For more information contact:

Slides:



Advertisements
Similar presentations
Introduction to Process Safety Management (PSM) of Highly Hazardous Chemicals Aimed at preventing unwanted releases of hazardous chemicals especially into.
Advertisements

The Risk Management Process (AS/NZS 4360, Chapter 3)
Checking & Corrective Action
P roblem S olving I nnovator Team problem solving in a production Environment.
Job Performance Requirement 7-13 Servicing an SCBA Cylinder Using a Cascade System.
Nearly 50 American workers are injured every minute of the 40-hour work week and almost 17 die each day (OSHA) In 2003: 111 million workers at 7 million.
EAS Lessons Learned Summary Lessons Learned Published in May 2014.
M16A2 SERVICE RIFLE Lesson Purpose The purpose of this period of instruction is to introduce you to the M19A2 Rifle and the care and cleaning of this.
1 Highly Accelerated Life Test (HALT) Wayne Bradley 8 April 2014.
Effective CAPA Program, a Valuable Tool in Quality Improvement Dharmi Trivedi.
WILLBROS A Good Job On Time Hydrostatic Testing Practices Establishing Verifiable, Traceable, and Accurate Documentation August 20, 2013 Hal Ozanne Willbros.
Objectives  Understand what a Loss Incident is.  Know the real cost of a Loss Incident.  Understand the Causes of a Loss Incident.  Understand what.
4CSN January 7, 2010 IS THE PROCESS SAFETY BEAR REAL FOR YOU?
MNM Fatal Machinery Accident Machinery Accident February 12, 2011 (Florida) February 12, 2011 (Florida) Phosphate Operation Phosphate Operation.
Press Energy Services, LLC Spill Protection/Prevention.
SAFETY FOR TECHNICAL RESCUE NFPA 1670 Standard on Operations and Training for Technical Search and Rescue Incidents 2014 Edition.
MNM Fatal Powered Haulage Powered Haulage August 18, 2004 (Missouri) August 18, 2004 (Missouri) Cement Operation Cement Operation Deck Hand Helper.
MNM Fatal Falling Material Accident Falling Material Accident April 21, 2009 (Tennessee) April 21, 2009 (Tennessee) Sand & Gravel Operation Sand.
Safety Moment Choke Manifold Pressure Test
Employee Safety Awareness Training. Welcome and Objectives Welcome to this web-based training about workplace safety. This course will:  Provide information.
Process Safety Management Soft Skills Programme Nexus Alliance Ltd.
CONTROL OF HAZARDOUS ENERGY (LOCKOUT/TRYOUT). LOCKOUT/TRYOUT The OSHA Standard for the Control of Hazardous Energy (Lockout/Tryout) 29 CFR covers.
1 Identification & Elimination of High Potentials Lessons Learned - Discussion.
Applied Software Project Management SOFTWARE TESTING Applied Software Project Management 1.
Using the GAVRT Radio Telescope: The SETI Project
Pipeline Safety Management Systems
Operator Qualification
Applied Software Testing
Release Reporting Lesson 17 covers the subject of Release Reporting. You will learn how you know when you have a leak and what leaks require reporting.
Never intervene to correct obstacles without stopping the activity
Using the GAVRT Radio Telescope: The SETI Project
Quarry Operator and Contractor Code of Conduct
Electrical Safety Equipment
Deadlegs not only a hazard in football
What is Safety Stand Down?
Applied Software Implementation & Testing
Unsafe Condition/ Near Miss – Electrical Safety (1)
Pipework Clamp Failure
PDO Second Alert Date: Incident title: Fall from Height
What is Safety Stand Down?
Always ensure the correct grade and length bolts are used
Loss Control.
Do not work at height without fall protection
PDO Second Alert What happened? Your learning from this incident..
Always use the correct tools for the job
PDO Second Alert What happened? Your learning from this incident..
Ensure cat line are under tension before removing elevator bolts
PDO Second Alert Date: Incident title: Fatality What happened?
PDO Second Alert Always follow the PTW procedures
Crane operating with boom lowered and under Supervision
PDO Second Alert Date: Incident title: HiPo Asset Damage
Always use secondary retention
Always keep your hands away from crush points (Line of Fire)
Always drive to the road conditions!
PDO Second Alert What happened? Your learning from this incident..
When operating the Tongs under tension, make sure all crew keep clear
PDO Second Alert Photo explaining what was done wrong
Use only certified lifting equipment in good condition
Safety Alert Screwed Fittings 04/95 Background
PDO Safety Advice Date: 23/08/2015 Injury: Fractured fingers
PDO Second Alert What happened? Your learning from this incident..
Check Level Setup prior Lifting & Lowering Operation
Always use fit for purpose lifting accessories
Always adhere to Red/No Go zones
Maintain communication between peers
Near Miss Incident Pipe Movement
√ X HSE LEARNINGS INCIDENT: Root Causes: LEARNING:
Accident Investigation.
Confidential - Not to be shared outside of PDO/PDO contractors
Beware of raised edges of walk ways.
Presentation transcript:

For more information contact: Failed Double Studded Adapter (Choke Manifold Test – 4th test @ 10,000 psi; equipment failed) Rig Commissioning – Yard (Jan 28, 2010) New double studded adapter (DSA) delivered from pressure testers – ‘ready to go’ Made up the equipment and readied for testing ~ failed at +/- 10,000 psi (5 minutes into a 10 minute test) Root Cause – Failure Studs not made-up to the DSA properly – had < ½” make-up No equipment verification ~ both ‘long bolting / short bolting’ evident Action – Everyone Trust-n-verify ~ ensure equipment is inspected & ready to go Question stud length anomalies (upon make-up) Establish & maintain buffer zones Ensure CoW 4 1/16” 10K x 2 1/16” 10K DSA Incident Location: Contractor’s Yard: Rig commissioning activities ~ lower pressures worked well…almost up to and including 10,000 psi. Equipment was being hydro-tested and there was a buffer zone with very few people present during test activities. Short bolting and long bolting were evident; but not questioned. DSA was inspected; but evidently new or near new…didn’t dawn on anyone to question the equipment’s integrity Important – Conducted 3 previous test with the equipment & it passed (including 10,000 psi). Failed 5 minutes into a 10 minute test at 10,000 psi! Immediate Actions: Contractor stopped operations Had hydrotester rig-down and take equipment back to the shop Contractor conducted an internal investigation BP: Cascade awareness & learning for all to be on alert for a possible repetitive event in the future Lessons To Retain: Repeated pressure tests were needed to expose a potential weakness ~ resulted in a catastrophic failure! Thread make-up needs to be questioned…especially when the make-up lengths vary Barely threaded into DSA For more information contact: Don McKelvey 1-307-413-4585