A turning point in control systems user interface design and alarm management happened in an unlikely place that few have ever heard of. We look at what went wrong at Milford Haven.With John Chidgey.Links of potential interest: The explosion and fires at the Texaco Refinery, Milford Haven Milford Haven HSE Accident Report [PDF] Alarm Management Abnormal Situation Management [PDF] Support Causality on PatreonEpisode Gold Producer: 'r'.Episode Silver Producers: Chris Stone and Carsten Hansen.