The object is not "Deepwater Horizon blew out because the blowout preventer failed." It is how a well-integrity test that kept showing pressure was processed as a pass, inside a regulator that both leased the Gulf and collected the rent. On 20 April 2010 the Deepwater Horizon, a Transocean rig working BP's Macondo well on Mississippi Canyon Block 252, was temporarily abandoning the hole so a cheaper completion rig could return later. Halliburton had pumped the bottom cement. The negative-pressure test — the only check that day of whether that cement would hold once the heavy mud was gone — showed about 1,400 psi on the drill pipe. The kill line was reported at zero, with no flow. The discrepancy was attributed to a "bladder effect." At 8 p.m. BP well-site leaders, in consultation with the Transocean crew, declared the test a success and moved on. Hydrocarbons entered the well. The first explosion was at about 9:49 p.m. Eleven men died. Seventeen were seriously injured. The rig sank on 22 April. The well flowed for 87 days.
Domain: deepwater well control at temporary abandonment, where the same federal office that sells the lease and takes the royalty also signs the permit, and where a last-resort stack on the seafloor is allowed to count as the barrier that will work if the people misread the gauges.
If that reading is right, an unexplained pressure on any line during a negative- pressure test would already be a fail. A verbal theory that makes two gauges agree would not reopen a fail. The office that collects the royalty would not be the office that can keep the well shut. A blowout preventer whose emergency systems have not been inspected, and that cannot seal a pipe that has buckled off-center, would not count as the spare barrier.
Ostensive specimen: National Commission on the BP Deepwater Horizon Oil Spill and Offshore Drilling, Deep Water: The Gulf Oil Disaster and the Future of Offshore Drilling, Report to the President, 11 January 2011. Chapter 4 reconstructs the 20 April sequence: the unused lost-circulation pills mixed as spacer, the 1,400 psi that would not stay at zero, the bladder-effect explanation, the 8 p.m. pass, and the blowout preventer that did not seal the well. https://www.govinfo.gov/content/pkg/GPO-OILCOMMISSION/pdf/GPO-OILCOMMISSION.pdf Record page: https://www.govinfo.gov/app/details/GPO-OILCOMMISSION Chapter 3 is the longer process. From birth the Minerals Management Service collected lease-sale and royalty money and regulated the same wells. "Revenue generation… became the dominant objective." After the blowout, Interior Secretary Ken Salazar announced a three-way split of leasing, safety, and revenue. MMS was renamed the Bureau of Ocean Energy Management, Regulation and Enforcement (BOEMRE) in June 2010. Revenue moved to the Office of Natural Resources Revenue on 1 October 2010. BOEMRE itself split into the Bureau of Ocean Energy Management and the Bureau of Safety and Environmental Enforcement on 1 October 2011.
Other primary record, not recap. U.S. Chemical Safety and Hazard Investigation Board, Investigation Report No. 2010-10-I-OS, Explosion and Fire at the Macondo Well. Investigation page: https://www.csb.gov/macondo-blowout-and-explosion/ Volume 1 (5 June 2014) is the temporary- abandonment sequence. https://www.csb.gov/assets/1/7/vol_1_final.pdf Volume 2 (5 June 2014) is the blowout preventer: the blind shear ram likely did close that night; the drill pipe had already buckled off-center by "effective compression"; two control pods had miswiring and battery failures that had not been found because the emergency systems were not regularly tested. https://www.csb.gov/assets/1/7/20140605_macondo_vol2_(0605v1).pdf Volume 3 (17 April 2016) is the regulator after the split: "a culture of minimal regulatory compliance continues to exist in the Gulf of Mexico." https://www.csb.gov/assets/1/20/macondo_vol3_final_20160527.pdf
This post is the public case, not a recap of an essay. One related diagnostic, not the object: https://kunnas.com/articles/mandate-gap