In reply to: Another technological tragedy | bit-player
The cause of the accident was not a leak or an equipment failure or a design flaw or a worker turning the wrong valve. The pressure didn’t just creep up beyond safe limits while no one was paying attention; the pressure was driven up by the automatic control system meant to keep it in bounds. The pressure regulators were “trying” to do the right thing. Sensor readings told them the pressure was falling, and so the controllers took corrective action to keep the gas flowing to customers. But the feedback loop the regulators relied on was not in fact a loop. They were measuring pressure in one pipe and pumping gas into another.