Navy report: Multiple errors poisoned Pearl Harbor water

FILE - In this Dec. 23, 2021, photo provided by the U.S. Navy, Rear Adm. John Korka, Commander, Naval Facilities Engineering Systems Command , and Chief of Civil Engineers, leads Navy and civilian water quality recovery experts through the tunnels of the Red Hill Bulk Fuel Storage Facility, near Pearl Harbor, Hawaii.

The investigation report listed a cascading series of mistakes from May 6, 2021, when operator error caused a pipe to rupture and 21,000 gallons of fuel to spill when fuel was being transferred between tanks. Most of this fuel spilled into a fire suppression line and sat there for six months, causing the line to sag. A cart rammed into this sagging line on Nov. 20, releasing 20,000 gallons of fuel.

"Meanwhile, over the course of eight days, that fuel enters into this French drain that is under the concrete and seeps slowly and quietly into the Red Hill well. And that fuel into the Red Hill well is then pumped into the Navy system,” Paparo said. The report said officials defaulted to assuming the best about what was happening when the spills occurred, instead of assuming the worst, and this contributed to their overlooking the severity of situation.

“The lack of critical thinking, intellectual rigor, and self-assessment by key leaders at decisive moments exemplified a culture of complacency and demonstrated a lack of professionalism that is demanded by the high consequence nature of fuel operations,” the report said.

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