Indonesia, Drilling, Mar 3 2010
Number of deaths: 1 Incident Category: Struck by Activity: Lifting, Crane, Rigging, Deck operations
Age: unknown Employer: Contractor Occupation: Manual Labourer
Narrative:
Injured party (IP) was struck by a non-magnetic drill collar after it was lifted out of a basket. The lifting boom was not properly positioned over the load. The collar swung and struck the IP in the abdomen.
What went wrong:
A non-magnetic drill collar was to be removed from its transport basket and laid out on the adjacent open bay. As the lift progressed out of the basket, one of the roustabouts involved in the lifting operation realized that the boom needed to be repositioned over the load and called for a stop. At this stage the collar was clear of the basket and swung towards the injured party (IP) who was clear of it as it passed by. The collar struck a beam and on its return swing the collar impacted the IP in the lower abdomen area.
Corrective actions and recommendations:
The facts of the incident are as follows: The IP was struck by a drill collar. Prior to the drill collar striking the IP, a boom required repositioning which allowed the drill collar to swing clear of the basket. Personnel should be aware of body position and place themselves in the safest possible position. Consider developing a predetermined escape route during planned lifts.
Causal factors:
• People (acts): Following Procedures: Improper position (in the line of fire) • People (acts): Following Procedures: Improper lifting or loading
Malaysia, Drilling, Sep 4 2010
Number of deaths: 1 Incident Category: Struck by Activity: Transport - Water, incl. Marine activity
Age: 30 Employer: Contractor Occupation: Manual Labourer
Narrative:
The incident occurred during the installation of the remaining 1 km of a new 24” diameter x 52 km long pipeline from a Drilling Platform to another platform using an 8 points anchored Pipe/Derrick Lay Barge DLB 264 in 70 meters of water depth, offshore. On 4th Sept 2010 at 0200 hrs, the Deceased, onboard an Anchor Handling Tugboat (AHT), was in the process of unhooking the slackening Work Wire hook from the anchor buoy(S3) lifting sling to hook to the buoy Pennant Wire Pickup Line/Float Rope. Work Wire suddenly re-tensioned due to the sudden movement of the buoy causing the Work Wire hook & shackle assembly to directly hit the Deceased on the right arm and right forehead.
What went wrong:
• The job was carried out during heavy rain with southerly wind at 25 – 30 knots (i.e. > 18 – 22 knots) and AHT was pitching in 5 – 8 ft wave.
• Using Float Rope instead of Buoy Sling wire to pull buoy on deck and later removal of sling to transfer to float rope to pull anchor up.
• JHA does not cover recovery of buoy by sling wire
• There was no deck supervisor to supervise the operation on deck. Corrective actions and recommendations:
• Strengthen implementation of Stop Work Policy during bad weather
• To include usage of tugger wire and recovery of buoy in abnormal situation in the Anchor Handling Procedure. • Enhance the integrity of hazards and controls identification for each step involved in the job.
• Enhance supervision at worksite especially for critical activities. Causal factors:
• People (acts): Following Procedures: Violation unintentional (by individual or group) • People (acts): Following Procedures: Improper position (in the line of fire)
• People (acts): Use of Tools, Equipment, Materials and Products: Improper use/position of tools/equipment/materials/ products
• People (acts): Use of Protective Methods: Equipment or materials not secured
• Process (conditions): Protective Systems: Inadequate/defective guards or protective barriers • Process (conditions): Work Place Hazards: Storms or acts of nature
• Process (conditions): Organisational: Inadequate training/competence
• Process (conditions): Organisational: Inadequate hazard identification or risk assessment • Process (conditions): Organisational: Inadequate supervision
Thailand, Drilling, Oct 11 2010
Number of deaths: 1 Incident Category: Struck by Activity: Drilling, Workover, Well Services
Age: unknown Employer: Contractor Occupation: Drilling/Well Servicing Operator
Narrative:
An assistant driller suffered fatal injuries when he was struck by a falling cement head and bonnet. What went wrong:
• Supervisor instructions not followed.
• Work (cement bonnet lock down bolts were retracted) was performed before the JSA review completed. • Cementing head and bonnet not secured to it prevent from falling.
• Written step by step instructions were not in place. • Trapped pressure was not considered and not released. • Working in the congested area. Limited access and egress. Corrective actions and recommendations:
• The working precedures and instructions must be strictly followed.
• Clear communication, supervision and control shall be conducted with all parties involved. • If there is any operational change, procedure and Job safety analysis must be reviewed. • Cementing equipment must be secured at all times to prevent it from falling.
Causal factors:
• People (acts): Following Procedures: Violation unintentional (by individual or group)
• People (acts): Use of Tools, Equipment, Materials and Products: Servicing of energized equipment/inadequate energy isolation
• People (acts): Use of Protective Methods: Equipment or materials not secured
• People (acts): Inattention/Lack of Awareness: Lack of attention/distracted by other concerns/stress • Process (conditions): Protective Systems: Inadequate/defective guards or protective barriers
• Process (conditions): Tools, Equipment, Materials & Products: Inadequate design/specification/management of change • Process (conditions): Work Place Hazards: Congestion, clutter or restricted motion
• Process (conditions): Organisational: Inadequate communication
Vietnam, Drilling, Nov 2 2010
Number of deaths: 1 Incident Category: Caught In, Under or Between Activity: Transport - Water, incl. Marine activity
Age: 37 Employer: Contractor Occupation: Manual Labourer
Narrative:
While waiting for lift No.7 from a Rig, a team of 3 deck crews (the Deceased and 2 Able Bodied) took refuge in the vicinity of an empty Mixing Tank and Filter Pod Skid on the starboard stern of a supply vessel. A sudden swell of about 4-6 meters hit the vessel stern, causing the empty Mixing Tank (estimated weight 5 MT) to skid towards the Filter Pod; and knocked the deceased who was standing in front of the Mixing Tank, resulting in fatal injury.
What went wrong:
• Failure to follow work procedures, including requirement on securing of cargo during heavy weather. • Unsafe position; deceased was standing in between 2 unsecured cargoes.
• Work is done in bad weather; wind speed 26 - 33 knots southerly wind, 3 to 4 meter swell. Corrective actions and recommendations:
• Strengthen compliance to procedure including more practical procedures to secure loads on the deck which will not creating gaps between cargoes.
• Improve safety/hazards awareness among personnel by ensuring the communication of hazards is done in toolbox meeting prior job execution.
• To set the criteria and implement Stop Work Policy during bad weather. Causal factors:
• People (acts): Following Procedures: Violation unintentional (by individual or group) • People (acts): Following Procedures: Improper position (in the line of fire)
• People (acts): Inattention/Lack of Awareness: Improper decision making or lack of judgment • Process (conditions): Work Place Hazards: Storms or acts of nature
• Process (conditions): Organisational: Inadequate training/competence • Process (conditions): Organisational: Inadequate communication