shedding on 25 May 2021 (PDF) News Releases and Articles: CS Energy releases report into 2021 Callide C4 Unit FailureCS Energy releases technical report into 2021 Unit C4 incidentDr Sean Brady to lead independent investigation into Callide incidentBattery failure led to power plant mass outageBoth units trip at Callide C on Wednesday 13th January 2021Statement regarding IG PowerIntergen voluntary administrationReport says Callide C4 incident “could not have been anticipated”Callide explosion blamed on battery charger failureCallide Power Trading taken to court over system failureCS Energy says insurers won’t agree to $300m claim over power stationJim Soorley stands down from CS EnergyCS Energy Post about Incident on LinkedIn Super-Critical Boilers: Super-Critical Boiler Technology (PDF)Supercritical FluidsSupercritical Coal Plants Electrical Engineering References: Hydrogen-cooled Turbo GeneratorReverse Active Power Protection (ANSI 32P) Court Action: Alleged failure to obtain regulatory approval to operate a generating systemNotice of Filing: Australian Energy Regulator v Callide Power Trading Pty Ltd (PDF)Coal generator to face court over blackouts caused by catastrophic explosion General Information: Callide Power StationStanwell Power StationTarong Power StationCallide Power StationCS Energy: Water Management NOTE: Minor Corrections in audio updated: 31st March, 2024 Support Causality on PatreonEpisode Gold Producers: 'r' and Steven Bridle.Episode Silver Producers: Mitch Biegler, Shane O'Neill, Lesley, Jared Roman, Joel Maher, Katharina Will, Chad Juehring, Kellen Frodelius-Fujimoto and Ian Gallagher.
    Más Menos
    51 m
  • 52: Colonial Pipeline

    52: Colonial Pipeline
    Dec 9 2023
    In 2021 many of Colonial Pipelines IT systems were locked by malware and out of caution they shutdown the fuel pipelines feeding nearly half of the Eastern US leading to chaos at the gas pump and a state of emergency being declared. We look at how poor off-boarding hygiene led to an easily preventable cyber-attack.
    With John Chidgey.

    Hearing:

    • Hearing Before the Committee on Homeland Security House of Representatives Transcript
    • Threats to Critical Infrastructure: Examining the Colonial Pipeline Cyber-Attack (PDF)
    • Charles Carmakal Statement from Hearing (PDF)

    General Information:

    • Colonial Pipeline
    • Colonial Pipeline Ransomware Attack
    • How Three Major Cyber Attacks Could Have Been Prevented
    • What IT security teams can learn from the Colonial Pipeline
    • Evolution of the Chief Information Security Officer
    • US Fuel Pipeline Hackers Statement
    • DarkSide
    • DarkSide Leaks Press Center (X)
    • DarkSide Ransomware Gang Behind Pipeline Hack Quits
    • TSA Renews Cyber-Security Guidelines for Pipelines
    • DHS Announces New Cybersecurity Requirements for Critical Pipeline Owners and Operators
    • Federal Motor Carrier Safety Administration
    • Emergency Declaration for 17 States

    Support Causality on Patreon

    Episode Gold Producers: 'r' and Steven Bridle.
    Episode Silver Producers: Mitch Biegler, Shane O'Neill, Lesley, Jared Roman, Joel Maher, Katharina Will, Chad Juehring, Dave Jones, Kellen Frodelius-Fujimoto and Ian Gallagher.
    Más Menos
    26 m
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