August, 2015

This is a repeating event

201526AugAll DayPETROBRAS (VITÓRIA) EXPLOSION 2015BR Distribuidora, Port of Tubarão, Vitória (BR)Lessons:Asset integrity,Audits & Reviews,Competency,Compliance with Standards,Control of Work,Emergency Preparedness,Incident Investigation,Management of Change,Operating Procedures,Operational Integrity,Operational Readiness,Process Knowledge,Risk Assessment,Workforce InvolvementIndustry:StorageCountry:BrazilLanguage:ENLoC:UNKNOWN Origin: MKOPSC Incident:VCEHazards:FlammableContributory Factors:Organized ProceduresImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Oil derivatives


A heating unit at a Petrobras depot used to treat fuel for ocean-going ships exploded. The blast and resulting fire broke out while workers were doing planned maintenance on the heating unit.

Proximate causes:
• Inadequate work planning

Source: A web-based collection and analysis of process safety incidents (
Image Credit: Reuters


MKOPSCMary Kay O'Connor Process Safety Center