Poor decisions led to technical problems that the commission, and inquires by BP and Congress, have identified as contributing to the accident that killed 11 people and led to more than 200 million gallons of oil spewing from BP's well a mile beneath the Gulf of Mexico.
BP, Halliburton and Transocean, the three key companies involved with the well and the rig that exploded, each made individual decisions that increased risks of a blowout but saved significant time or money.
But ultimately, the Deepwater Horizon disaster came down to a single failure, the panel says — management. When decisions were made, no one was considering the risk they were taking.
In one example cited by the commission, a BP request to set an "unusually deep cement plug" was approved by the then-Minerals Management Service in 90 minutes. That decision is one of the nine technical and engineering calls the commission says increased the risk of a blowout.
"The blowout was not the product of a series of abberational decisions made by a rogue industry or government officials that could not have been anticipated or expected to occur again. Rather, the root causes are systemic, and absent significant reform in both industry practices and government policies, might well recur," the commission concluded in a 48-page excerpt of its final report, obtained by The Associated Press. A final report is due to the president Jan. 11.
Interior Department spokeswoman Kendra Barkoff said the report focused on areas in which the agency in charge of offshore drilling has already made improvements.
"The agency has taken unprecedented steps and will continue to make the changes necessary to restore the American people's confidence in the safety and environmental soundness of oil and gas drilling and production on the Outer Continental Shelf, while balancing our nation's important energy needs," Barkoff said in a statement.
BP PLC in a statement issued Wednesday said the report, like its own investigation, found the accident was the result of multiple causes, involving multiple companies, but the company was working with regulators "to ensure the lessons learned from Macondo lead to improvements in operations and contractor services in deepwater drilling."
Transocean Ltd., which owned the rig being leased by BP to perform the drilling, said in response to the commission's findings that the "the procedures being conducted in the final hours were crafted and directed by BP engineers and approved in advance by federal regulators."
Halliburton Co., the cement contractor on the well, also said it acted at the direction of BP and was "fully indemnified by BP."
The panel underscores its central conclusion with a quote from an e-mail written by BP engineer Brett Cocales on April 16, just days before the disaster. The e-mail was first unearthed in an investigation conducted by Rep. Henry Waxman, D-Calif., who at the time led the House Energy and Commerce Committee.
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