OGP / IAGC HSE forum 15 th , 16 th April 2010 LTI during gun recovery

1. OGP / IAGC HSE forum 15th, 16th April 2010 LTI during gun recovery

2. Gun retrieval One gun string was recovered and the operation then continued onto the next string number, whereupon the collar caught and normal force by gun reels could not dislodge it. The injured person (IP) then decided to use some additional means to assist or extra force from the tugger winch, hoping it would help to free it. This new activity was started without consultation with others, namely the Chief Mechanic and 2nd Gunner and also done without consideration of the different hazards and increased risk which is not a part of the normal procedure and JSA. The deck side tugger winches are typically used for pulling umbilical’s across from side to side or lifting vertically, – rather than applying a great force on something which is stuck fast! . Incident description

3. . Incident description • The IP connected a spectron rope with a hook at one end over the gun rail and onto the collar to provide a 2nd source of pull. • He stood with his left hand on the controls and back to umbilical which necessitated him to look over his shoulder. • He decided to put his foot onto the winch rope to try and centralise the rope and guide it onto the winch drum. • The incident occurred when he was observing the stuck collar and took his eye off the winch: • The under spool rope caught his trouser and wrapped his leg against the drum / winch body causing a fracture to both bones (tibia and fibula) in his lower leg.

4. 1 – Leadership & Commitment Lack of training prior to Op’s for SSE Poor HSE culture / awareness 2 – Policies & Objectives All Contractors not totally integrated into HSE MS 3 – Organisation resources & documentation High Contractor count not evaluated Lack of procedural guidance Technical maintenance system required for back deck equipment Poor contractor management 4 – Evaluation and Risk Management Job not stopped when situation changed No task risk assessment 5 – Planning No MOC Winch located in congested area No winch training / Standards 6 – Implementation and Monitoring No JSA / poor HazID No safety-stand down No checklists 7 – Audit & Review No audit of equipment “Root” Causes

5. Recommendations/corrective action items Close proximity of winch control to the winches: The casualty was able to be so close to the deck winch so as to have his trouser leg caught in the bite for the rope, and was able to operate the winch at the same time. It is recommended that the winch control be moved a distance away from the winch in order to make such an incident impossible to occur again. Poor Work Practices: The practice of guiding a line of rope onto a winch with a foot is not in any of the vessel procedures and should be specifically prohibited. Height of the winches: The winches are located almost at deck level. Raising the winches to a higher level may reduce the chance of re-occurrence. Investigate the possibility of re-location of winches on both sides/ all vessels. Recommendations