by dwheeler | 2025-08-05 17:02:54+00:00
The report has many gems about the tragedy. Basically, there were clear physical causes, which in turn were caused by hubris:

PHYSICAL CAUSES

"4.2.4.4. American Bureau of Shipping (ABS) Classification Society Background" ... "The ABS Underwater Rules do not permit the use of carbon fiber composites for Pressure Vessels for Human Occupancy (PVHOs)"

"4.2.4.5. Det Norske Veritas and Germanischer Lloyd (DNV GL)" ... 4.2.4.5.3. According to a DNV Surveyor, carbon fiber has not been accepted as suitable material for the construction of submersible PVHOs, especially when subject to external pressure experienced at ocean depths. According to DNV GL, carbon fibers are not considered suitable for significant compressive loading conditions."

"5.1. Inadequacy of Structural Engineering Analysis. OceanGate’s TITAN submersible design was a complex, high-risk, deep-sea submersible. The design and testing processes for TITAN did not adequately address many of the fundamental engineering principles that are considered crucial for ensuring safety and reliability for operations in such an inherently hazardous environment..."

"5.6 Insufficient Understanding of Carbon Fiber Material Properties for Deep-Sea Application. The TITAN’s pressure hull was constructed using carbon fiber, a material chosen by Mr. Rush for its “impressive” strength-to-weight ratio. [However] the use of carbon fiber in deep-sea environments remains unproven—unlike the materials with established safety records. There are currently no recognized national or international standards that approve of the use of carbon fiber pressure hulls for submersibles. Carbon fiber has demonstrated its effectiveness in other applications where the material is primarily under tension (e.g., aircraft hulls where the pressure inside the passenger compartment is pressing outwards). However, in deep-sea conditions, the pressure hull experiences extreme compressive forces, a scenario for which carbon fiber has no established track record and is generally understood to be less effective."

* * *

HUMAN DECISIONS

The physics is just the physics. There was no law of nature that forced them to take the steps they took. Instead, we have points like these:

"5.12. OceanGate’s Toxic Safety Culture. OceanGate’s operational and safety practices were critically flawed, which contributed to the catastrophic implosion of the TITAN submersible. At the core of these failures was a disconnect between the company's stated safety protocols and its actual practices. ... This highlighted systemic issues where submersible safety protocols were either egregiously inadequate or willfully disregarded, leaving critical risks unmitigated. The analysis reveals a disturbing pattern of misrepresentation and reckless disregard for safety in OceanGate's operation of the TITAN submersible, with Mr. Rush seemingly using inflated numbers to bolster the perceived safety and dive count of the final TITAN hull...

Examples of OceanGate CEO’s disdain for traditional submersible safety protocols were abundant. For example... This dismissive approach to safety culture was not limited to engineering decisions. OceanGate’s management actively retaliated against employees who raised legitimate compliance related concerns..."

This was a tragedy, because people died and this was all completely avoidable. It's the only event like this in many, many decades. I hope others will leran and avoid making similar mistakes.