Description of Incident Global Corrective Action

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Presentation transcript:

Description of Incident Global Corrective Action Define Description of Incident Facility Name: Subsea7 Wester Fabrication Site Incident Date: 14 Jan 2015 Years of Service: 11 months Shift: Days Incident Type: Personal Injury Incident Cause: Caught Between (Pinch point) Lost Work Days: 0 On the 14th Jan 2015 an employee received an injury to his left hand thumb caused by the impact of an internal clamp reach rod hoop and his thumb on the bevel of a pipe while inserting the reach rod inside the pipe for pulling. IP was taken to Wick hospital and received three stitches and return to site. Root Cause Analysis Global Corrective Action Overexertion whilst pushing reach-rod into pipe Personnel unaware of potential hazards Failure to remove hand from reach-rod Lack of knowledge of CRC standard practice Failure in training and supervision Subsea7 Site: Stop all operations Extend reach-rod Cut and fit wooden centraliser Provide PPE offering more hand protection. Review and revise Risk Assessment Hold Tool-Box Talk CRC: Review Risk Assessment Relay standard practice of inserting wood to support reach-rod Put out a Focus on Safety Hold Tool-Box Talks If you have an EHS BMP share it here. Include cost savings/avoidance if you can. Use pictures if you have them. 1

Photos Photos If you have an EHS BMP share it here. Type of hand protection in use at the time of the incident Positions of IP at the time of the incident Reach Rod Increased hand protection in use post-incident Wooden ‘centraliser’ fitted to support reach rod. If you have an EHS BMP share it here. Include cost savings/avoidance if you can. Use pictures if you have them. Reach-Rod extended by welding addition of 0.5m length of tube 2

Photos Photos If you have an EHS BMP share it here. Roller Reach Rod handle The reason IP was pushing reach-rod into pipe-end was to avoid the potential for the reach-rod to catch on the roller and cause damage to the handle. Standard practice within CRC is to have a piece of wood cut the length same as inside diameter of pipe, when the reach –rod is inserted, the operator lifts the reach-rod and inserts the piece of wood in the pipe to support the reach-rod in order to avoid contact with the roller. This avoids the need to fully insert the reach-rod into the pipe. If you have an EHS BMP share it here. Include cost savings/avoidance if you can. Use pictures if you have them. 3

5 Why analysis: Why 1: Why did the accident happen Answer: Because whilst inserting the reach-rod handle into the pipe, IP caught his thumb between the reach rod handle and the pipe bevel Why 2: Why was the IP inserting the reach-rod handle into the pipe? Answer: To avoid potential damage to the handle if it caught on the pipe rollers Why 3: Why did IP carry out this activity? Answer: Because the IP failed to realise the potential hazards and was unaware of CRC standard practice. Why 4: Why was IP unaware of CRC standard practice? Answer:. Lack of experience and knowledge Why 5: Why was there a lack of experience and knowledge? Answer:. Management failing to ensure all personnel are trained and supervised in relation to required work activities.