Guidelines on completing the Well Engineering 24 hr Incident Notification Form

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Guidelines on completing the Well Engineering
24 hr Incident Notification Form
Just view the slide show...
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After an incident has occurred an Incident
Notification should be raised.
This notification should be raised within 24
hours of the incident.
This slideshow takes you through the 24 hr
Incident Notification Form
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The Well Engineering 24 hr Incident Notification
Form should be used for reporting ALL types of
incidents

• health

• safety

• environmental

• security

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Rig-66 / Super Producer-3
Top SW Engineer (TWX/6X)
M Slinger (Cowboy Drilling Co.)
When completing the form it is important to
identify

• Who it is from

• Who it is being sent to

• The Contract Holder / Senior Well Engineer
• Contract Manager
• Duty Senior Well Engineer (if weekend)

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It is important to fill in all the details on the
form
TWM/91
S Shoulders
670000
29/02/01
29/02/01
1430
Super Producer Asset, Super Producer-3 Rig Site,
DSV office
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Next you need to complete details of the incident
(what happened)

• For completing the information on
• Incident Type
• Incident Severity
• Potential Risk Rating
• You should use the Incident Notification,
  Investigation, Reporting and Follow-up Guidelines
  (HSE/97/01).

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Lets run through an example
A helper was fixing a safety plaque on the wall
of the DSVs office. He had drilled the hole in
the wall, put in the raw plug and was fixing the
screw. He didnt have the right sized screwdriver
with him, so he was using a knife he had found
nearby. In the process of fixing the screw the
knife slipped and sliced through his forefinger
on his left hand, which he was using to steady
the screw. He was taken to the medic who cleaned
and dressed the wound with butterfly stitches and
advised him that he could return to work but
should take it easy for a few days. The helper
was then sent to the PDO clinic to check that the
correct diagnosis had been given.
You now have to complete the incident
notification form...
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Incident Type
Injury
Appendix 4.5 of the Guideline identifies
definitions for the broad types of incident.
These include
Falls Trips Falling Objects Lifting / Crane
operations Loss of containment Pollution /
Environment Road Transport Theft and
Sabotage Unsafe Acts / conditions
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• For the
• Incident Actual Severity and
• Potential Risk Rating

you need to use the HSE Risk Matrix...
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To work out the actual severity you need to
identify the

• Severity Rating

and then the

• Consequence

In this example the helper was injured but can
return to work to do light duties i.e. A
Restricted Work Case

• the severity is 2

• and the consequence is a People Injury or P

therefore the Actual Severity Rating is 2P
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To work out the Potential Severity you need to
identify the

• Probability of it
• happening again

• the severity

• the consequence

In this example
Probability - this type of accident is likely
to happen gt5 times per year in PDO - D.
Severity - the potential severity is an LTI -
3.
Consequence - the potential consequence is
People Injury - P.
therefore the Potential Severity is D3P
The incident is classified as a MEDIUM POTENTIAL
INCIDENT
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When completing the actual and potential severity
rating it is important to note

• A Near Miss is something that has not resulted
  in an accident
• however it has the potential to be an accident.
  
• the Actual Severity is 0,
• however the Potential Severity must be gt0

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Well Engineering
It is important to complete the details of the
incident accurately and concisely.
C2K 714Y
Cowboy Drilling Co.
The Injured party was tightening a screw into the
wall to fix our safety award plaque to the wall.
The
knife he was using slipped and cut through his
finger. Provided treatment by the medic and
transferred to PDO clinic for further
treatment/evaluation
One
N/A
Mr. Accident Prone, 34 years, Helper, Cowboy
Drilling Co.
Severely cut forefinger of left hand. Medic
applied butterfly
stitches and sent IP to PDO clinic for further
treatment / evaluation.
S Shoulders

• Details required include
• Brief description of the incident
• No. of persons injured
• Brief description of damage
• Details of injured party
• Name, age, job, company etc.

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• It is also important to correctly identify the
• immediate cause
• underlying cause
• corrective action

Misuse of equipment / tools
Improper motivation
Individual counselled on need to identify hazards
before starting a job. To discuss at next Safety
meeting - requirement for hazard identification.
For guidance on identifying the correct immediate
and underlying causes have a look at
the Incident Notification, Investigation,Reporti
ng and Follow-up Guidelines Appendix 4.6 4.7
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Distribution Lists
Once the incident form is complete it is
important to distribute the form to the relevant
people based upon the potential severity of the
incident.

• In addition it is important to make sure that the
  correct people are copied for
• Injurious incidents
• Road Transport
• Environmental
• Radiation
• Security and Theft

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Now you know how to complete the Well Engineering
24 hr Incident Notification Form.
It is important to report ALL incidents if we are
to learn from them and to help prevent similar
incidents occurring in the future.