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The Deepwater Horizon had multiple inspections and surveys that should
                   have included the inspection of the engine overspeed shutdown devices.  The
                   panel has been unable to ascertain exactly when each overspeed device was
                   tested.  Accordingly, ABS indicated that it inspects 20% each year; however,
                   neither ABS nor Transocean document which devices are tested to ensure that
                   the same device is not tested each year and that all devices get tested within the
                   rotation frequency.  The failure of ABS and Transocean to document which
                   devices are tested to ensure all devices are tested is a possible contributing
                   cause of the DWH explosion.


                          The emergency shut‐down response on a DP MODU utilizes a different
                   operating philosophy than employed on moored MODUs.  Instead of the single
                   top level shutdown of all engines, the DP MODU rig is designed with an
                   emergency disconnect capability from the wellhead in order to escape the
                   hazardous area in the event of an uncontrolled blowout.  Based on this mindset,
                   the engines should not be shutdown because of the need for DP power.  Even if
                   the process of manual activation is fully understood by those responsible for it
                   on a DP MODU, it adds additional complexity to response of the well control
                   event.  Further, the philosophy creates a conflict since the rig needs to maintain
                   power to get off location while maintaining that power creates a possible ignition
                   source during the presence of free gas on the rig.  The DP MODU operating
                   philosophy when considering the performance of an Emergency Shutdown
                   (ESD) is a possible contributing cause in the Deepwater Horizon explosion.

                              D.     Other Possible Ignition Sources


                                   1.    Electrical Equipment in Hazardous Areas


                          The most likely location for the ignition of flammable gas by unguarded
                   electrical equipment would be in the area on or near the drill floor.  The
                   Deepwater Horizon drill floor required the use of properly maintained and
                   certified explosion‐proof, intrinsically‐safe, or purged and pressurized
                   equipment, which should have prevented the ignition of flammable gases by any
                   electrical equipment installed in this area.  The Panel found no evidence that the
                   electrical equipment located on or near the drill floor’s hazardous area was a
                   cause of the ignition.







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