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TOPIC: Case study material on failed projects

02 Nov 2010 08:27 Case study material on failed projects #9

Does anyone know of some publicly available papers or websites that have case studies on failed projects and cover why they failed. There is one case study in particular covering a failed project to build an oil refinery platform using "new streamlined engineering techniques" but it sank during deployment, but I can't remember the name of the project.

02 Nov 2010 22:02 Re: Case study material on failed projects #12

The refinery platform was from Petrobras as per the attached file.
In March 2001, a series of explosions sank Petrobras Platform 36.
Proximate Cause:
• Leakage of volatile fluids burst a shut down emergency drain tank and set off a violent chain of events
Underlying Issues:
• A corporate focus on cost-cutting over safety
• Poor design of individual parts with regards to a system safety context
• Component failure without sufficient backups
• Lack of training and communication

excerpt from NASA, System Failure Case Studies at pbma.nasa.gov (I tried to attach the pdf but didn't seem to work)

cheers
dave

03 Nov 2010 09:11 Re: Case study material on failed projects #15

Thanks for the response Dave,

BTW - I have reported the attachment upload problem to our website ISP
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