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that question of the hands, in the THINK Plans, and to make them think
for themselves and lead them in the right direction by mentoring them.
You can tell them what the hazards are, but until they get used to
identifying them theirselves, they are only following your lead. I haven’t
given up on this and if I have an epiphany I will send you an email.
Believe it or not when I am troubled or stumped I talked with my wife as
she is a good listener and gets me headed in the right direction. Maybe
what we need is a new perspective on hazard recognition from someone
outside the industry.
463

Johnson’s assessment was reinforced by a March 2010 Lloyd’s Register
audit of Transocean, which found that “[Rig crews] don’t always know what
they don’t know. Front line crews are potentially working with the mindset that
they believe they are fully aware of all the hazards when it is highly likely that
they are not.”
464

The Lloyd’s audit also evaluated the Deepwater Horizon in March 2010 and
found that there was a “strong team culture onboard Deepwater Horizon and the
levels of mutual trust evident between the crews means that the rig safety culture
was deemed to be robust, largely fair, and inclusive, which was contributing to a
‘just culture.’” This audit found that the rig crews’ strengths were leadership,
465
the workforce’s influence on safety, the level of trust between the teams, and the
provision of effective resources to support safe operations.
466

But the same audit found weaknesses, including management of change
and the complexity of some risk management procedures. While the majority of
the crew was comfortable with identifying and understanding the hazards of
their respective jobs, supervisors and rig leadership teams had concerns that:

 The workforce was not always aware of the hazards they were
exposed to, relating to both their job and to other jobs being conducted
in the same/adjoining work areas;
 THINK Plans did not always identify relevant major hazards related to
that task;

463 BP‐HZN‐MBI00225048.
464 TRN‐HCEC 90501.
465 TRN‐HCEC 90579.
466 Id.

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