Engineering Ethics Case Study: The Taum Sauk Reservoir Failure
Mark P. Rossow, PhD, PE Retired
Course Outline
This five-hour online course discusses the failure of the Taum Sauk reservoir on December 14th, 2005. Taum Sauk is a pumped storage plant located near Lesterville, MO, consisting of four main elements:
- the upper reservoir atop 1590 foot Proffit Mountain;
- a 7,000 foot-long shaft and tunnel inside the mountain;
- a power house containing two reversible pump-turbine generators; and
- a lower reservoir formed by a dam across the East Fork of the Black River.
Taum Sauk stores water by pumping it to the upper reservoir when demand (and cost) for electricity is low (pump cycle) and then releases the water to generate electricity when power is needed (generation cycle). Investigation after the failure of the reservoir showed that the reservoir overspill was caused by failure of the upper reservoir level-protection system and inaccurate readings within the level control system. The level protection system was effectively disabled because the level probes were located in a position too high to sense water during the event. In addition, the level control system lost accuracy because of the shift of the instrumentation pipes causing a change of the instrument elevation. No evidence of operator error was found. Management failed to give sufficient attention to dam safety considerations related to the design, operation, and management of the facility.
This course includes a multiple-choice quiz at the end, which is designed to enhance the understanding of the course materials.
Learning Objective
At the conclusion of this course, the student will:
- Understanding that ethical behavior requires taking greatly increased precautions if the risk of catastrophic failure is found to have increased;
- Understanding that ethical behavior requires assuming responsibility for ensuring that safety is maintained, when an existing project is modified;
- Learning that ethical behavior requires recognizing one’s own limitations of technical expertise and accordingly seeking guidance from knowledgeable personnel, when applying one’s expertise to a narrowly focused modification of a large complex project, the general theory and practice of which are not included in one’s expertise;
- Understanding that ethical behavior requires determining how overall safety of a large complex project can be affected by individual tasks, often seemingly small;
- Understanding that ethical behavior requires being familiar with the assumptions used in the original design of a complex project and how safety will be affected by proposed modifications in the project;
- Learning that ethical behavior requires documenting the reasoning behind technical decision making so that mistakes can be identified and avoided in the future;
- Learning about the theory, construction, and maintenance of rockfill dams; and
- Learning about the monitoring and failure modes of rockfill dams.
Intended Audience
This course is intended for civil, mechanical, and electrical engineers concerned with issues of ethics and responsible behavior in the management of complex projects in which safety and the avoidance of catastrophic failure are of concern.
Benefit to Attendees
Attendee of this course will realize the importance of proper training and supervision of maintenance personnel in a complex engineering system.
Course Introduction
At approximately 5:15 AM on Dec. 14th, 2005, the retaining dam of the upper reservoir of Ameren’s Taum Sauk pump storage plant breached and released approximately 1 billion gallons of water.
Course Content
This course is based on FERC Report No. P-2277, “Taum Sauk Upper Dam Breach, Technical Reasons for the Breach of December 14, 2005,” prepared by the FERC Independent Panel of Consultants, May 24, 2006.
Engineering Ethics Case Study: The Taum Sauk Reservoir Failure
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Course Summary
The failure of the reservoir level monitoring instrumentation to function was a primary cause of the reservoir failure. The failure of the level protection instrumentation to function as intended was due to a misplacement of the level protection instrumentation as a result of human error. In general, inadequate attention was paid to dam safety considerations as regards the design, operation, and management of the facility.
Related Links
For additional technical information related to this subject, please visit the following websites or web pages:
http://www.ferc.gov/industries/hydropower/safety/projects/taum-sauk.asp
Quiz
Once you finish studying the above course content, you need to take a quiz to obtain the PDH credits.
DISCLAIMER: The materials contained in the online course are not intended as a representation or warranty on the part of PDH Center or any other person/organization named herein. The materials are for general information only. They are not a substitute for competent professional advice. Application of this information to a specific project should be reviewed by a registered architect and/or professional engineer/surveyor. Anyone making use of the information set forth herein does so at their own risk and assumes any and all resulting liability arising therefrom.
