April, 2015

This is a repeating event

201502AprAll DayULTRACARGO FIRE 2015Ultracargo, Santos (BR)Lessons:Audits & Reviews,Competency,Emergency Preparedness,Operating Procedures,Operational Integrity,Process Knowledge,Risk Assessment,Stakeholder EngagementIndustry:StorageCountry:BrazilLanguage:ENLoC:Fire exposure Origin: MKOPSC Incident:Pool fireHazards:FlammableContributory Factors:Maintenance,Management Attitude,SupervisionImpact:HUMAN (On Site At Risk)Effects:EnvironmentalMaterial:Diesel fuel


A fire started inside a depot with 3 million liters of diesel and the flames spread to four neighboring storage tanks. The fire lasted for 9 days.

Fine of around USD $6.4 million (R$ 22.5 million). Environmental impact causing death of thousands of fish

Proximate causes:
• Inadequate management/ supervision
• Inadequate work planning

Source: A web-based collection and analysis of process safety incidents (https://www.sciencedirect.com/science/article/abs/pii/S0950423016302285)
Image Credit: Paulo Whitaker / Reuters


MKOPSCMary Kay O'Connor Process Safety Center