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    Sandline Flagging Operation Results in Fatality

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    Reda AL-mesbah
    A worker was fatally injured when he became entangled in a sand line drum after accidentally engaging the drum clutch lever. The incident was caused by inadequate guards, disabled safety devices, and failure to identify hazards. Corrective actions included safety procedures, training, and physical barriers.

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    Sandline Flagging Operation Results in Fatality

    Uploaded by

    Reda AL-mesbah
    140 views2 pages
    A worker was fatally injured when he became entangled in a sand line drum after accidentally engaging the drum clutch lever. The incident was caused by inadequate guards, disabled safety devices, and failure to identify hazards. Corrective actions included safety procedures, training, and physical barriers.

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    Sandline Flagging Operation Results in Fatality

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    A worker was fatally injured when he became entangled in a sand line drum after accidentally engaging the drum clutch lever. The incident was caused by inadequate guards, disabled safety devices, and failure to identify hazards. Corrective actions included safety procedures, training, and physical barriers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    140 views2 pages

    Sandline Flagging Operation Results in Fatality

    Uploaded by

    Reda AL-mesbah
    A worker was fatally injured when he became entangled in a sand line drum after accidentally engaging the drum clutch lever. The incident was caused by inadequate guards, disabled safety devices, and failure to identify hazards. Corrective actions included safety procedures, training, and physical barriers.

    Copyright:

    © All Rights Reserved
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    Safety Alert

    From the International Association of Drilling Contractors


    ALERT 11 01

    SAND LINE FLAGGING OPERATION RESULTS IN FATALITY


    WHAT HAPPENED:
    A completions rig crew was attempting to attach flags to the rig sand line. After they had installed the third
    set of flags, the rig operator reached into the drum area to help one of the rig floor crewmen remove his pipe
    wrench from the sand-line. While reaching in, his stomach area came in contact with the sand-line drum
    clutch lever and engaged the drum resulting in the drum turning several revolutions. One of the rig crewmen
    become entangled, resulting in his death.
    WHAT CAUSED IT:
    Direct Causes:
    Inadequate guards or barriers: There were no barriers to prevent personnel from entering or falling into
    the sand-line drum area.
    Making safety devices inoperative: The person in control of the job did not isolate the sand line drum (air
    shut off valve), which would have prevented it from being engaged while workers were working on live
    equipment.
    Failure to identify hazard
    Personnel on location did not recognize the dangers associated with entering the drum area and the
    possibility of failing to close the air shut-off.
    Improper position for task
    As a result of the factors set out above the two crewmen were in a very awkward and high risk position.
    Potential Basic/Underlying Causes
    Inadequate instructions/procedures: Personnel should not have been instructed to enter the drum area
    before it was verified that it was locked out and there were barriers installed to prevent workers from falling
    into the draw works.
    Lack of knowledge/situational awareness: The person in control of the activity should have recognized this
    as a high risk task and implemented controls to eliminate/reduce the risk to an acceptable level.
    Inadequate leadership and/or supervision: Work procedures should have been implemented to ensure
    that the work could have been done safely.
    Inadequate work standards: The procedures for conducting this work were insufficient to prevent the
    accident.
    Inadequate engineering: A method for preventing entry to the drum area should have been in place; i.e.
    barriers to prevent personnel from entering the area, mechanical devices to prevent accidental engagement of
    the clutch lever.
    CORRECTIVE ACTIONS: To address this incident, this company did the following:

    Created a rig activity database and developed procedures/JSA for critical activities.
    Developed and began implementing rig procedures/rules and ensure there is a mechanism for measuring
    compliance.
    Instructed rig supervisors to ensure equipment isolation mechanisms are installed and used.
    Developed service/completion rigs training matrix and ensure competency.
    Installed barriers over the sand-line/draw works area to prevent entry.
    Began a process to improve the safety culture and promote the use of a Stop Unsafe Work Process.
    The Corrective Actions stated in this alert are one companys attempts to address the incident,
    and do not necessarily reflect the position of IADC or the IADC HSE Committee.
    This material is presented for information purposes only. Managers & Supervisors should
    evaluate this information to determine if it can be applied to their own situations and practices
    Copyright 2008 International Association of Drilling Contractors All rights reserved.
    Issued January 2011

    Safety Alert
    From the International Association of Drilling Contractors

    Location of shut down lever and clutch

    View of drawworks drum and sand-line drum


    Location of the fatally injured person at the time
    of incident (one foot on top of drum housing and
    the other foot on the sand-line drum).

    Location of the second individual (one foot on


    the sand-line drum and one foot on a lower bar of
    the draw works housing

    The Corrective Actions stated in this alert are one companys attempts to address the incident,
    and do not necessarily reflect the position of IADC or the IADC HSE Committee.
    This material is presented for information purposes only. Managers & Supervisors should
    evaluate this information to determine if it can be applied to their own situations and practices
    Copyright 2008 International Association of Drilling Contractors All rights reserved.
    Issued January 2011

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