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Learn from past crane and lifting incidents to prevent future occurrences. Review key incidents, discuss learning points with crews, and ensure adherence to safety protocols.
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CAKE Q2Liftingcase BEDRE GJENNOM KUNNSKAPSDELINGSHARING TO BE BETTER
KNOWLEDGE SHARING TO BE BETTER • Norsk Olje og Gass regularly sends out information about well control incidents to ensure experience transfer and knowledge from incidents which have allready happended. • We have had several serious incidents related to crane and lifting operations, and to ensure learning from earlier incidents and preventing them form occurring again we will go through earlier incidents related to crane and lifting operatiosn. • The purpose of this session is to go through earlier incidents with the crews and discuss questions which may come up. What can we learn from these incidents? How can we prevent that similars incidents on our rigs?
High Potential incident: Magnus Deck Ops Lifting HiPo 02.09.2013 Involved personell in the incident: • Crane operator • Load handler • Banksman
High Potential incident: Magnus Deck Ops Lifting HiPo 02.09.2013 • When:Monday 2nd of September 2013 • What:A 20ft half-height container was being landed on the catwalk using the platform crane during deck lifting operations at approximately 21.30 hours. As the container was being landed there was a change to the planned landing position. The 20ft half-height was slewed to the right of the original planned location where it contacted a wooden crate on the catwalk which moved and in turn contacted an adjacent 8ft x 6ft open top container. As a result the 8ft x 6ft open top container moved and made contact with the Load Handler. The event resulted in a the Load Handler suffering a Day Away From Work Injury. • Potential to have become trapped and suffered very serious or life threatening injury. • Result: The 8ft x 6ft open top container contacted the Load Handler on the chest, causing him to hit his back against bumper bars. He suffered bruising which resulted in a days away from work case (DAFWC)
Key points: Magnus Deck Ops Lifting HiPo 02.09.2013 ‘Routine’ Activity – Activity done regularly, does it get consistently managed to the rigour of an infrequent task? • BP North Sea lifting rules exist to control deck lifting operations. • Success relies on the deck crew understanding their roles, and • checking other team members are following the rules Change Immediately a lift deviates from the plan or any complication arises, the lifting operation must be stopped and made safe. All personnel should remain in positions clear of the lift until reassessment / re-planning of the lift is carried out. Risk Assessment • Reassess between lifts, and when a lift deviates from intended plan. Stop the job triggers should be agreed by the team
Key points: Magnus Deck Ops Lifting HiPo 02.09.2013 Load was slewed before Load Handler was in a safe place. BP North Sea lifting Rules not followed: • Job not stopped when change was recognised • Banksman did not keep the Load Handler in sight during the lifting operation • Banksman did not wait for the Load Handler to confirm that he was clear • The Load Handler must...stand clear while the load is lifted…Confirm to the Banksman that he / she is clear • This incident would not have happened if the rules had been followed. • Know the rules, follow the rules, make the rules a habit…… Inadequate communications • Didn’t confirm where everyone was located and where they were supposed to be. • Worked off assumptions
Learning points: • How could this happen on your site? • How effective is your team at checking each other and that they are following the rules? • How are you going to ensure this doesn’t happen at your site? • How well do you know the Maersk Drilling lifting rules?