02_Total_Ben_Fischer

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Facts A 4“ hose was lowered over the side of the vessel into the sea to prevent dust clouds during venting. To keep the hose submerged, extra weight had been secured to its outboard end. Pressure was suddenly released causing hose to whip out of the sea onto the deck. A crewman was struck at head by weight. Failures Poor working practices – No detailed written procedures and no JSA conducted – Previous incidents of hoses whipping reported in the fleet but not acted on by management – Lack of safety awareness among the crew – Poor communications, level of supervision and management of operations onboard. Lessons learnt Hose venting procedures to be detailed (validated by JSA) and followed – Crew training program to be provided to develop safety awareness
Dropped Objects 31% Man Riding Fall from 8% Height 15%
Hidden Energy 46%
Categories of fatal accidents (2000-2010)
The following review of each accident allows to identify major weaknesses
Hose laid overboard
Approx. position of man when struck by hose
Hose after it whipped back onto the deck
Details of weight attached to hose
Poor level of supervision Procedures not prepared
Outine Hazards were not thoroughly evaluated Some basic procedures were not respected Preparation was incomplete
3 - FP Fatality review -
UK – GSF Magellan – 09/10/2000
Man riding accident
Facts Man rider was crushed to death inside the mouse hole housing. Failures Man rider not in direct view of tugger operator – BOP area man riding tugger not used as in bad position and not rigged up – JSA and PJM not properly conducted. Lessons learnt Man riding to be done only when no other solutions exist. Special care to be applied in job preparation (JSA & PJM) – Rig Contractor Supervision to be present – Under Rig Floor (URF) operations to be managed from URF.
4 - FP Fatality review – October 2010
Nigeria – Transocean MG Hulme – 18/03/2003
Samson post failure
Facts The Assistant Driller was found on the deck with severe head injuries. Alongside him was a “Samson Post” (pipe rack post) which had fallen from its vertical position. Failures Fixation of post to deck not appropriate and not inspected (failure of the circumferential weld at base of Post) – Crack in post weld was noticed before accident but no action was initiated – Posts are receiving repeated shock impacts but are not included in PMS for inspection. Lessons learnt Posts strengthening / fixation to deck to be designed and adapted to supported efforts – Posts to be included in PMS – Use of Anomaly reporting program (eg. STOP cards)
Gas cylinders Position of roughneck
Workshop container
No job preparation No anomalies / UAC reporting No effective Supervision
7 - FP Fatality review – October 2010
Nigeria / MG Hulme / fall of samson post Iran / Kharg / truck accident Libya / supply vessel / hit by venting hose UAE / Gus Androes / hit by pressurized carter Nigeria / Sedco 700 / fall thru elevator
FP fatality review
Safety initiative involving all Personnel
16 Fatalities over the period 2000-2010 (including 3 road accidents)
Algeria / Enafor 21 / fall of rack Qatar / Key Hawaï / hit by side entry sub Libya / BD1 / fall of stabbing board Argentina / Aguada Pichana / line whipping (2) Nigeria / Jack Ryan / fall during crane load test Gabon / SMP 102 / struck by flare line
1
2008
1
2009 2010
2005
Common causes at origin
If we exclude the road accidents, there were 13 fatalities directly linked to our metier. These accidents are of different nature, nevertheless we can find some recurrent causes:
Gabon / truck accident
Yemen / truck accident Nigeria / Jack Ryan / fall of tea-cosy
4 3 3 1 1
2006 2007
UK / GSF Magellan / man riding accident
1
2000
1
2001 2002 2003 2004
Qatar – GSF Key Hawaii – 05/07/2004
Side Entry Sub accident
Facts A Side Entry Sub (SES) was made up to test string and test assembly connected. The back up tong placed above the SES could not grip. When applying torque with TDS the SES quickly rotated and test assembly struck the Floorman who was holding the tong. Failures Lack of job preparation (Testing procedure incomplete, JSA only generic / JSA process not fully understood / PJM with crew not done / Supervision and organization deficient) – Lack of risk awareness – Difficult communication within the crew members. Lessons learnt No attachment of testing assembly to SES until all string connections are made up to full torque – Promote safety and risk awareness – Call for Time Out for Safety in doubt – During PJM Supervisors to ensure instructions are understood and JSA used as support to highlight hazards.