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« Identifying The Culprits | Main | Obvioutism »

For Want Of A Nail...

The Gray Lady has the most comprehensive explanation that I've seen yet about what caused the blackout. It's (thankfully) pretty much politics free.

Summary: it was caused by failure of not only power lines, but of the devices that warn of failure of power lines.

This is utterly unsurprising, because with a mature technology (which, after more than a century, electrical generation and distribution assuredly is), you'll almost never get a major failure from an isolated event. It requires a(n unlikely) combination of failures, which is why it happens relatively rarely (the last time anything remotely like this happened was over a quarter of a century ago--the fact that this one was the biggest in history can be accounted for simply by the fact that we've grown a lot in many ways since then, and the system is more interconnected).

Examples of this can be seen in any random perusal of aviation or diving magazines, in which accidents are described in detail, and they are invariably a result of a combination of things going wrong, rather than a single one.

Consider the Titanic. Just one thing going right (e.g., seeing the iceberg in time; not using a little-understood new steel that became embrittled by the temperatures of the North Atlantic in springtime; the captain understanding that he had to have forward power to have adequate steering control, which was not possible because he decided to reverse engines at the same time he was trying to steer away; other ships being close enough, or the California receiving and understanding the radio messages; having enough lifeboats; going at a safe speed rather than trying to beat a record, etc.) and they would have been fine. But everything went wrong, and hundreds of people died.

Or the Donner Party. If there hadn't been an early winter, or they hadn't decided to take the "short cut," or...many other bad decisions had been avoided, they would have been safe in California before winter hit, as their traveling companions were.

Or Challenger. If the weather hadn't been quite so cold, if they'd understood the o-ring issue earlier, if they'd not been delayed by the previous delay caused by the desire to fly the Congressman, if only...

Or Columbia. If they'd been going to space station, if they'd not changed the insulation on the tanks for environmental reasons, if...if...if...

As I said, rarely does a single thing going wrong cause disaster. It's almost always a combination of things going wrong, and this article just presents one more example of that.

Posted by Rand Simberg at August 17, 2003 07:59 PM
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Or, for that matter, if the Titanic's lookout had seen the iceberg later, and they had taken the hit bows-on. In that event, the watertight compartments would probably have functioned as designed.

Posted by Jim Bennett at August 18, 2003 11:16 AM

Or Columbia. If they'd been going to space station, if they'd not changed the insulation on the tanks for environmental reasons, if...if...if...

Rand, bipod foam has been coming off since STS-7. The foam was changed at STS-87. There is no evidence I know of that the Montreal Protocol -mandated CFC substitution contributed to this particular incident (other less significant foam incidents, maybe).

In other words, no need to drag the greenies into this...

Posted by Duncan Young at August 18, 2003 02:01 PM

One of your comments piqued my interest ? why would having forward power increase Titanic?s chances of survival? How does it influence the ship?s steering capability?

Posted by Bater at August 19, 2003 07:45 AM

The Titanic didn't have large enough rudders to provide much steering control by themselves. They worked by directing the flow of the thrust from the propellers, allowing much larger leverage as long as the propellers were providing thrust. I'm not familiar enough to know if this was something that the captain was unaware of, or if he panicked and realized his mistake too late.

The concept is similar to "blown flaps" in an aircraft, in which the thrust is directed against flaps that direct it downward to provide additional lift, rather than the flaps only having the existing air stream to work with. Again, this allows much smaller control surfaces.

Posted by Rand Simberg at August 19, 2003 08:21 AM

Yes, of course.
Smaller flaps = lower water resistance = fuel eficiency.
It makes perfect sense (until the time comes when you need good steering with no engines).
Thanks for the info, does anyone know the answer to Rand's last comment? (did the captain know about this steering issue?).

Posted by Bater at August 20, 2003 02:34 AM

I hope the fix to the grid will be strengthening the components or adding more redundant lines. I'm afraid they'll just add more warning & control systems for safety. The problem is throwing on new components in a hurry usually reduces reliability because they haven't been tested thoroughly. Lots of engineering disasters have been traced to adding "safety" systems, DCX is my favorite.

Posted by Karl Gallagher at August 20, 2003 05:45 PM

The excellent book "Normal Accidents" by Charles Perrow was the first to describe this phenomenon: accidents caused by simultaneous minor failures. It's worth reading if you're interested in why accidents happen, or just like reading lurid stories of chemical plant fires and ship collisions.

Posted by Carl Feynman at August 24, 2003 09:27 PM

The excellent book "Normal Accidents" by Charles Perrow was the first to describe this phenomenon: accidents caused by simultaneous minor failures. It's worth reading if you're interested in why accidents happen, or just like reading lurid stories of chemical plant fires and ship collisions.

Posted by Carl Feynman at August 24, 2003 09:27 PM


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