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Worker Fatally Injured When Thrown From ATV Type of Incident: Fatality Date of Incident: June 1, 2013
File: F-OHS-042741-AD07E
TABLE OF CONTENTS
SECTION TITLE PAGE NUMBER
1.0 DATE AND TIME OF INCIDENT 3 2.0 NAME(S) & ADDRESS(ES) OF PRINCIPAL PARTIES 3 2.1 Owner 3 2.2 Employer 3 2.3 Workers 3 3.0 DESCRIPTIONS OF PRINCIPAL PARTIES 3 3.1 Owner/Employer 3 3.2 Workers 3 4.0 LOCATION OF INCIDENT 4 5.0 EQUIPMENT, MATERIAL AND OBSERVATIONS 4 5.1 Equipment and Material 4 5.2 Observations 4 6.0 NARRATIVE DESCRIPTION OF INCIDENT 5 7.0 ANALYSIS 6 7.1 Direct Cause 6 8.0 FOLLOW-UP/ ACTION TAKEN 6 8.1 Industry 6 8.2 Additional Measures 6 9.0 SIGNATURES 7 10.0 ATTACHMENTS 7 Attachment A - Map Attachment B - Photographs
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SECTION 1.0 DATE AND TIME OF INCIDENT 1.1 The incident occurred June 1, 2013 at sometime between 9:45 a.m. and 2:00 p.m.
The worker was found deceased on June 4, 2013 at 7:30 a.m. SECTION 2.0 NAME AND ADDRESS OF PRINCIPAL PARTIES 2.1 Owner 2.1.1 Husky Oil Operations Ltd. 707 – 8th Avenue SW Calgary, Alberta T2P 3G7 2.2 Employer 2.2.1 Husky Oil Operations Ltd. 707 – 8th Avenue SW Calgary, Alberta T2P 3G7 2.3 Workers 2.3.1 The worker **** * * **** ** ****** ********** ******* *** *** 2.3.2 The production manager * ********** **** ** ***** ***** ******* *** *** SECTION 3.0 DESCRIPTION OF PRINCIPAL PARTIES 3.1 Owner/Employer
3.1.1 Husky Oil Operations Ltd. (Husky) was active in the exploration and production of
heavy oil, natural gas and natural gas liquids. 3.2 Workers 3.2.1 The worker had been working for Husky for 12 years and had been working in the oil
and gas industry for 28 years.
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3.2.2 The production manager had been working with Husky since 2005 and had been
working in the oil and gas industry for over 25 years. SECTION 4.0 LOCATION OF INCIDENT 4.1 LSD 11-9-76-23W4M near Rock Island Lake (Refer to Attachment A – Map). SECTION 5.0 EQUIPMENT, MATERIAL AND OBSERVATIONS 5.1 Equipment and Material 5.1.1 All-Terrain Vehicle (ATV) 5.1.2 The worker was using a red 2004 Honda ATV, serial number *****************,
with the owner being registered as Husky Oil Operations Ltd. 5.2 Observations 5.2.1 When the Occupational Health and Safety investigators arrived at the scene of the
incident, the ATV had already been removed. 5.2.2 There were two grass burn marks (Refer to Attachment C – Photographs 5, 6 and 8).
One was approximately 2.44 metres (m) across in a north/south direction and 3.81 m in an east/west direction. The second grass burn mark was approximately 61 centimetres (cm) by 46 cm. Royal Canadian Mounted Police (RCMP) photos indicate the worker’s head was on top of the burn mark; however, the back of the worker’s head was not burned.
5.2.3 A stump that was sticking out of grass by the east side of the road, 17.78 cm high by
7.62 cm across, was located 16.43 m from the centre of the larger burn mark (Refer to Attachment C – Photographs 7, 8, 9 and 10).
5.2.4 The travel marks of the ATV, after striking the stump, were washed away by the rain
that fell after the incident. 5.2.5 The remains of the ATV, transported to a local business (One Shot Hot Shot in Slave
Lake), were destroyed by the fire resulting from the incident. The ATV remains had been tagged out of service by Husky. (Refer to Attachment C – Photographs 1 and 2).
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SECTION 6.0 NARRATIVE DESCRIPTION OF THE INCIDENT 6.1 The worker was an operator at Husky’s Rock Island field, 100 kilometres (km) north
of Athabasca. Work at the Rock Island field was led by two Husky cross-shift operators with eight days on and six days off. The operators operated a small plant, a compressor station and nine gas wells. Two of the wells were accessible by truck, and the other seven wells were accessible in the summer, only by ATVs, on an old logging road. The time spent by the operators working alone varied from week to week.
6.2 As per Husky’s Working Alone Policy, on June 1, 2013, the worker telephoned the
contract answering service at 6:49 a.m. and advised the worker would be checking in again at 10:00 a.m. At 9:45 a.m., the worker called the contract answering service and stated the worker would check in again at 2:00 p.m.
6.3 At an unknown time, the worker removed the ATV from the worker’s vehicle at the
compressor station and proceeded to a well site. 6.4 At approximately 1.3 km north of the compressor station, the worker struck a stump
on the side of the road with the right front lower suspension system and lost control of the worker’s ATV (Refer to Attachment C – Photographs 3 and 4). The ATV flipped onto its left, throwing the worker approximately 3.05 m away from the ATV.
6.5 The worker was not wearing a helmet and did not have the worker’s GPS based
SPOT emergency locator device, satellite phone or cell phone booster with the worker.
6.6 At 2:00 p.m., when the worker did not check in, the contract answering service called
the worker and left a message to have the worker check in. 6.7 At 2:02 p.m., the contract answering service contacted the production manager as per
their instructions. The production manager did not do an immediate follow-up on the worker’s location.
6.8 At 7:30 a.m. on June 4, 2013, the production manager deployed a helicopter to search
for the worker, and the worker was located within an hour. The worker had succumbed to the worker’s injuries.
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SECTION 7.0 ANALYSIS 7.1 Direct Cause 7.1.1 The worker had succumbed to injuries after being thrown from the worker’s ATV
after hitting a stump on the side of the road.
SECTION 8.0 FOLLOW-UP/ ACTION TAKEN 8.1 Industry 8.1.1. Husky conducted an investigation report and implemented control measures to ensure
there would be no recurrence of a similar incident.
8.1.2 Husky provided to Alberta Occupational Health and Safety the required documentation.
8.2 Additional Measures 8.2.1 Husky changed its work alone policy and now required that a worker either
personally advise they were safe or that an assigned supervisor respond that they confirmed the safety of the worker. Husky also started to use utility travel vehicles (UTVs) instead of ATVs; UTVs were more stable and safer than ATVs.
8.2.2 On May 15, 2015, Husky Oil Operations Ltd. and Husky Energy Inc. were charged
with 2 counts. The production manager was charged with 1 count. On October 20, 2016, Husky Oil Operations Ltd. (Husky) pled guilty to the second
count, failure to provide an effective communication system for an employee working alone. Husky was sentenced to a $200,000 fine (including the 15% victim fine surcharge). Charges against Husky Energy Inc. and the production manager were withdrawn.
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SECTION 9.0 SIGNATURES ORIGINAL REPORT SIGNED December 4, 2016 Lead Investigator Date ORIGINAL REPORT SIGNED December 5, 2016 Investigator Date ORIGINAL REPORT SIGNED December 16, 2016 Manager Date ORIGINAL REPORT SIGNED December 16, 2016 Director Date SECTION 10.0 ATTACHMENTS: Attachment A Map Attachment C Photographs
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Approximate area of incident.
Attachment A - Map
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Photo 1 Shows the remainder of the ATV involved in the incident.
A - The right front end of the ATV that struck the stump.
A
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Photo 2 A side view of the burned ATV.
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Photo 3 Shows a closer view of the damaged mechanical linkage.
A - The damaged mechanical linkage.
A
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Photo 4 Looking north where the ATV landed and burned.
A - The large burn area where the ATV landed on its side. B - The small burn area where the operator’s head was lying on.
A
B
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Photo 5 Shows the two burn marks and the tree stump looking south at the site of the
incident.
A - The small burn area where the operator’s head was lying on. B - The large burn area where the ATV landed on its side. C - The tree stump that was sticking out of the ground.
A
B
C
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Photo 6 Shows the old log road looking north.
A - The tree stump sticking out of the ground. B - The burn area where the ATV landing on its side.
B A
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Photo 7 Shows a medium view of the tree stump sticking out of the ground and the
burn area where the ATV had landed on its side.
A - The tree stump sticking out of the ground. B - The large burn area where the ATV landed on its side.
A
B
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Photo 8 Shows a close up view of the stump sticking out of the ground. The ribbon
was placed on the stump after the incident.
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