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OGP / IAGC HSE forum 15 th , 16 th April 2010 Workboat HIPO

OGP / IAGC HSE forum 15 th , 16 th April 2010 Workboat HIPO. The workboat had been launched to carry out testing and then later to collect stores from another vessel; during the initial test - 2 significant events occurred which lead to the later HiPo : the gear box suffered a failure

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OGP / IAGC HSE forum 15 th , 16 th April 2010 Workboat HIPO

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  1. OGP / IAGC HSE forum 15th, 16th April 2010 Workboat HIPO

  2. The workboat had been launched to carry out testing and then later to collect stores from another vessel; during the initial test - 2 significant events occurred which lead to the later HiPo: the gear box suffered a failure painter line snapped. This then created a hazardous situation of the work boat steering with minimal propulsion in between the wide tow and out beyond the gun array which it did very competently. This should have been the time to stop and review - Incident description

  3. . Incident description However when recovering the work boat and readied for lift onboard another condition was created. The new situation was partially due to replacement painter being too long and the lift severely compromised as at this point the work boat became unstable with a high potential of capsize. It would be fair to say that for those involved time seemed to accelerate and circumstances overtook events which created a number of unsafe conditions quicker than they were reacted upon. There was no reason at any stage for matters to be rushed and during this recovery to davits when it was noticed the new painter was too long and the work boat was not below the hook – the operation should have stopped.

  4. 1 – Leadership & Commitment No 2nd engine fitted in work boat Test not done at a more suitable timing or location Conflict of organizational documents (BD) between the client and contractor 2 – Policies & Objectives Painter line standards not set / test done while in production mode 3 – Org’ resources & Documentation Engineering team need competency in small boat mechanicals Small boat competency for new coxswains No procedures for testing protocols and criteria Clarification of bridging documents (BD) between the client and contractor 4 – Evaluation and Risk Management Small boat competency for new coxswains to be improved / No formalized risk evaluation and analysis carried out for this combined activity Radios not checked after / rope not inspected “Root” Causes

  5. 5 – Planning No plan communicated to all participants when 2nd stage commenced / No testing of work boat in controlled conditions i.e. close to shore with no guns out No headsets for radios 6 – Implementation and Monitoring No safety stand-down work boat not repositioned / rope not shortened no further training to improve coxswain and crew competency 7 – Audit & Review Radios not checked after Rope not inspected Procedures not reviewed “Root” Causes

  6. Safety stand down to be used when situation changes and risk is high Hazid and risk analysis to be part of planning stage so effective and topical toolbox meetings reflecting all risks Include painerline in TM Master maintenance regime Alignment marks under all davits Carry out tests separately to operations so activity and all risks are clear Davit and small boat command training Repeated hazid and risk awareness retraining Testing of small boats to be kept separate from Operational launches Small boat competency assessment Lessons learned

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