The CSB traced the March 2005 explosion, 15 killed and 180 injured 1, to failures at three levels:
- Board
- The Group Board “did not provide effective oversight” of safety culture 2
- Site
- No reporting and learning culture; procedures were not enforced 2
- Unit
- No flare on the blowdown system; no automated high-level controls 3
CSB · Texas CityMember ring · open to Luis











