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Incident Alert Title of Incident: Shifting load results in Fatality Date of Incident CPAR Closure Date Controlled Doc. No. Region Business Unit October 4, 2012 TBD 2-3-ME-IQ-CDS-00001 Iraq WDI Driver and Vehicle Safety Commitment and Intervention Facility Safety Induction and Training Risk Management Lifting Equipment and Operations Hazardous Substance Hazardous Environments CPAR Number: 920395 Details of Incident: On October 4, 2012, WDI Rig 710 in Burzugan South Iraq was on the 5 th day of its rig move from well pad BU-38 to BU-41. At 14:05 members of the rig move team were in the process of loading a low-boy trailer with a pipe tub and 2 pipe racks which were stacked on top of the tub. Two cranes were being used and the load had been slung at the four corners of the tub as all three items were being lifted as one load. The load had been placed on the bed of the trailer and the crew were in the process of unhooking the load. The decision was made to unhook the slings from the crane hook and leave the slings on top of the load for easy unloading at the destination. The front slings were unhooked from one crane hook and the employee climbed onto the trailer and was attempting to unhook the rear slings from the second crane hook. During this part of the operation the employee lost his balance and grabbed hold of the pipe rack to prevent himself from falling. This caused the rack to shift and slide off the pipe tub. The employee fell to the ground and the pipe rack landed on top of him. The employee sustained fatal injuries. Details of Investigation: The investigation was completed following the TapRoot methodology. The investigation found the following causal factors contributing to the incident: Supervisors were not present at the worksite during the work activities. The rig move crew did not have the competency to do the job safely. The job was not stopped at several points when unsafe acts and conditions occurred. The load was not properly loaded and secured. The plan used for the rig move was an incomplete plan from a previous rig move. Root Cause Finding: Main Root Causes are: Standards and procedures for rig moves were not robust and specific in regards to the creation of rig move plans. Supervision requirements were not planned or determined to ensure adequate supervision for all worksites. Enforcement of existing standards and procedures requires improvement. In particular policies and standards related to stopping unsafe work, closing previous audit items, and providing adequate supervision. Training and competency of crew was not ensured and monitored. Specifically basic safety training, hazard and risk training and lifting operations training. Lessons Learned: All rig moves need to have a rig move plan specific for that move. All worksites should have specific supervisors assigned and those supervisors are to be present at all times. All workers regardless of job title are to have the required training and competence to do the tasks as planned. All standards and policies are to be enforced without exception regardless of a person’s job position and the work environment. Incident Contact: (Please contact for more information) Name: Richard Corrins Phone No: 971-050 554 9704 Email: [email protected]

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Incident Alert

Title of Incident: Shifting load results in Fatality

Date of Incident CPAR Closure Date Controlled Doc. No. Region Business Unit

October 4, 2012 TBD 2-3-ME-IQ-CDS-00001 Iraq WDI

Driver and

Vehicle Safety Commitment

and Intervention Facility Safety

Induction and Training

Risk Management

Lifting Equipment and

Operations

Hazardous Substance

Hazardous Environments

☐    ☐  ☐      ☐  ☐ 

CPAR Number: 920395 Details of Incident: On October 4, 2012, WDI Rig 710 in Burzugan South Iraq was on the 5th day of its rig move from well pad BU-38 to BU-41. At 14:05 members of the rig move team were in the process of loading a low-boy trailer with a pipe tub and 2 pipe racks which were stacked on top of the tub. Two cranes were being used and the load had been slung at the four corners of the tub as all three items were being lifted as one load.

The load had been placed on the bed of the trailer and the crew were in the process of unhooking the load. The decision was made to unhook the slings from the crane hook and leave the slings on top of the load for easy unloading at the destination.

The front slings were unhooked from one crane hook and the employee climbed onto the trailer and was attempting to unhook the rear slings from the second crane hook.

During this part of the operation the employee lost his balance and grabbed hold of the pipe rack to prevent himself from falling. This caused the rack to shift and slide off the pipe tub. The employee fell to the ground and the pipe rack landed on top of him. The employee sustained fatal injuries.

Details of Investigation:

The investigation was completed following the TapRoot methodology. The investigation found the following causal factors contributing to the incident:

Supervisors were not present at the worksite during the work activities. The rig move crew did not have the competency to do the job safely. The job was not stopped at several points when unsafe acts and conditions occurred. The load was not properly loaded and secured. The plan used for the rig move was an incomplete plan from a previous rig move.

Root Cause Finding:

Main Root Causes are: Standards and procedures for rig moves were not robust and specific in regards to the creation of rig move

plans. Supervision requirements were not planned or determined to ensure adequate supervision for all worksites. Enforcement of existing standards and procedures requires improvement. In particular policies and standards

related to stopping unsafe work, closing previous audit items, and providing adequate supervision. Training and competency of crew was not ensured and monitored. Specifically basic safety training, hazard

and risk training and lifting operations training. Lessons Learned: All rig moves need to have a rig move plan specific for that move. All worksites should have specific supervisors assigned and those supervisors are to be present at all times. All workers regardless of job title are to have the required training and competence to do the tasks as planned. All standards and policies are to be enforced without exception regardless of a person’s job position and the work environment.

Incident Contact: (Please contact for more information)

Name: Richard Corrins Phone No: 971-050 554 9704 Email: [email protected]