Revisiting the FPSO São Mateus Accident From a Human Reliability Perspective Using Phoenix HRA Methodology

Abstract

Several incidents in the offshore oil and gas industry have human errors among core events in incident sequence. Nonetheless, human error probabilities are frequently neglected by offshore risk estimation. Human Reliability Analysis (HRA) allows human failures to be assessed both qualitatively and quantitatively. In the petroleum industry, HRA is usually applied using generic methods developed for other types of operation. Yet, those may not sufficiently represent the particularities of the oil and gas industry. Phoenix is a model-based HRA method, designed to address limitations of other HRA methods. Its qualitative framework consists of three layers of analysis composed by a Crew Response Tree, a human response model, and a causal model. This paper applies a version of Phoenix, the Phoenix for Petroleum Refining Operations (Phoenix-PRO), to perform a qualitative assessment of human errors in the CDSM explosion. The CDSM was a FPSO designed to produce natural gas and oil to Petrobras in Brazil. On 2015 an explosion occurred leading to nine fatalities. Analyses of this accident have indicated a strong contribution of human errors. In addition to the application of the method, this paper discusses its suitability for offshore operations HRA analyses.

A Comparative Analysis of Hazard Analysis Methods for Sustainable Energy Development

“…The third accident occurred in a well in Pittsburg County, Oklahoma, which was being used to extract oil from the ground [3]). The oil drilling process yielded numerous outcomes.…”