Lessons from Major Accidents

  • Jan-Erik VinnemEmail author
  • Willy Røed
Part of the Springer Series in Reliability Engineering book series (RELIABILITY)


An overview of some important accidents and near-misses are presented from worldwide operations. The focus is on the accident sequence, the possible failures of barrier functions, as well as lessons to be learned for design and operation. Blowouts, process fires and explosions, riser and pipeline failures as well as structural and marine systems failures are covered. At the end there is an overview of barrier function performance in all accidents and incidents.


  1. 1.
    NPD (1998) Evacuation means, strengths, weaknesses and operational constraints. DNV, Høvik, Norway, DNV Report 98–0561, Dec 1998Google Scholar
  2. 2.
    NOU (1986) West Vanguard accident, NOU Report 1986:16. OsloGoogle Scholar
  3. 3.
    Ireland RD (1991) Determination by R.D. Ireland, Sheriff Principal of Grampian, Highland and Islands. In: Fatal accident inquiry into the death of Timothy John Williams on board Ocean Odyssey, 8.11.1991Google Scholar
  4. 4.
    Blaauw K (2012) Management of well barriers and challenges with regards to obtaining well integrity. Master thesis, University of Stavanger, 24.5.2012Google Scholar
  5. 5.
    Aadnøy B, Bakøy P (1992) Relief well breakthrough in a north sea problem well. Jof Pet Sci Eng 8:133–152CrossRefGoogle Scholar
  6. 6.
    Aadnøy B (2010) Modern well design. CRC Press, Taylor & Francis Group, LondonGoogle Scholar
  7. 7.
    Versatel (2012) Adriatic IV. Accessed 29 Sept 2012
  8. 8.
    PSA (2005) Investigation of the gas blowout on Snorre A, Well 34/7–P31A 28 November 2004, undated, Petroleum Safety AuthorityGoogle Scholar
  9. 9.
    Equinor (2005) Cause analysis of the Snorre A incident 28 November 2004 (in Norwegian only), Statoil, undated, 2005Google Scholar
  10. 10.
    Batelle (2008) Root cause analysis of the Usumacinta—KAB-101 Incident 23 October 2007, Columbus, Ohio, 30 May 2008Google Scholar
  11. 11.
    Commission of Inquiry (2010) Report of the Montara commission of inquiry. Commissioner David Borthwick AO PSM, June 2010Google Scholar
  12. 12.
    PSA (2011) The deepwater horizon accident—evaluation and recommendations for Norwegian petroleum activity (in Norwegian only), PSA, 14 June 2011Google Scholar
  13. 13.
    Equinor (2010) Investigation report COA INV, internal accident investigation, Well incident on Gullfaks C (in Norwegian with English summary), Statoil, 4 November 2010.
  14. 14.
    Austnes-Underhaug R et al (2011) Learning from incidents in Statoil (in Norwegian only), IRIS report 2011/156, 21 September 2011.
  15. 15.
    ANP (2012) Investigation of the oil leak incident in the frade oil field. Final report, July 2012, Office of the superintendent of operational and environmental safety—SSM, ANPGoogle Scholar
  16. 16.
    Vinnem JE (1998) Blast load frequency distribution, assessment of historical frequencies in the North Sea. Preventor, Bryne, Norway; 1998 Nov. Report No.: 19816-04Google Scholar
  17. 17.
    Lord Cullen (The Hon) (1990) The public inquiry into the piper alpha disaster. HMSO, LondonGoogle Scholar
  18. 18.
    Skogdalen JE, Utne IB, Vinnem JE (2011) Developing safety indicators for preventing offshore oil and gas deepwater drilling blowouts. Saf Sci 49:1187–1199CrossRefGoogle Scholar
  19. 19.
    ANP (2016) Investigation report of the explosion incident that occurred on 11/02/2015 in the FPSO Cidade de São Mateus. ANPGoogle Scholar
  20. 20.
    Brazilian Navy (2015) Maritime accident safety investigation report, FPSO Cidade de São Mateus, explosion followed by flooding with casualties, 11 February 2015. Brazilian Navy, Directorate of Ports and Coasts, Superintendence of Waterway Traffic Safety, Department of Inquiries and Investigations of Navigation AccidentsGoogle Scholar
  21. 21.
    Morais C, Almeida AG, Silva BF, Ferreira N, Pires TS (2016) Explaining the explosion onboard FPSO Cidade de São Mateus form regulatory point of view. ESREL Conference. 2016Google Scholar
  22. 22.
    Vinnem JE (2018) FPSO Cidade de São Matheus Gas explosion—lessons learned. Safety Science. 2018, pp. 295-304CrossRefGoogle Scholar
  23. 23.
    Vinnem JE, Kirwan B (1997) Safety of production and storage vessels with emphasis on operational safety. Report MK/R 131, 23 May 1997. NTNU, Department of Marine TechnologyGoogle Scholar
  24. 24.
    PSA (2005) Investigation of the gas leak from 6“ export pipeline from Jotun A (in Norwegian only) PSA 23 December 2004. Stavanger, Petroleum Safety AuthorityGoogle Scholar
  25. 25.
    Borrevik LN, Horve M (2004) When the oil industry lost its ‘Innocence’ (In Norwegian only). Stavanger Aftenblad. 10 March 2004Google Scholar
  26. 26.
    NOU (1981) Alexander L. Kielland Accident, NOU Report 1998:11. OsloGoogle Scholar
  27. 27.
    Royal Commission on the Ocean Ranger Marine Disaster (1984) Report one: the loss of the semi–submersible drill rig ocean ranger and its crew. St. John’s, Newfoundland), Aug 1984Google Scholar
  28. 28.
    Vinnem JE, Hokstad P, Saele H, Dammen T, Chen H et al (2002) Operational safety of FPSOs, Shuttle Tanker collision risk. Main report. Trondheim; NTNU; 2002 Oct. Report No.: MK/R 152Google Scholar
  29. 29.
    ANP (2001) P–36 Accident analysis. Petrobras; ANP/DPC inquiry commission report; July 2001Google Scholar
  30. 30.
    Upstream weekly magazine (2002) P–34 alarm sounded in May. 2002 October 14Google Scholar
  31. 31.
    PSA (2005) Trends is risk levels. Main report 2004, Phase 5 (In Norwegian only) Report 05–02, Petroleum Safety Authority; 26.4.2005.–9FA0–4F7E–A1BB–341D4585B84D/8903/Fase5rapportutenrestriksjoner.pdf
  32. 32.
    PSA (2005) Investigation of the anchor line failures on ocean Vanguard 14 December 2004, Well 6406/1–3. (In Norwegian only) PSA 23.5.2005. Stavanger; Petroleum Safety Authority.–7F2D–470C–9A36–1153AADE50A7/7950/ovgrrappkomprimertny.pdf
  33. 33.
    Step Change in Safety (2011) Loss of heading, mooring system failure and subsequent loss of position. Alert ID 00289Google Scholar
  34. 34.
    EPA (2004) Exxon Valdez, article in webpages, updated 23 December 2004.
  35. 35.
    SOA (2012) Investigation report with respect to Penglai 19-3 Oil Spill Accident, Final Report, July 2012Google Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2020

Authors and Affiliations

  1. 1.Faculty of EngineeringNorwegian University of Science and TechnologyTrondheimNorway
  2. 2.Faculty of Science and TechnologyUniversity of StavangerStavangerNorway

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