Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factors

Detalhes bibliográficos
Autor(a) principal: Marcelo Gonçalves Figueiredo
Data de Publicação: 2018
Outros Autores: Denise Alvarez, Ricardo Nunes Adams
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768
Resumo: The accident with the P-36 oil rig in the Campos Basin in Rio de Janeiro State, Brazil, was one of the petroleum industry’s worst international disasters. Based on this specific case, the article aims to (a) verify the role of the human dimension in the reliability of highly complex systems, with a focus on the management of incidental and accidental situations with the potential to lead to large-scale accidents. The analysis should help (b) shed light on some of the organizational factors that can increase the risk level in offshore activities, beyond the so-called immediate causes. The methodology involves mainly document research (especially the reports produced by Petrobras, ANP/DPC, and CREA-RJ) and interviews with three professionals that worked on the P-36 rig. The results indicate that the management of incidental and accidental situations in which emergency decisions are made should take advantage of contribution by the workforce, who can identify gaps in the process and discuss them with managers. This involves shared and more flexible decisions and collective analysis of risk situations. The findings also suggest that certain organizational factors contributed to the accident, corroborating domestic and international studies of major accidents and pointing to the need for a shift in the focus adopted by oil companies’ management.
id FIOCRUZ-5_36c71f9adf1647442988c13f32457ce7
oai_identifier_str oai:ojs.teste-cadernos.ensp.fiocruz.br:article/6768
network_acronym_str FIOCRUZ-5
network_name_str Cadernos de Saúde Pública
repository_id_str
spelling Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factorsO acidente da plataforma de petróleo P-36 revisitado 15 anos depois: da gestão de situações incidentais e acidentais aos fatores organizacionaisOccupational AccidentsAccident PreventionRisk ManagementOil and Gas IndustryOccupational HealthAcidentes de TrabalhoPrevenção de AcidentesGestão de RiscosIndústria de Petróleo e GásSaúde do TrabalhadorThe accident with the P-36 oil rig in the Campos Basin in Rio de Janeiro State, Brazil, was one of the petroleum industry’s worst international disasters. Based on this specific case, the article aims to (a) verify the role of the human dimension in the reliability of highly complex systems, with a focus on the management of incidental and accidental situations with the potential to lead to large-scale accidents. The analysis should help (b) shed light on some of the organizational factors that can increase the risk level in offshore activities, beyond the so-called immediate causes. The methodology involves mainly document research (especially the reports produced by Petrobras, ANP/DPC, and CREA-RJ) and interviews with three professionals that worked on the P-36 rig. The results indicate that the management of incidental and accidental situations in which emergency decisions are made should take advantage of contribution by the workforce, who can identify gaps in the process and discuss them with managers. This involves shared and more flexible decisions and collective analysis of risk situations. The findings also suggest that certain organizational factors contributed to the accident, corroborating domestic and international studies of major accidents and pointing to the need for a shift in the focus adopted by oil companies’ management.El accidente con la plataforma P-36 en la Cuenca de Campos, Rio de Janeiro, Brasil, se configura como uno de los grandes desastres internacionales de la industria del petróleo. Nuestro objetivo en la reflexión aquí expuesta es: (a) verificar, en base a un caso específico, la cuestión del papel que ejerce la dimensión humana en la confiabilidad de los sistemas de elevada complejidad -centrándose en la gestión de situaciones incidentales y accidentales-, capaces de acarrear accidentes de gran magnitud. Y, al abordar esta cuestión, nos remiten a la necesidad de (b) dar visibilidad a la intervención de algunos de los factores organizativos, como elementos que pueden contribuir a agravar el grado de riesgo de la actividad en plataformas offshore, conduciendo el análisis más allá de las denominadas causas inmediatas. En lo que se refiere a los métodos de investigación, tomamos como base, principalmente, la investigación documental (destacando los informes de Petrobras, ANP/DPC y CREA-RJ) y las interlocuciones que mantuvimos con tres profesionales que actuaron en la P-36. Los resultados indican que la gestión de las situaciones incidentales y accidentales, en la que se circunscriben las tomas de decisión en contextos de emergencias, debe valerse de la contribución que los trabajadores pueden añadir, en lo referente a apuntar y discutir con los gestores ciertas lagunas del proceso, mediante el reparto y la flexibilización de decisiones y el análisis colectivo de las situaciones de riesgo. Indican también que determinados factores organizativos contribuyeron a la ocurrencia del siniestro, corroborando estudios nacionales e internacionales acerca de grandes accidentes, que señalan la necesidad de cambios en el enfoque adoptado por la gerencia de las empresas del sector petrolífero.O acidente com a plataforma P-36 na Bacia de Campos, Rio de Janeiro, Brasil, se configura como um dos grandes desastres internacionais da indústria do petróleo. Nosso objetivo na reflexão aqui empreendida é: (a) verificar, com base em um caso específico, a questão do papel que exerce a dimensão humana na confiabilidade de sistemas de elevada complexidade - com foco na gestão de situações incidentais e acidentais -, capazes de acarretar acidentes de grande magnitude. E, ao nos debruçarmos sobre tal intento, somos remetidos à necessidade de (b) dar visibilidade à interveniência de alguns dos fatores organizacionais como elementos que podem contribuir para agravar o grau de risco da atividade em plataformas offshore, conduzindo a análise para além das chamadas causas imediatas. No que tange aos métodos de investigação, tomamos por base, principalmente, a pesquisa documental (com destaque para os relatórios da Petrobras, ANP/DPC e CREA-RJ) e as interlocuções que mantivemos com três profissionais que atuaram na P-36. Os resultados indicam que a gestão das situações incidentais e acidentais, na qual se circunscrevem as tomadas de decisão em contextos emergenciais, deve se valer da contribuição que os trabalhadores podem agregar no sentido de apontar e discutir com os gestores certas lacunas do processo, por intermédio do compartilhamento e da flexibilização de decisões e da análise coletiva das situações de risco. Indicam também que determinados fatores organizacionais contribuíram para a ocorrência do sinistro, corroborando estudos nacionais e internacionais acerca de grandes acidentes, que apontam para a necessidade de mudança no enfoque adotado pela gerência das empresas do setor petrolífero.Reports in Public HealthCadernos de Saúde Pública2018-03-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768Reports in Public Health; Vol. 34 No. 4 (2018): AprilCadernos de Saúde Pública; v. 34 n. 4 (2018): Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768/14612https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768/14613https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768/14614https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768/14615Marcelo Gonçalves FigueiredoDenise AlvarezRicardo Nunes Adamsinfo:eu-repo/semantics/openAccess2024-03-06T15:29:31Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6768Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:44.548016Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factors
O acidente da plataforma de petróleo P-36 revisitado 15 anos depois: da gestão de situações incidentais e acidentais aos fatores organizacionais
title Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factors
spellingShingle Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factors
Marcelo Gonçalves Figueiredo
Occupational Accidents
Accident Prevention
Risk Management
Oil and Gas Industry
Occupational Health
Acidentes de Trabalho
Prevenção de Acidentes
Gestão de Riscos
Indústria de Petróleo e Gás
Saúde do Trabalhador
title_short Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factors
title_full Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factors
title_fullStr Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factors
title_full_unstemmed Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factors
title_sort Revisiting the P-36 oil rig accident 15 years later: from management of incidental and accidental situations to organizational factors
author Marcelo Gonçalves Figueiredo
author_facet Marcelo Gonçalves Figueiredo
Denise Alvarez
Ricardo Nunes Adams
author_role author
author2 Denise Alvarez
Ricardo Nunes Adams
author2_role author
author
dc.contributor.author.fl_str_mv Marcelo Gonçalves Figueiredo
Denise Alvarez
Ricardo Nunes Adams
dc.subject.por.fl_str_mv Occupational Accidents
Accident Prevention
Risk Management
Oil and Gas Industry
Occupational Health
Acidentes de Trabalho
Prevenção de Acidentes
Gestão de Riscos
Indústria de Petróleo e Gás
Saúde do Trabalhador
topic Occupational Accidents
Accident Prevention
Risk Management
Oil and Gas Industry
Occupational Health
Acidentes de Trabalho
Prevenção de Acidentes
Gestão de Riscos
Indústria de Petróleo e Gás
Saúde do Trabalhador
description The accident with the P-36 oil rig in the Campos Basin in Rio de Janeiro State, Brazil, was one of the petroleum industry’s worst international disasters. Based on this specific case, the article aims to (a) verify the role of the human dimension in the reliability of highly complex systems, with a focus on the management of incidental and accidental situations with the potential to lead to large-scale accidents. The analysis should help (b) shed light on some of the organizational factors that can increase the risk level in offshore activities, beyond the so-called immediate causes. The methodology involves mainly document research (especially the reports produced by Petrobras, ANP/DPC, and CREA-RJ) and interviews with three professionals that worked on the P-36 rig. The results indicate that the management of incidental and accidental situations in which emergency decisions are made should take advantage of contribution by the workforce, who can identify gaps in the process and discuss them with managers. This involves shared and more flexible decisions and collective analysis of risk situations. The findings also suggest that certain organizational factors contributed to the accident, corroborating domestic and international studies of major accidents and pointing to the need for a shift in the focus adopted by oil companies’ management.
publishDate 2018
dc.date.none.fl_str_mv 2018-03-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768/14612
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768/14613
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768/14614
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6768/14615
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
text/html
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 34 No. 4 (2018): April
Cadernos de Saúde Pública; v. 34 n. 4 (2018): Abril
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
_version_ 1798943386728660992

Registros relacionados