1. 
INCIDENT
A Floorman and a Roustabout were applying torque on the polish rod before it could be
fished out. A 36” pipe wrench was used for the purpose. As the Roustabout was pushing
the pipe wrench to rotate the rod and before the Floorman had full grip of it to maintain
the torque, at the same time the Driller picked up the string which released the reactive
torque and caused the rod and pipe wrench to spin back hitting the Roustabout in the
face and Floorman on his shoulder. The Roustabout sustained open wound below his left
eye and broken nose while the Floorman escape with minor bruising on his shoulder.
ROOT CAUSES:
Using wrong tools for the job.
No coordination and communication between Driller and the crews.
Lateral Learning
Use the correct tools for the job.
Recommended Actions:
Discuss this alert in toolbox talks and HSE meetings and
Distribute to all contractors
Post on HSE notice boards
Include in site HSE induction 
Key Learning: Always use correct tools for the job – wheel sucker rod wrench!!
Broken Nose
Contact MSE511 for further information or visit HSE website LTI No Alert No January, 2011