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1 2002 26 LTI’s in 6 months What are WE going to learn? What should WE do differently?

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Presentation on theme: "1 2002 26 LTI’s in 6 months What are WE going to learn? What should WE do differently?"— Presentation transcript:

1 1 2002 26 LTI’s in 6 months What are WE going to learn? What should WE do differently?

2 2 26 LTI’s: 1/Jan-29/Jun 2002 1 Broken Finger 01 Jan 2 Broken Finger 03 Jan 3 Broken Arm 24 Jan 4 RTA Ruptured spleen 06 Feb 5 Broken Leg 23 Feb 6 Back Injury 09 Mar 7&8 RTA Neck Injury & broken arm 13 Mar broken arm 13 Mar 9 Broken Finger 25 Mar 10 RTA Fatality 03 Apr 11 Finger Amputation 05 Apr 12 Elbow Dislocation 07 Apr 13 Crushed Finger 20 Apr 14 Broken Finger28 Apr 15 Broken Hip 29 Apr 16 Broken Arm02 May 17 Finger Amputation 19 May 18 RTA Fatality24 May 19 Broken Arm28 May 20 Broken Nose25 May 21 Eye Injury29 May 22 Broken Finger01 Jun 23 Broken Finger19 Jun 24 Broken Finger21 Jun 25 Broken Arm22 Jun 26 Crushed Finger29 Jun

3 3 Common Findings Hazards not identified Hazards not identified Lack of effective supervision Lack of effective supervision Using the wrong tools Using the wrong tools Not following rules/procedures Not following rules/procedures Poor communication (Language barrier ?) Poor communication (Language barrier ?) Behaviour & attitude Behaviour & attitude Lack of concentration Lack of concentration Time pressure (hurry to finish the job) Time pressure (hurry to finish the job)

4 4 LTI 1: Broken Finger 1-Jan What happened?: Finger trapped between bucket and rock breaker when offloading the bucket from the trailer. Result: Broken fingerBroken finger 3 weeks lost work3 weeks lost workLearning: Wrong hand placementWrong hand placement Poor positionPoor position Poor communicationPoor communication Could this be avoided?

5 5 LTI 2: Broken Finger 3 - Jan LTI 2: Broken Finger 3 - Jan What happened Pipe spinner (heavy tool hanging from a cable) swung back and trapped the floorman’s finger. Result: Broken finger Broken finger 3 weeks lost work 3 weeks lost workLearning: Improper position Improper position Wrong hand placement Wrong hand placement Absentminded/Unfocused Absentminded/Unfocused Could this be avoided?

6 6 LTI:3 Broken Arm 24-Jan What happened?: A rigger placed his arm into the recess of the crane outrigger as it was being retracted. His arm was crushed. Result: Broken armBroken arm 6 weeks lost work6 weeks lost workLearning: Wrong position (rigger)Wrong position (rigger) Wrong position (operator)Wrong position (operator) Poor communicationPoor communication Poor supervisionPoor supervision Could this be avoided?

7 7 LTI:4 Ruptured spleen 6-Feb What happened?: A food delivery truck travelling to Marmul. The driver fell asleep. The truck left the road, rolled and crashed. The driver was stuck for 2 hrs in the badly crushed cabin. Result: Ruptured spleen (can be fatal)Ruptured spleen (can be fatal) 2 months lost work2 months lost work Lost truck & loadLost truck & loadLearning: Journey Plan not followedJourney Plan not followed Driver not authorisedDriver not authorised Poor Safety attitudePoor Safety attitude Could this be avoided?

8 8 LTI 5: Broken Leg 23-Feb What happened?: Rigger climbed on the cabin to release the lifting slings. He did not use a ladder. When coming down his foot slipped and he fell. Result: Broken legBroken leg 6 weeks lost work6 weeks lost workLearning: Hazard not identifiedHazard not identified Not using the right toolsNot using the right tools Poor supervisionPoor supervision Could this be avoided?

9 9 LTI 6: Back injury9-Mar What happened?: Helper came out of the truck looking forward instead of backward. He lost his his footing on the first step of the ladder and fell down hitting his back. Result: Back injuryBack injury 2 weeks lost work2 weeks lost workLearning: Rule not followedRule not followed Wrong way of disembarking a truckWrong way of disembarking a truck Could this be avoided?

10 10 LTI 7 & 8: Neck injury & 13-Mar broken arm What happened?: Canter truck delivering most-urgent chemicals: night driving, very bad road due to rain, long driving hours. The truck rolled over after hitting a bad spot on the road. Result: Driver: neck injuryDriver: neck injury Helper: broken armHelper: broken arm 2 & 6 weeks lost work2 & 6 weeks lost workLearning: Poor planning/JMPoor planning/JM 2 drivers on difficult trips2 drivers on difficult trips Contact TLM for urgent deliveriesContact TLM for urgent deliveries Could this be avoided?

11 11 LTI 9: Broken finger25-Mar What happened?: Thread protector stuck on a drill-pipe joint. Rigger takes hammer to free it. After two blows his colleague placed his hand on the protector to remove it just as the the third hammer blow was given. Result: Broken fingerBroken finger 2 weeks lost work2 weeks lost workLearning: Wrong tools.Wrong tools. Poor communication.Poor communication. Hazard not identifiedHazard not identified Could this be avoided?

12 12 LTI 10: RTA Fatality3-Apr What happened?: Truck delivering line pipe to Fahud. Driver probably fell asleep. Went straight of off the road, rolled-over and jack-knifed. Cabin completely crushed. Result: Driver deadDriver dead Family lost their fatherFamily lost their father Lost truckLost truckLearning: JM plan NOT followedJM plan NOT followed STOP when tiredSTOP when tired Could this be avoided?

13 13 LTI 11: Lost Finger 5-Apr What happened?: A helper was disconnecting a trailer from an oil-field truck winch cable. He signaled the driver to slacken-off the winch. Winch operator misunderstood and pulled-in instead.Result: 2 lost fingers2 lost fingers 4 weeks lost work4 weeks lost workLearning: Wrong hand placementWrong hand placement Poor communicationPoor communication Could this be avoided?

14 14 LTI 12: Elbow Dislocation 7-Apr What happened?: Crane operator drove too close to the edge of an excavation. Crane crashed down into the 3 m deep pit. Operator did have his seatbelt on. Result: Dislocated elbowDislocated elbow 4-6 weeks lost work4-6 weeks lost work Major crane damageMajor crane damageLearning: Hazards not identifiedHazards not identified In a hurryIn a hurry Could this be avoided?

15 15 LTI 13: Crushed Finger 20-Apr What happened?: A staff member was adjusting her shoe strap whilst walking. She lost her balance and caught herself by placing her hand against the doorframe. Her finger got trapped by the spring loaded closing door. Result: Crushed fingerCrushed finger 2 weeks lost work2 weeks lost workLearning: Do not try 2 activities at the same timeDo not try 2 activities at the same time Could this be avoided?

16 16 LTI 14: Broken Finger 28-Apr What happened?: A floorman was instructed to use the rig tong to break a pipe connection. Instead, a colleague brought a big hammer and started to hit at the assembly. The hammer slipped and fell down onto the floorman’s hand. Result: Broken fingerBroken finger 3 weeks lost work3 weeks lost workLearning: Not following instructions.Not following instructions. Using wrong tools.Using wrong tools. Wrong position.Wrong position. Rush to finish the task.Rush to finish the task. Could this be avoided?

17 17 LTI 15: Broken Hip29-Apr What happened?: A technician placed a ladder against a storage rack and climbed up to look for a flange. When coming down the ladder slipped and collapsed. He jumped off but knocked over a heavy crossover flange which in turn landed on his hip.Result: Broken hipBroken hip 3 weeks lost work3 weeks lost workLearning: Hazard not identifiedHazard not identified Procedures not followedProcedures not followed Never go up un-securedNever go up un-secured ladders ladders Could this be avoided?

18 18 LTI 16: Broken Arm 2-May What happened?: A technician was drilling a steel bar using a pedestal workshop drill. The bar was clamped but slipped out of the jig. He tried to grab the steel bar with his hands. His glove caught in the drill and hands and arm were pulled into it. Result: Broken arm/open fractureBroken arm/open fracture 2 months lost work2 months lost workLearning: Inadequate supervisionInadequate supervision No list of authorised equipment usersNo list of authorised equipment users Could this be avoided?

19 19 LTI 17: Finger Amputation 19-May What happened?: Riggers were assembling a downhole tool. One of them attempted to support the upper section of the tool while both parties tried to mate the pieces together. The two sections came together with sudden force, catching the index finger between the two parts and amputated the tip of the finger completely. Riggers were assembling a downhole tool. One of them attempted to support the upper section of the tool while both parties tried to mate the pieces together. The two sections came together with sudden force, catching the index finger between the two parts and amputated the tip of the finger completely.Result: Finger amputationFinger amputation Several weeks lost workSeveral weeks lost workLearning: Hazards not identifiedHazards not identified Wrong hand positionWrong hand position Could this be avoided?

20 20 LTI 18: RTA Fatality 24-May What happened?: While transporting a 25 ton mobile crane from Yibal to Ghala on a flat bed trailer, the driver braked hard to avoid a pot-hole in the road. The restraining system (chains/shackles) failedThe crane moved forward into the back of the driver's cabin partially crushing it. The truck driver died on the spot. While transporting a 25 ton mobile crane from Yibal to Ghala on a flat bed trailer, the driver braked hard to avoid a pot-hole in the road. The restraining system (chains/shackles) failedThe crane moved forward into the back of the driver's cabin partially crushing it. The truck driver died on the spot.Result: Fatal Injuries(DEATH)Fatal Injuries(DEATH)Learning: Wrong trailer type used.Wrong trailer type used. Wrong securing of the loadWrong securing of the load Hazards Not identifiedHazards Not identified Could this be avoided?

21 21 LTI 19: Broken Arm 28-May What happened?: water-well diesel tank was being refilled from a road- tanker. The helper was sitting on top of the tank (1.4 m high) holding the transfer hose. He lost his balance, fell down and broke his arm. water-well diesel tank was being refilled from a road- tanker. The helper was sitting on top of the tank (1.4 m high) holding the transfer hose. He lost his balance, fell down and broke his arm.Result: Broken armBroken arm Several weeks lost workSeveral weeks lost workLearning: Inadequate supervisionInadequate supervision Wrong position.Wrong position. Hazards not identifiedHazards not identified Could this be avoided?

22 22 LTI 20: Broken Nose 25-May What happened?: An engineer was disassembling a downhole logging tool with a large spanner. He was pulling the tool towards himself when it slipped. The top of the spanner hit his face resulting in a broken nose (displaced fracture). Result: Broken noseBroken nose Several weeks lost workSeveral weeks lost workLearning: Hazards Not identifiedHazards Not identified Rush to finish the task.Rush to finish the task. Wrong position.Wrong position. Could this be avoided?

23 23 LTI 21: Eye Injury 29-May What happened?: A driver decided to clean the cab of his truck. He took a compressed air-hose and started blowing away the dirt. The air hose kicked up and the steel tip hit his unprotected eye. A driver decided to clean the cab of his truck. He took a compressed air-hose and started blowing away the dirt. The air hose kicked up and the steel tip hit his unprotected eye.Result: Eye injuryEye injuryLearning: Bad behaviourBad behaviour Hazard not identifiedHazard not identified Using wrong toolUsing wrong tool Could this be avoided?

24 24 LTI 22: Broken Finger1-Jun What happened?: Two riggers were disconnected a 2” chicksan assembly. When it was disconnected, the chicksan was pushed vertically to be dropped in the opposite direction. Instead it swung sideways and fell on the finger of one of the riggers. Result: deep cut and broken finger.deep cut and broken finger. several weeks lost workseveral weeks lost workLearning: Improper positionImproper position Wrong hand placementWrong hand placement Absentminded/UnfocusedAbsentminded/Unfocused Could this be avoided?

25 25 LTI 23: Broken Finger 19-Jun What happened?: The floorman was setting drill pipe slips. One of the slip segments caught in the lifting point of the master bushing. The slips tilted forward trapped his finger between the slip handle and the elevator which was still moving downwards. The floorman was setting drill pipe slips. One of the slip segments caught in the lifting point of the master bushing. The slips tilted forward trapped his finger between the slip handle and the elevator which was still moving downwards.Result: Broken fingerBroken finger Three weeks lost workThree weeks lost workLearning: Improper positionImproper position Wrong hand placementWrong hand placement Absentminded/UnfocusedAbsentminded/Unfocused Could this be avoided?

26 26 LTI 24: Broken Finger 21-Jun What happened?: A heavy duty driver was attempting to release a trailer securing chains by hitting the boomer (load binder) with a cheater bar. He missed the boomer and struck his hand.Result: Open wound &Open wound & fracture fingerfracture finger Several weeks lost workSeveral weeks lost workLearning: Inadequate supervisionInadequate supervision Wrong hand placementWrong hand placement Could this be avoided?

27 27 LTI 25: Broken Arm 22-Jun What happened?: While tightening the centrilizer on bottom of ESP using a wrench, mechanic with Wood Group ESP, placed both feet on the wrench handle and used a second operator as support. He lost control and fell to the ground. Result: Fracture of the forearm.Fracture of the forearm. Several weeks lost workSeveral weeks lost workLearning: Bad behaviourBad behaviour Wrong use of toolsWrong use of tools Hazards not identifiedHazards not identified Could this be avoided?

28 28 LTI 26: Crushed Finger 29-Jun What happened?: While pulling the 6" flow line pipe with a side boom, a technician had to guide the pipe manually due to lack of access on the pipe rack. His right hand's little finger was crushed in between the pipe and guide angle. Result: Crushed fingerCrushed finger 3 weeks lost work3 weeks lost workLearning: Improper positionImproper position Wrong hand placementWrong hand placement Absentminded/UnfocusedAbsentminded/Unfocused Could this be avoided?

29 29 Some questions for discussion in your teams: Could any of these accidents have happened in your team?Could any of these accidents have happened in your team? What have you learned from these 26 LTI’s ?What have you learned from these 26 LTI’s ? Are you going to do things differently ?Are you going to do things differently ? Do you HAVE a Toolbox talks/meeting before you start a new job/task? Why?Do you HAVE a Toolbox talks/meeting before you start a new job/task? Why? A free tip: Find Hazards BEFORE They find YOU!!

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