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2002 26 LTI’s in 6 months What are WE going to learn? What should WE do differently?. 26 LTI’s: 1/Jan-29/Jun 2002. 1 Broken Finger 01 Jan 2 Broken Finger 03 Jan 3 Broken Arm 24 Jan 4 RTA Ruptured spleen 06 Feb
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2002 26 LTI’s in 6 months What are WE going to learn? What should WE do differently?
26 LTI’s: 1/Jan-29/Jun 2002 1 Broken Finger 01 Jan 2 Broken Finger 03 Jan 3 Broken Arm 24 Jan 4 RTA Ruptured spleen 06 Feb 5 Broken Leg 23 Feb 6 Back Injury 09 Mar 7&8 RTA Neck Injury & broken arm 13 Mar 9 Broken Finger 25 Mar 10 RTA Fatality 03 Apr 11 Finger Amputation 05 Apr 12 Elbow Dislocation 07 Apr 13 Crushed Finger 20 Apr 14 Broken Finger 28 Apr 15 Broken Hip 29 Apr 16 Broken Arm 02 May 17 Finger Amputation 19 May 18 RTA Fatality 24 May 19 Broken Arm 28 May 20 Broken Nose 25 May 21 Eye Injury 29 May 22 Broken Finger 01 Jun 23 Broken Finger 19 Jun 24 Broken Finger 21 Jun 25 Broken Arm 22 Jun 26 Crushed Finger 29 Jun
Common Findings • Hazards not identified • Lack of effective supervision • Using the wrong tools • Not following rules/procedures • Poor communication (Language barrier ?) • Behaviour & attitude • Lack of concentration • Time pressure (hurry to finish the job)
LTI 1: Broken Finger1-Jan • What happened?: • Finger trapped between bucket and rock breaker when • offloading the bucket from the trailer. • Result: • Broken finger • 3 weeks lost work • Learning: • Wrong hand placement • Poor position • Poor communication • Could this be avoided?
LTI 2: Broken Finger3-Jan • What happened • Pipe spinner (heavy tool hanging from a cable) swung back and trapped the floorman’s finger. • Result: • Broken finger • 3 weeks lost work • Learning: • Improper position • Wrong hand placement • Absentminded/Unfocused • Could this be avoided?
LTI:3 Broken Arm 24-Jan • What happened?: • A rigger placed his arm into the recess of the crane • outrigger as it was being retracted. His arm was crushed. • Result: • Broken arm • 6 weeks lost work • Learning: • Wrong position (rigger) • Wrong position (operator) • Poor communication • Poor supervision • Could this be avoided?
LTI:4 Ruptured spleen 6-Feb • What happened?: • A food delivery truck travelling to Marmul. The driver fell • asleep. The truck left the road, rolled and crashed. The • driver was stuck for 2 hrs in the badly crushed cabin. • Result: • Ruptured spleen(can be fatal) • 2 months lost work • Lost truck & load • Learning: • Journey Plan not followed • Driver not authorised • Poor Safety attitude • Could this be avoided?
LTI 5: Broken Leg 23-Feb • What happened?: • Rigger climbed on the cabin to release the lifting slings. • He did not use a ladder. When coming down his foot • slipped and he fell. • Result: • Broken leg • 6 weeks lost work • Learning: • Hazard not identified • Not using the right tools • Poor supervision • Could this be avoided?
LTI 6: Back injury9-Mar • What happened?: • Helper came out of the truck looking forward instead of • backward. He lost his his footing on the first step of the • ladder and fell down hitting his back. • Result: • Back injury • 2 weeks lost work • Learning: • Rule not followed • Wrong way of disembarking a truck • Could this be avoided?
LTI 7&8: Neck injury &13-Marbroken arm • What happened?: • Canter truck delivering most-urgent chemicals: night • driving, very bad road due to rain, long driving hours. The • truck rolled over after hitting a bad spot on the road. • Result: • Driver: neck injury • Helper: broken arm • 2&6 weeks lost work • Learning: • Poor planning/JM • 2 drivers on difficult trips • Contact TLM for urgent deliveries • Could this be avoided?
LTI 9: Broken finger25-Mar • What happened?: • Thread protector stuck on a drill-pipe joint. Rigger takes • hammer to free it. After two blows his colleague placed • his hand on the protector to remove it just as the the third • hammer blow was given. • Result: • Broken finger • 2 weeks lost work • Learning: • Wrong tools. • Poor communication. • Hazard not identified • Could this be avoided?
LTI 10: RTA Fatality3-Apr • What happened?: • Truck delivering line pipe to Fahud. Driver probably fell • asleep. Went straight of off the road, rolled-over and • jack-knifed. Cabin completely crushed. • Result: • Driver dead • Family lost their father • Lost truck • Learning: • JM plan NOT followed • STOP when tired • Could this be avoided?
LTI 11: Lost Finger 5-Apr • What happened?: • A helper was disconnecting a trailer from an oil-field truck • winch cable. He signaled the driver to slacken-off the • winch. Winch operator misunderstood and pulled-in • instead. • Result: • 2 lost fingers • 4 weeks lost work • Learning: • Wrong hand placement • Poor communication • Could this be avoided?
LTI 12: Elbow Dislocation 7-Apr • What happened?: • Crane operator drove too close to the edge of an • excavation. Crane crashed down into the 3 m deep pit. • Operator did have his seatbelt on. • Result: • Dislocated elbow • 4-6 weeks lost work • Major crane damage • Learning: • Hazards not identified • In a hurry • Could this be avoided?
LTI 13: Crushed Finger20-Apr • What happened?: • A staff member was adjusting her shoe strap whilst walking. • She lost her balance and caught herself by placing her • hand against the doorframe. Her finger got trapped by the • spring loaded closing door. • Result: • Crushed finger • 2 weeks lost work • Learning: • Do not try 2 activitiesat the same time • Could this be avoided?
LTI 14: Broken Finger28-Apr • What happened?: • A floorman was instructed to use the rig tong to break a pipe • connection. Instead, a colleague brought a big hammer and • started to hit at the assembly. The hammer slipped and fell • down onto the floorman’s hand. • Result: • Broken finger • 3 weeks lost work • Learning: • Not following instructions. • Using wrong tools. • Wrong position. • Rush to finish the task. • Could this be avoided?
LTI 15: Broken Hip29-Apr • What happened?: • A technician placed a ladder against a storage rack and • climbed up to look for a flange. When coming down the • ladder slipped and collapsed. He jumped off but knocked • over a heavy crossover flange which in turn landed on his • hip. • Result: • Broken hip • 3 weeks lost work • Learning: • Hazard not identified • Procedures not followed • Never go up un-secured • ladders • Could this be avoided?
LTI 16: Broken Arm 2-May • What happened?: • A technician was drilling a steel bar using a pedestal • workshop drill. The bar was clamped but slipped out of the • jig. He tried to grab the steel bar with his hands. His glove • caught in the drill and hands and arm were pulled into it. • Result: • Broken arm/open fracture • 2 months lost work • Learning: • Inadequate supervision • No list of authorised equipment users • Could this be avoided?
LTI 17: Finger Amputation 19-May • What happened?: • Riggers were assembling a downhole tool. One of them attempted to support the upper section of the tool while both parties tried to mate the pieces together. The two sections came together with sudden force, catching the index finger between the two parts and amputated the tip of the finger completely. • Result: • Finger amputation • Several weeks lost work • Learning: • Hazards not identified • Wrong hand position • Could this be avoided?
LTI 18: RTA Fatality 24-May • What happened?: • While transporting a 25 ton mobile crane from Yibal to Ghala on a flat bed trailer, the driver braked hard to avoid a pot-hole in the road. The restraining system (chains/shackles) failedThe crane moved forward into the back of the driver's cabin partially crushing it . The truck driver died on the spot. • Result: • Fatal Injuries(DEATH) • Learning: • Wrong trailer type used. • Wrong securing of the load • Hazards Not identified • Could this be avoided?
LTI 19: Broken Arm 28-May • What happened?: • water-well diesel tank was being refilled from a road-tanker. The helper was sitting on top of the tank (1.4 m high) holding the transfer hose. He lost his balance, fell down and broke his arm. • Result: • Broken arm • Several weeks lost work • Learning: • Inadequate supervision • Wrong position. • Hazards not identified • Could this be avoided?
LTI 20: Broken Nose 25-May • What happened?: • An engineer was disassembling a downhole logging tool with a large spanner. He was pulling the tool towards himself when it slipped. The top of the spanner hit his face resulting in a broken nose (displaced fracture). • Result: • Broken nose • Several weeks lost work • Learning: • Hazards Not identified • Rush to finish the task. • Wrong position. • Could this be avoided?
LTI 21: Eye Injury 29-May • What happened?: • A driver decided to clean the cab of his truck. He took a compressed air-hose and started blowing away the dirt. The air hose kicked up and the steel tip hit his unprotected eye. • Result: • Eye injury • Learning: • Bad behaviour • Hazard not identified • Using wrong tool • Could this be avoided?
LTI 22: Broken Finger1-Jun • What happened?: • Two riggers were disconnected a 2” chicksan assembly. When it was disconnected, the chicksan was pushed vertically to be dropped in the opposite direction. Instead it swung sideways and fell on the finger of one of the riggers. • Result: • deep cut and broken finger. • several weeks lost work • Learning: • Improper position • Wrong hand placement • Absentminded/Unfocused • Could this be avoided?
LTI 23: Broken Finger 19-Jun • What happened?: • The floorman was setting drill pipe slips. One of the slip segments caught in the lifting point of the master bushing. The slips tilted forward trapped his finger between the slip handle and the elevator which was still moving downwards. • Result: • Broken finger • Three weeks lost work • Learning: • Improper position • Wrong hand placement • Absentminded/Unfocused • Could this be avoided?
LTI 24: Broken Finger 21-Jun • What happened?: • A heavy duty driver was attempting to release a trailer securing chains by hitting the boomer (load binder) with a cheater bar. He missed the boomer and struck his hand. • Result: • Open wound & • fracture finger • Several weeks lost work • Learning: • Inadequate supervision • Wrong hand placement • Could this be avoided?
LTI 25: Broken Arm 22-Jun • What happened?: • While tightening the centrilizer on bottom of ESP using a wrench, mechanic with Wood Group ESP, placed both feet on the wrench handle and used a second operator as support. He lost control and fell to the ground. • Result: • Fracture of the forearm. • Several weeks lost work • Learning: • Bad behaviour • Wrong use of tools • Hazards not identified • Could this be avoided?
LTI 26: Crushed Finger 29-Jun • What happened?: • While pulling the 6" flow line pipe with a side boom, a technician had to guide the pipe manually due to lack of access on the pipe rack. His right hand's little finger was crushed in between the pipe and guide angle. • Result: • Crushed finger • 3 weeks lost work • Learning: • Improper position • Wrong hand placement • Absentminded/Unfocused • Could this be avoided?
Some questions for discussion in your teams: • Could any of these accidents have happened in your team? • What have you learned from these 26 LTI’s ? • Are you going to do things differently ? • Do you HAVE a Toolbox talks/meeting before you start a new job/task? Why? • A free tip: Find Hazards BEFORE They find YOU!!