Thematic Drilling Operations Incident

Review Committee (DOIRC)

Dropped Objects

10th May 2017

Chairman: Hamoud Tobi

Facilitator: Mahmoud Shukri, UWZ

 Agenda
ITEMS TIME DURATION BY
HSE Briefing & Safety Moment 08:00 – 08:10 10 Minutes UWZ

Message + New Members & Farewell 08:10 – 08:20 10 Minutes DOIRC chairman
08:20 – 09:05
Learning from Incidents 45 Minutes Incident owners
09:05 – 09:15
HSE Statistics 5 Minutes UWZ
09:15 – 09:25
Solooki 1 updates 10 Minutes UWZ2
09:25 – 09:35
WPS Updates 10 Minutes UWZ1

Hands & Fingers

Weatherford: H & F Prevention Program 09:35 – 09:50 15 Minutes Hamed

Baker: Hands Safety Program 09:50 - 10:00 10 Minutes Ahtisham

15 minutes break for LSF Members

LSF Meeting 10:15 LSF MEMBERS

Safety Moment

Winners Do Things Differently 3

HSE Briefing & Admin

4
Milestones achieved since Last DOIRC
(LTI Free Years)
“Well Testing Department” completed 5 Years LTI Free

Winners Do Things Differently 67

 “Weatherford, Liner Hanger ” completed 16 Years LTI Free “SHIV-VANI, WPH-20 ” completed 12 Years LTI Free

7 8

“C&WI Wireline & WHM workshop” completed 8 Years LTI Free “NPS, FBU-101” completed 6 Years LTI Free

Winners Do Things Differently 7

6 7
“SHIV-VANI, QAL Base ” completed 7 Years LTI Free “WPH-55 BAOMAR ” completed 2 Years LTI Free

9 7

“Interwell contract” completed 1 Year LTI free “Abraj, Hoist-58 ” completed 1 Year LTI Free

Winners Do Things Differently 8

10 8
 Learning from Incidents

# Short Description Presenter Incident Link

type /
Severity
PDO WPH102: While POOH 3.½” EUE tubing, square shoulder coupling got stuck in power MTC
1 tong resulting in the top plate of the tong to come off. The Floorman who was standing near Anil Jyoti HIPO Presentation
the V-door panicked and jumped down the V-door. He sustained a cut behind his left ear Stored Energy/ Fall

Equipment
2 BaOmar WPH54: Water tanker lost its balance over one landing leg and tipped over. Kuzma
HIPO
Presentation

Halliburton: While a Driver was opening the side panels of his truck, he became dizzy and
fell to the ground, where he was found disoriented. He was checked by the medical team and
LTI
3 found to have high blood sugar levels (driver had a history of diabetes). During his fall he was Sean Hill FTW
Presentation
hit by the side panel of his truck resulting in a fracture to his left leg.

LTI
Shaleem WPH27: Driver suffered finger injury while controlling the power steering after
4 the circulation tank came off the flatbed trailer .
Peter Hamel H& F/ Load Presentation
Securing
Sea & Land Rig 8: While RIH 3 ½” cement stinger at depth of 774 m 8½” hole (9-5/8” casing
shoe at 753 m), a well control incident occurred involving high flow of water and gas through Tier 1
5 the drill string. The rig crew attempted to stop the flow by stabbing a Kelly cock but not
Ihsan WCI Level2
Presentation
possible due high flow. The well was secured after shearing the Drill pipe.

9
Statistics

Winners Do Things Differently 10

 UWD YTD Statistics UWD 12M Rolling LTIF ,TRCF, HiPoF & Manhours
UWD LTIs 9 4.50 45,000,000
12m Rolling LTIF 12m Rolling TRCF
UWD TRCs 26 4.00 40,000,000

3.10

3.01
UWD LTIF 0.62 3.50 35,000,000

2.60

2.21
UWD TRCF 1.81 3.00 30,000,000

2.34
HIPO Frequency 1.74
2.50 25,000,000

1.81

1.66
DROP Frequency 1.87
2.00 20,000,000

1.33
BARRIER EVENT FREQ (BEF) 0.94
1.50 0.94 15,000,000

0.85
MVI RO 0
1.00 10,000,000
NM 64

0.98

Dec-15 0.86
DROP 27 0.50 5,000,000

Dec-16 0.68

May-17 0.68
Dec-13 0.63

- -
MVIF 0.03
Apr-14

Mar-15
Mar-14

Apr-15

Mar-16
Apr-16

Mar-17
Apr-17
Feb-16

Jan-17
Jan-14
Feb-14

Jun-14
Aug-14
Sep-14

Jan-15
Feb-15

Jun-15
Aug-15
Sep-15

Jan-16

Jun-16
Aug-16
Sep-16

Feb-17
Jul-14

Oct-14
Nov-14

Jul-15

Oct-15
Nov-15

Jul-16

Oct-16
Nov-16
May-14

Dec-14

May-15

May-16
HIPO 25
BARRIER EVENT 11

Increase in High Potential incidents (HiPos)

Increase in Lost Time Injuries (LTIs), 4 LTIs in April
 Increase in Hands & Finger injuries, 3 out of 4 LTI in April are H & F, YTD 46% of TRCs.

Winners Do Things Differently 11

 Dropped Objects Statistics
100
UWD YTD DROPs Statistics 2010 - 2017 2.50

2.20
Total DROP DROP HIPO 12M Rolling DROP Freq.

2.04
90
90

1.81
80 83 2.00

70
1.42

60 1.50

1.24
50
1.02

48

0.82
40 44 1.00

0.72
40
30 34
31 30
26 26 27
20 25 0.50
19
10 15
13
9
- -
2010 2011 2012 2013 2014 2015 2016 2017

Adherence to Red/No go Zones is the key in preventing injuries

12
 DROP OBJECTS 2016 & 2017

2016

Mast & Sub structure 2017

2016:2 (1 HIPO)
2017:1

Rig floor
Catwalk , VDoor & Pipe rack 2016: 41 (24 HIPOs)
2016: 4 (1 HIPO) 2017: 15 (8 HIPOs)
2017: 0
2

BOP Sub & Cellar

41 15 2016:4 (2 HIPOs)
2017:1

3
4 1
1 Others: W/Shop, CWI etc.
2016:14 ( 5 HIPOs)
2017: 3

Rig Moves & Load/offloading Crane and Forklift

2016:13 (4 HIPOs) 2016:12 ( 6 HIPOs)
2017: 6 2017: 1 (HIPO)
 HSE Statistics
MEAP HSE Performance & Hand Injuries
Recordable Hand/Finger Total SSE Total
Oman HSE Stats 2016 & Beyond Hand Injuries Injuries
First Aid DAWFC
Recordable Recordable
364 2017- Perfect
0.5 2016 5 9 33 9 19 0
HSE Year
0.4 2015 10 19 Till date
37 6 24 2
0.3 363 363 364
2014 16 41 78 8 34 12
0.2 2016
Perfect HSE Year 2013 12 HSE 50
Initiatives
71 10 38 4
0.1 91
0 % reduction YOY (-53)% (-67)% (-53)% (-20)% (-50)% (-83)%
2012 2013 2014 2015 2016 Q1-17
Injuries prevented
since 2013
11 53 75 6 24 12
(TRIR) (DAFWCR) (MVAR)

HSE Goals and Focus for 2017

Achieve Perfect 365 HSE Days

Going Well
• 457 Perfect HSE days till Q-1- 17) Laser Focus Pathways - 2017 Objectives
• OPAL Safety Award 2016 Risk tolerance / Safety culture
• ALS (PCP) 11 years LTI Free with PDO.
• Rig safety survey using BHI safety culture calculator • Increased “Stop Work” and
• PP 11 Years LTI Free to assess potential risks for BHI and provide Improve BHI/Client
• WLS 8 Years LTI Free feedback collaboration
• DS 7 Years LTI Free with PDO.
• Recognition and appreciations from multiple clients • HSE Leadership training and develop competency • HSE Champions
• Perfect HSE Year in 2016 Contractors management
• HSE Leadership Academy
• 1st Contractors safety workshop • Contractor to present or attend IRB, Contractor focal • Improved HSE info
point within PL (training, competencies, reporting dissemination and better
line designation etc) control over contractors
Challenges
• Interface management with other service companies at the rig site Transportation • BTW training
• Contractors Management
 PDO Second Alert PIM ID: 1097008
Date: 16-02-2017 Asset Damage

What happened?
The night heavy duty driver received instruction from Night tool
pusher (Hoist 54) to drop the blue water tanker (contained 75% of
water) at Camp 54 and bring back prime mover to continue in hoist Photo explaining what was done
operations. After reaching the camp at 20:40 Hrs, driver involved in
dis-engaging the tanker from prime mover beside water tank area. wrong
While doing so, the Jack lever was operated to release the tanker
landing legs. When prime mover was released and moved forward for
about 1 meter distance, the water tanker lost its balance over one
landing leg and was tipped over to the opposite side of the water
tank.
Your learning from this incident..
1. Driver’s responsibility to observe both the landing legs of tanker
were extended properly fully to the ground while operating the
jack lever
2. Adequate lighting arrangement to be provided around the water
tank area and other HSE critical areas for better illumination at
night
3. Preventive maintenance system to identify the failure

Before dis-engaging the water tanker make sure

that both landing legs were extended completely

15
 ‫‪PDO Second Alert‬‬ ‫‪PIM ID: 1097008‬‬

‫ماذا حدث؟‬
‫طلب من السائق توصيل صهريج الماء إلى موقع مساكن جهاز صيانة اآلبار‪54‬‬
‫ثم إعادة المحرك الرئيسي (برايموفر) ‪ .‬استخدم السائق الرافعة لفصل ركائز‬
‫الصهريج ثم فصله عن المحرك الرئيسي ‪.‬‬
‫عند فصل المحرك الرئيسي وإزاحته لمسافة متر واحد لألمام‪ .‬فقد الصهريج توازنه‬ ‫‪Photo explaining what was done‬‬
‫وانقلب‪.‬‬ ‫‪wrong‬‬
‫الدروس المستفادة من هذا الحادث ‪..‬‬
‫• يجب على السائق التأكد بأن الركائز قد تم امتدادها كامال على األرض أثناء‬
‫استخدام الرافعة‪.‬‬
‫• توفير إضاءة كافية حول منطقة خزان المياه وغيرها من المناطق الحرجة‬
‫للصحة والسالمة والبيئة من أجل إضاءة أفضل في الليل‪.‬‬
‫• نظام الصيانة الوقائية لتحديد مواقع العطل‪.‬‬

‫قبل فصل ناقلة المياه تأكد من أن الركائز قد تم تمديدها كامال على‬

‫األرض‪.‬‬

‫‪16‬‬
 Management self audit

As a learning from this incident and ensure continual improvement all contract
managers must review their HSE HEMP against the questions asked below

Confirm the following:

1. Do you have PMS in place related to all parts of equipments (landing legs)?
2. Do you have a Daily Checklist which includes checking of landing legs and jacks:
- Are they operating correctly?
- Is there any Loose parts or hanging?
- Does the jack handle have a clip for storage?
3. Do you have transport procedure which also covering engaging/ disengaging trailers/ tankers from Prime
mover ?
4. Do you have enough lighting on all critical places in Camp and Hoist?

Back to LFI List

17
 PDO Second Alert PIM ID: 1096970
Date: 14-Feb-2017 Incident type : MTC
What happened?
While POOH 3.½” EUE tubing, it was discovered that joints
with different coupling types were mixed in the well. Driller
continued POOH at the same speed. Another joint with a
square shoulder coupling got stuck in power tong resulting in
the top plate of the tong to come off. The Floorman who was
standing near the V-door panicked and jumped down the V-
door. He sustained a cut behind his left ear.
Wrong Practice – Waiting in Red Zone
Learnings from this incident..
• Stop operations and re-assess if new risk is introduced.
• Enforce Red Zone policy.
• Ensure safe exit route is available.
• Empower supervisors to take time for safety.

Enforce adherence to Red Zone policy

Good Practice – Waiting in Green Zone

18
 ‫‪PDO Second Alert‬‬
‫‪PIM ID: 1096970‬‬
‫ماذا حدث؟‬
‫أثناء سحب األنابيب من الحفرة‪ ،‬لوحظ وجود موصالت )‪ (coupling‬األنابيب مختلفة‪.‬‬
‫استمر الحفار في سحب األنابيب ‪ .‬انطبقت الوصلة المربعة )‪ (square coupling‬إلحدى األنابيب‬
‫ونتج عن ذلك انفصال اللوحة العلوية لمفتاح )‪(tong‬األنابيب ‪ .‬ذعر العامل اللذي كان قريبا من‬
‫بوابة برج الرفع (في دور‪ ) v-door‬فسقط وأصيب بجرح خلف األذن األيسر‪.‬‬

‫الدروس المستفادة من هذا الحادث ‪...‬‬

‫• وقف العمل وإعادة التقييم إذا تم إدخال مخاطر جديدة‪.‬‬
‫• اإللتزام التام بتعليمات المنطقة الحمراء‪.‬‬ ‫الممارسة الخاطئة ‪ -‬االنتظار في المنطقة الحمراء‬
‫• تأكد من وجود مسار آمن للخروج‪.‬‬
‫• صالحية المشرفين ألخذ الوقت الكافي من أجل األمن والسالمة‪.‬‬

‫اإللتزام التام بتعليمات المنطقة الحمراء‬

‫الممارسة الصحيحة – اإلنتظار في المنطقة الخضراء‬

‫‪19‬‬
 Management self audit
Date: 14-Feb-2017
As a learning from this incident and ensure continual improvement all contract
managers must review their HSE HEMP against the questions asked below
Confirm the following:

1. Does your supervisors enforce Red Zone policy?

2. Do you encourage your employees to stop operations if unsafe to continue?

Back to LFI List

20
 PDO Second Alert PIM ID: 1097332

Date: 11 March 2017 LTI#7: Fractured leg

What happened?
While a Driver was opening the side panels of his truck, he
became dizzy and fell to the ground, where he was found Photo explaining what
disoriented. He was checked by the medical team and found to
have high blood sugar levels (driver had a history of diabetes). was done wrong
During his fall he was hit by the side panel of his truck resulting
in a fracture to his left leg.

Your learning from this incident..

• Always ensure you are authorised to enter a site before
conducting any work
• Always report to Site Supervisor first before executing any
task
• Ensure you attend all medicals and follow up appointments Photo explaining how it
• Ensure you have a valid Fitness to Work certificate
• Always inform your supervisor if you are feeling unwell should be done right

Your health is your responsibility

21
 ‫‪PDO Second Alert‬‬ ‫‪PIM ID: 1097332‬‬

‫ماذا حدث؟‬
‫أثناء قيام السائق بفتح الحواجز الجانبية للشاحنة ‪ ،‬شعر السائق بدوار وسقط على‬
‫األرض‪ .‬حيث عثر عليه مشوشا‪.‬‬
‫تم فحصه من قبل الفريق الطبي ووجد أن لديهم مستويات عالية من السكر في الدم‬
‫(السائق لديه تاريخ من مرض السكري)‪ .‬خالل سقوطه أصيب من قبل الوحة‬ ‫‪Photo explaining what‬‬
‫الجانبية من الشاحنه مما أدى إلى كسر في ساقه اليسرى‪.‬‬ ‫‪was done wrong‬‬

‫الدروس المستفادة من هذا الحادث ‪..‬‬

‫• تأكد من حصولك على تصريح دخول الموقع قبل القيام بأي عمل‪.‬‬
‫• قم بإبالغ مشرف الموقع قبل تنفيذ أي عمل‪.‬‬
‫• تأكد من حضورك جميع الفحوصات الطبية ومواعيد المتابعة‪.‬‬
‫• تأكد من حصولك على شهادة اللياقة البدنية الالزمة لمزاولة العمل‪.‬‬
‫• قم بغبالغ مشرفك إذا شعرت بتوعك‪.‬‬
‫‪Photo explaining how it‬‬
‫‪should be done right‬‬
‫صحتك هي مسؤوليتك‬

‫‪22‬‬
 Management self audit
Date: 11 March 2017 LTI#7: Fractured leg

As a learning from this incident and ensure continual improvement all contract
managers must review their HSE HEMP against the questions asked below

Confirm the following:

• 1 Do you conduct regular Fitness to Work checks for your personnel as per SP1230?
• 2 Do you have a system to ensure Fitness To Work checks are properly followed up?
• 3 Do you ensure location access is strictly controlled and all visitors report to site supervisor?
• 4 Do you ensure employees with chronic medical conditions are monitored and have a valid FTW?

Back to LFI List

23
 PDO Second Alert
PIM ID: 1097523
Date: 23.03.2017 LTI#08

What happened?

During the move of the circulation tank from Thuleilat-47 to Rahab-133 on

a graded road, the circulation tank came off the flatbed trailer because the
driver had not secured the load. The sudden shifting of the load caused an
impact onto the flatbed. This impact was transferred to the Prime Mover
causing the steering wheel of the Prime Mover to turn suddenly. The
spoke of the steering wheel hit the driver’s left hand. The driver was
diagnosed with a fracture on the left hand ring finger.

Your learning from this incident…

- Ensure loads are secured as per SP 2001 requirements
- Ensure supervision is available on each worksite
- Ensure vehicle and loads are checked prior to vehicles leaving the
worksite

Ensure loads are secured as per SP 2001

Factsheets

24
 ‫‪PDO Second Alert‬‬ ‫‪PIM ID: 1097523‬‬

‫ماذا حدث؟‬
‫أثناء نقل خزان سوائل الحفر ‪circulation tank‬على الطريق الممهد من ثواليلت ‪ 47‬إلى‬
‫رحب ‪ ،133‬انفصل الخزان عن الحامل المسطح وذلك ألن السائق لم يقم بتثبيت‬
‫جيدا‪ .‬أدى التحرك المفاجيء للخزان إلى تأثر الحامل المسطح وأيضا‬‫الخزان ً‬
‫المحرك الرئيسي ما أدى إلى دوران عجلة القيادة فجأة وارتطام أحد أجزاء عجلة‬
‫القيادة بيد السائق‪ .‬أصيب السائق بكسر في اصبع يده اليسرى‪.‬‬

‫الدروس المستفادة من هذا الحادث ‪..‬‬

‫• تأكد من ثبات الحمولة وفقا لمتطلبات ‪SP 2001‬‬
‫• تأكد من وجود اإلشراف الجيد في جميع مواقف العمل‪.‬‬
‫• تأكد من فحص المركبات واألحمال قبل مغادرة موقع العمل‪.‬‬

‫تأكد من ثبات الحمولة وفقا ً لمتطلبات ‪SP 2001‬‬

‫‪25‬‬
 Management self audit
Date: 23.03.2017 LTI#08

As a learning from this incident and ensure continual improvement all contract
managers must review their HSE HEMP against the questions asked below

Confirm the following:

1. Do you have defined / allocated supervision for each worksite?

2. Have you formally trained all your Heavy Drivers on Load Securing?
3. Have you executed a Load Security competency assessment on your drivers?
4. Do you have formalised load / vehicle checks before a vehicle is leaving any worksite?

Back to LFI List

26
 PDO Second Alert PIM ID: 1096601
Date: WPS Event 15th Jan 2017 Natih 178

What happened?
On 15th Jan’17 at 10:30 am while RIH 3 ½” cement stinger at depth of 774 m
8½” hole (9-5/8” casing shoe at 753 m), a well control incident occurred
involving high flow of water and gas through the drill string. The rig crew
attempted to stop the flow by stabbing a Kelly cock but not possible due high
flow. The well was secured after shearing the Drill pipe.
No Injuries to personnel was sustained.

The well was later killed through bull-heading.

Your learning from this incident..

• Ensure WPS barriers are identified and known by all people and each
person knows his roles and responsibilities.
• Any deviation from standards and procedures must be properly assessed
through MOC process and put the necessary controls prior to executing
the work.
• Lack of confidence to use the Geronimo due to lack of familiarity and
experience

Driller to secure the well immediately – using

appropriate tools

27
 ‫‪PDO Second Alert‬‬ ‫‪PIM ID: 1096601‬‬

‫ماذا حدث؟‬
‫وقعت حادثة سالمة عمليات اآلبار حيث تدفقت كمية كبيرة من الماء والغازات من‬
‫خالل مجموعة أنابيب الحفر ‪.‬حاول فريق العمل التحكم و السيطرة بالئر و‬
‫وقف التدفق باستخدام الكيلي كوك ولكن دون جدوى بسبب شدة التدفق‪.‬‬
‫تم السيطرة على البئر بعد قطع أنبوب الحفر )‪ .(Shear ram‬لم يصب أحد من‬
‫فريق العمل‪.‬‬
‫تم فيما بعد وقف تدفق البئر بطريقة ‪bull-heading‬‬

‫الدروس المستفادة من هذا الحادث ‪..‬‬

‫•تأكد من تحديد عوائق سالمة عمليات اآلبار وأن كل فرد من أفراد فريق‬
‫العمل على دراية تامة بدورهم ومسؤوليتهم‪.‬‬
‫•يجب تقييم أي انحراف عن المعايير واإلجراءات بشكل صحيح من خالل‬
‫عملية إدارة التغيير ‪MOC‬ووضع الضوابط الالزمة قبل تنفيذ العمل‪.‬‬
‫•عدم الثقة في استخدام جيرونيمو بسبب قلة التجربة و الخبرة‪.‬‬

‫يجب أن يتمكن الحفار بالسيطرة على البئر فوراً وباستخدام األدوات المناسبة‬

‫‪28‬‬
 Management self audit
Date: WPS Event 15th Jan 2017 Natih 178

As a learning from this incident and ensure continual improvement all contract
managers must review their HSE HEMP against the questions asked below

Confirm the following:

• 1 Do you ensure the MOC process is implemented and managed properly?

• 2 Do you ensure all workers are aware of Natih well control Standards?
• 3 Do you ensure on-boarding is conducted for working in Natih area?
• 4 Do you ensure the competence of your Supervisors?

Back to LFI List

29
Attendance

Winners Do Things Differently 30

Winners Do Things Differently 31