Half Year Review 26 LTIs

1
2002 26 LTIs in 6 months What are WE going to
learn? What should WE do differently?
2
26 LTIs 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 78 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
3
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)

4
LTI 1 Broken Finger 1-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?

5
LTI 2 Broken Finger 3-Jan

• What happened
• Pipe spinner (heavy tool hanging from a cable)
  swung back and trapped the floormans finger.
• Result
• Broken finger
• 3 weeks lost work
• Learning
• Improper position
• Wrong hand placement
• Absentminded/Unfocused
• Could this be avoided?

6
LTI3 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?

7
LTI4 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?

8
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?

9
LTI 6 Back injury 9-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?

10
LTI 78 Neck injury 13-Mar
broken 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
• 26 weeks lost work
• Learning
• Poor planning/JM
• 2 drivers on difficult trips
• Contact TLM for urgent deliveries
• Could this be avoided?

11
LTI 9 Broken finger 25-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?

12
LTI 10 RTA Fatality 3-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?

13
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?

14
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?

15
LTI 13 Crushed Finger 20-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?

16
LTI 14 Broken Finger 28-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 floormans 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?

17
LTI 15 Broken Hip 29-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?

18
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?

19
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?

20
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?

21
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?

22
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?

23
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?

24
LTI 22 Broken Finger 1-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?

25
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?

26
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?

27
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?

28
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?

29

• Some questions for discussion in your teams
• Could any of these accidents have happened in
  your team?
• What have you learned from these 26 LTIs ?
• 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!!

30
(No Transcript)