2 sentence summary: The well’s degraded 20″ structural casing could not support the hydraulic workover unit (HWU), which included an oversized BOP stack. The HWU began to sway and fell into the water with the victim attached by his fall protection to the top of the unit.
The full report is attached. The report is quite good, but something is seriously amiss when it takes 28 months to finalize a panel report. I suspect that the work of the panel and the regional reviewers was completed in a fraction of that time. Where are the bottlenecks?
Bud's Offshore Energy (BOE) 