Q1_2021_ All incident_2nd Alert.pdf - PDO

Learnings from Incidents

First Quarter of 2021 Incidents

Dear Colleagues,

Welcome to Mr. Musleh’s Newsletter, a ‘one stop shop’ communication highlighting the learnings from incidents in PDO and the oil and gas industry.

This quarter’s Mr. Musleh summarizes the learnings from incidents related to Lost Time Injuries (LTIs), High Potential (HiPos) and High Value Learnings (HVL) which have occurred during this quarter.

We encourage you to read and reflect on the learnings from the incidents.

Regards,Mahmoud Al Shukri (MSEM)

FOREWORD

Hand& Finger2 LTI

Drops1 LTI

9 HiPo1 HVL

OHL&Released Energy1 HiPo2 LTI

Man Lost1 HiPo

Fire & Explosion

1 HiPo

Motor Vehicle Incident 4 HiPo2HVL

Slip, Trip & Fall

2 LTI1 HiPo

Struck by1 LTI

# Short Description of Incidents Actual Severity

Potential Severity

1 Finger injury while opening elevator LTI Medium

2 Right little finger pinched between 2 pipes and resulted a laceration on his little finger.

LTI Medium

HANDS & FINGERS

Date: 14.01.2021 Incident title:LTI#3 Hands and Fingers

What happened?

RIH with 3 ½” completion tubing was in progress. The Floorman approached thestring to unlatch the elevator. He grabbed the left handle of the elevator with his lefthand and opened it with his right hand. Once the elevator doors were opened theFloorman pinched his left middle finger in between the elevator handle and thepower tong cylinder which had been rigged up on the rig floor for RIH.

Your learning from this incident..

• Always know the control and mitigation measures for the risks identified • Always intervene and stop unsafe work practices • Always execute checks on controls in place while running longer lasting tasks• Always wear adequate hand protection • Always stop and ask questions if controls are not clear

Always use hands off tools to avoid pinch injuries

Target Audience: Drilling, Logistics, Operation & Construction

PDO Second Alert

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

Confirm the following:

1. Do you ensure that SOP’s within your organization outline controls for the identified risks? 2. Do you ensure that learning from incidents are translated into appropriate actions and are verified by top

management? 3. Do you ensure that there is pinch point awareness among field personnel?4. Do you ensure that Management reviews the Pinch Point Awareness on site? 5. Do you ensure that learnings from CCTV footage review are captured and translated into actions? 6. Do you ensure that you have a verification process to assure the efficiency of corrective actions?7. Do you ensure that the Hands off tools are appropriate for use (e.g. congested Rig Floor)?

* If the answer is NO to any of the above questions please ensure you take action to correct this finding.

Date: 14.01.2021 Incident title:LTI#3 Hands and Fingers

Management self audit PDO Second Alert

Date:18-01-2021 Incident title: LTI 5 Hand & Finger

What happened?

On 18th January 2021 a civil crew was engaged in 6” cold cutting and scrap pipecollection activity near to Yibal C station, at around 15:10Hrs while manually shiftingthe scrap pipes to the allocated area, The helper right little finger pinched inbetween 2 pipes while aligning the pipe and resulted a laceration in his right littlefinger. He suffered an open fracture in his right little finger.


• Always ensure to identify pinch points before starting the task.• Always ask for the suitable PPE for the task.• Always ensure you conduct effective tool box talk and dynamic risk assessment.• Always ensure you observe the surroundings of your area of activity.• Always ensure you are not in “line of fire”.• Always Intervene if noticed unsafe Act/Condition.

Protect your Hands and fingers, Identify pinch points and Stay out of the “line of fire”

Target Audience: Drilling, Logistics, Operation, Engineering & Construction

PDO Second Alert



1. Do you ensure the activities performed are covered in method statements?2. Do you ensure method statement is updated?3. Do you ensure HEMP and JSA covers all the tasks in your activity?4. Do you ensure that employees are empowered to STOP the activity when it is not safe?5. Do you ensure that the activity is planned with adequate resources?6. Do you ensure you identify all hazards, pinch points and line or fire in TRIC before starting your task?* If the answer is NO to any of the above questions please ensure you take action to correct this finding.

Date:18-01-2021 Incident title: LTI#5 Hand & Finger

Management self audit

DROPS # Short Description of Incidents Actual

SeverityPotential Severity

1 while the employee was washing her face, the basin granite broke and fell on her toe LTI Medium

2 Mast cylinder came out and mast collapsed Asset damaged

HiPo

3 The slickline wire to be parted and the tool string fell on the Rig Floor. Asset Damaged

HiPo

4 Sucker rod clamp fell and landed on a roustabout shoulder (FAC). FAC HiPo

5 The CT-reel swivel get parted and fall on the ground with the pump iron connected to it.

Asset Damaged

HiPo

6 Bail slip during lifting, hit V-door gate caused to drop to the round. NM HiPo

7 Sudden movement of power tong hit the Floorman. NM HiPo

8 Driller failed to engage parking brake, leading uncontrol descent of TDS NM HiPo

9 Xmas tree fell from the trailer NM HiPo

10 Dropped fall arrestor Asset Damaged

HiPo

11 Uncontrolled Descend of TDS in a very slow descending

Date: 15th March 2021 Incident title: LTI#8 Drops

What happened?

While the production supervisor was completing the ablutions in her room, the granite tile of the wash basin fall down on her left foot causing a fracture in her big toe.


• Anticipate the surrounding hazards • Always report any unsafe condition and Near Miss observations/incidents• Always call 5555 for all emergencies

Maintenance team• Good checks lead to identify potential threats • Carryout survey in other area for any reported unsafe condition/Near Miss to

ensure appropriate actions taken to prevent incidents

Be aware of hidden hazards

Joint silicone sealant

PDO Second Alert


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

Confirm the following: Please fill in below

1. Do you always ensure that granite & tiles are inspected in regular basis.2. Do you always ensure that reinforcement is done for all granite & tiles (and similar installations)?3. Do all camps occupants know how to check the facilities to spot the potential hazards? 4. Do you always review your standards and update them?5. Do you always report unsafe conditions & near misses? 6. Do you always cascades the learnings from incidents to all?


Date: 15th March 2021 Incident title: LTI#8 Drops


Date: 5th Jan 2021 Incident title: HiPo#1 Drops

What happened?

Hoist#01 was being prepared for the rig move. The mast was scoped in, travelling block and monkey board were secured. After having everyone positioned in accordance with the responsibilities allocated during the pre-task safety meeting, Driller started lowering the mast on the headrest. While doing so, the top small hydraulic cylinder did not retract and the large bottom cylinder came out of the mast raising mechanism housing causing the mast to free fall on the headrest


• Always intervene and stop the work if conditions are unsafe • Always perform risk assessment and conduct pre-job safety meeting with all parties

involved in the task• Always monitor pressure gauges and ensure they have valid calibration • Always maintain safe distance while raising/lowering the mast • always follow safe work practices and comply with written instructions

Always stay away from red zones and be aware of line of fire hazards

PDO Second Alert

Target Audience: Drilling & Logistics.

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


1. Do you ensure that you have a verification process of preventive maintenance performed on critical equipment? 2. Do you ensure a risk assessment is being applied prior to installation/purchasing of critical equipment? 3. Do you ensure that you have robust purchasing process that ensures procurement of correct material grades? 4. Do you ensure that equipment preventive maintenance is performed in accordance with OEM recommendations,

International Standards AND based on operational risk?


Date: 5th Jan 2021 Incident title: HiPo#1 Drops


Date: 2nd Jan 2021 Incident: HiPo#02 Drops

What happened?

On the last run after the prong was set @ 80 m +/-; The slickline supervisor started POOH, and reduced the speed once close to surface. At 4 m below the rotary table, the slickline supervisor kept POOH while trying to reach the Assistant Operator via Walkie Talkie to give him signals to stop, meanwhile the tool string went out of the landing joint and hit the upper sheave causing the slickline wire to be parted and the tool string fell on the Rig Floor.


• Ensure winch is stopped when at surface and signals confirmed before continuing operation.

• Always ensure proper communication and clear signaling between winch operator and operator on rig floor.

• Always ensure Drops red zones are well managed and followed. If in doubt STOP the job.

• Always set winch alarm & shutdown and update it periodically throughout of operation.

Always adhere strictly to job procedures

PDO Second Alert

Target Audience: Drilling & Operation.



1. Do you ensure your Operators are competent in operating equipment? 2. Do you ensure that in TBT all aspect of hazards are covered and discussed before the job? 3. Do you have an assurance system is in place for your equipment preventive maintenance programs? 4. Do you ensure HEMPs are updated to reflect changes in SOPs? 5. Do you ensure procedural adherence is a part of your Assurance plan?


Date: 2nd Jan 2021 Incident: HiPo#02 Drops


Date: 8th Jan 2021 Incident: HiPo#04 Drops

What happened?

While POOH the 4th tubing joint and picking it up to cut the sucker rod, the tubing pushed the sucker rod clamp out of the string. The string was not secured anymore and slipped 0.5m down. The clamp was resting on the top of the tubing unsecured. While manipulating the joint, the sucker rod clamp slipped from the tubing, hit the elevator and bounced off towards Roustabout striking him on the right side of his helmet and then sliding and hitting him on his shoulder.


• Always follow safe work practices.

• Always ensure you have a SOP for the task in place, if not check with your supervisor.

• Always use your STOP WORK AUTHORITY (SWA) if you are unsure of the task

• Always ensure the AD is supervised while on the Brake

• Always ensure personnel follow Red Zone management

• Always ensure the correct clamp is used when pulling sucker rods

Always Stop Work if unsure of the task

PDO Second Alert




1. Do you ensure that learning from incidents are translated into actions and are implemented? 2. Do you ensure that you have systems in place to verify the competency of the ADs & a system of supervision while they

are working at the brake? 3. Do you ensure the Site leadership team is competent to identify that MOC’s are required in case of changes to

operations?4. Do you ensure that the wells handover process is being conducted properly?5. Do you ensure the CCTV is being properly used to identify safe & at-risk behaviors?6. Do you ensure you have a system for ensuring your subcontractors are properly managed & inspected/audited to verify

compliance to agreed process & procedures7. Do you ensure that personnel on site are wearing the correct color of hard hat for their position or experience




Date: 28th Jan 2021 Incident: HiPo#08 DropsWhat happened?

During CT Scale milling operation and while POOH approximately4490 m, suddenly the reel swivel assembly disconnected and fell onthe ground along with the pumping line (~170 kg) from height of 3meters. The supervisor immediately took all the necessaryprecautions, stopped pumping, and secured the well. The area wasbarricaded and no one from the crew was around. .SQM immediately headed to the field to evaluate the situation withPDO and decided to POOH and mobilize CT back to base for furtherinvestigation and to rectify the defective part.

learning from this incident..

• Always use parts that comply with OEM recommendations and specifications.

• Always ensure to secure pumping lines to the reel swivel with FSR. (Flow line Safety Restraint System).

• Always ensure walk the line & P&ID is conducted prior starting the operation.

• Always implement and manage the No Go & Red Zones

Always use OEM recommended Parts!

PDO Second Alert

Target Audience: Drilling.



1. Do you always ensure effectiveness of the training provided to the operation team ?2. Do you always ensure proper implementation of job-related checklists?3. Do you always ensure walk the line; P&ID are carried out prior the operation? 4. Does your management carry out periodic review of the existing SOPs/WIs and Checklists?5. Do you always ensure the availability of procedure for changing REEL ?6. Do you always ensure the availability of OEM spare parts while doing the maintenance? .




What happened?

While lowering the third party casing bail at rig floor by using the crane, bail lower endslipped towards v-door on wooden surface (set back area) and hit the V-door gate. V-doorgate one part (right side) came out from the hinge and slide down v-door to the ground.No injury reported


➢ Always ensure temporary No Go Zone is managed all the times during picking up / laying down activity in the cat-walk area

➢ Always use correct rigging & lifting method while lifting long loads

➢ Always use lift plan and risk assessment to perform any lifting activities ‘’ 10 questions for safe lifting’’

➢ Always use tagline/hands off tools to guide the load

➢ Always keep good communication between banks-man and crane operator.

➢ Always ensure equipment at height having secondary retention

Ensure lift plan is used to mitigate all hazards and risk involved in the task

Always use approved lift plan

PDO Second Alert

Target Audience: Drilling, Logistics, Operation, Engineering & Construction.



1. Do you ensure plan in place prior any lifting?2. Do you ensure task is adequately planned when third parties at site?3. Do you ensure adequate communication establish between banks man and crane operator?4. Do you monitor and review the routine activities?5. Do you ensure all risks are assessed and controlled prior any lifting?




Date: 21st Feb 2021 Incident: HiPo#14 Drops

What happened?

While pulling out and laying down 3 1/2" tubing, the power tong suddenly swung while breaking the connection (11th Joint) and pushed the floor-man backward, falling to ground. No injury reported.

Your learning from this incident.

• Always adhere to standard operating procedures.• While breaking out torqued connection, start with low gear on the power tong • Regular checks of die condition to ensure they are clean • Always use correct length snub/Safety line • Dedicated tagged snub lines to be kept with store man

Always Ensure correct length snub line is used on all tongs

PDO Second Alert

Target Audience: Drilling .

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


1. Do you ensure your SOP capture all hazards regarding snub line and power tongs? 2. Do you ensure the supervisor physically verify the correct length of snub line prior to start the operation? 3. Do you ensure the implementation of learning from incidents? 4. Do you ensure continuous compliance with actions from learning? 5. Do you ensure that snub line are tagged for correct equipment?6. Do you ensure that tong jaws are regularly cleaned (after every 2 to 3 joints) while pulling old tubing?


Date: 21st Feb 2021 Incident: HiPo#14 Drops


Date: 9th Mar 2021 Incident: HiPo#17 Drops

What happened?

while drilling 16” surface hole was in progress. At a depth of 613 m the driller brought the TDS down for connection and stopped. At this time the TDS started coming down with string weight and rested on the Rig floor. Floor man moved away from the vicinity and no personal injury.


• Always ensure that the parking brake is fully engaged by verifying the pressure gauge.• Always operate the switch in correct manner by applying efficient amount of force.• Always ensure the floor saver is set and tested at every shift change and verified by

the site management.• Always adhere to the zone management and be alert of unexpected movements of

Travelling block.

Always ensure parking brake is correctly applied when TDS is stopped, and floor saver is tested

PDO Second Alert




1. Do you ensure the Drillers are testing the floor saver at every shift?2. Do you ensure Driller’s are engaging the parking brake correctly?3. Do you ensure the Drillers handover notes are properly done and status of the SCE is mentioned? 4. Do you ensure the Drillers are adhering to the SOP / OEM instructions?5. Do you ensure the Rig managers and Chief mechanics are verifying the status of SCE?6. Do you ensure the management checks include verification of SCE?





What happened?

On 5th March 2021 ,driver from a 3rd party contracted logistics supplier had just collected Xmas tree from the well head maintenance yard at Fahud .The vehicle was travelling on the Fahud to Lekhwair road and turned off towards Yibal, entering an ‘S’ bend junction. The junction has a left turn followed immediately by a right turn.As the prime mover with trailer was moving through the second bend, a ratchet type sling securing the Xmas tree on the trailer broke allowing the Xmas tree to fall off the side of the trailer, landing directly into the sand on the left side of the road.


• Always ensure to validate securing equipment is in good working condition• Always ensure your driving speed is appropriate for the road conditions, even when

within speed limits• Always ensure drivers check the loads at appropriate times and in safe places along

the route.

Always ensure the load is correctly secured as per SP2001

PDO Second Alert




1. Do you ensure that your drivers are trained to assume the responsibility of their loads?2. Do you ensure that drivers are monitored for suitable and correct driving practices?3. Do you have a system in place for capturing and sharing the learnings from previous incidents?4. Do you ensure regular compliance audits for road safety and load security and also covering your subcontractor?5. Do you ensure that the incident and fault reporting system is robust, and includes sub-contractors?6. Do you ensure that you follow up on corrective action from previous auditing?7. Do you ensure that drivers are competent to secure loads properly especially when the load changes at off-site

locations




Date: 30th Mar 2021 Incident: HiPo#22 DROPS

What happened?

On the 30th of March at about 15:46 after spotting the hoist and preparing the carrier for rig up, the crew were at their viewpoint positions and the driller on the controls for the mast raising operation. The driller was raising the mast from the horizontal position and through to vertical. As the mast was passing vertical to negative set back position, the derrick platform starts its natural movement away from the mast.The derrick platform’s fall arrestor broke from its base and released from being caught, throwing it in the opposite direction and falling about six meters to the ground.


• Ensure weekly DROPS inspections are completed properly, look for potential issues• Ensure secondary retention is fitted to all items of equipment at height• Ensure your routine checks on safety equipment includes inspection dates• Ensure proper supervision is in place for all safety critical operations, even if they

seem routine

Ensure you complete a quality weekly drops inspection

PDO Second Alert




1. Do you ensure that all site procedures and inspections are completed as per schedule?2. Do you ensure that your dropped objects prevention program is audited?3. Do you ensure your L3 audits are effectively completed for safety process compliance?

4. Do you ensure that your inspection processes are robust and cover all equipment in all circumstances?5. Do you ensure your non-mandatory courses receive the same focus as required courses for completion

compliance?6. Do you ensure support, guidance and follow up with FLS individuals action plans?


Date: 30th Mar 2021 Incident: HiPo#22 DROPS


Date: 11th Mar 2021 Incident: HVL# 4 Drops

After installing the cement head, the Chief Mechanic informed driller that he intends to conduct monthly PM job on DW disc brake. Afterwards, he completed the necessary Control Of Work, and arranged for power isolation on the hydraulic pressure unit (HPU). Once he started bleeding off hydraulic oil from disc brake lines, the travelling block started descending gradually with slow speed as service brake was partially engaged. The TDS elevators came in contact with the upper part of the cement head before being picked up. Nobody was in the red zone and no equipment damage resulted. Nothing has the dropped on rig floor.


➢ Always ensure traveling block is hanged off before starting maintenance on draw works.➢ Always ensure function test of emergency brake is carried out on a daily basis.➢ All critical hydraulic fittings on brake line should be direct fitting type.➢ Intervene whenever you observe any risk, STOP, rectify and proceed safely.➢ Always ensure zone management implementation.➢ Ensure that all involved personnel in the task are attending the TBT.

Always secure travelling block before any work on Draw works

PDO Second Alert




1. Do you ensure that TBT is conducted at the site with all involved personnel and it covers all necessary steps identifying allhazards before the task?

2. Do you ensure that an effective system is in place to ensure emergency brake is engaged?3. Do you ensure that your PMS work orders are reviewed and updated accordingly?


Date: 11th Mar 2021 Incident: HVL# 4 Drops


MOTOR VEHICLE INCIDENT


Potential Severity

1 MVI 4PL and ATE Asset Damaged

HiPo

2 Trailer hit another trailer while maneuvering. Asset Damaged

HiPo

3 Truck Owner struck the rear of the 3rd party tipper truck causing minimal damage

Asset Damaged

HiPo

4 Crew Canter that was on-route from Rig84 Camp Site to Rig84 new location has rolled over onto its side

Asset Damaged

HiPo

5 Wheel fell off steering axle of tipper Asset Damaged

HiPo

6 Vehicle was rolling forward slowly and struck the perimeter fence Asset Damaged

MediumHVL

Date: 7th Jan 2021 Incident: HiPo#03 MVI

What happened?

A 3Ton canter was about to take a left turn from the graded road towards THL-124 moving at a slow speed was hit by a trailing trailer from another PDO contractor which was overtaking from the left side of the canter. The impact resulted in damage to front end of the canter. No injury to the personnel.


• Always be alerted for the unexpected road hazards. • Ensure overtaking in safe zones.• Always follow defensive driving techniques.• Ensure to park in a safe spots if you are unsure of your destination.

Always check your blind spots

PDO Second Alert




1. Do you ensure that the drivers are given clear instructions on parking vehicle at site?2. Do you ensure that your drivers are driving as per the requirements of the road?3. Do you ensure that your drivers follow defensive driving techniques?4. Do you ensure to report the hazards identified on roads to appropriate authority?5. Do you ensure that learnings from previous incidents are discussed in TBT?


Date: 7th Jan 2021 Incident: HiPo#03 MVI


Date: 4th Feb 2021 Incident: HiPo#15 MVI

What happened?

Two trailers proceeding on the black top, one in the front and other movingbehind were transporting materials for the project.

The driver of the trailer in front observed a pothole and slowed down andswitched on the hazard light. The driver of the trailer coming from behind wasunable to control and collided with front trailer. No injuries.


• Never use mobile phone while driving• Always ensure to report damaged / bad road conditions • Always ensure 4 seconds rules as safe clearance distance • Always ensure to drive according to road conditions• Always ensure to apply defensive driving techniques

While driving, always stay focus & never use your mobile phone

Driver lost control while driving

PDO Second Alert




1. Do you ensure to routinely remind defensive driving techniques in Driver’s Forums, TBT, etc?

2. Do you ensure drivers do not use mobile phones while driving?

3. Do you ensure regular campaigns on LSR ?

4. Do you carry out regular counseling on behavior interventions for drivers?

5. Do you have a mechanism to analyses driver behavior based on IVMS data and give feedback?


Date: 4th Feb 2021 Incident: HiPo#15 MVI

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Date: 1st Mar 2021 Incident: HiPo#16 MVI

What happened?A cargo vehicle on route to Lekhwair loaded with 18 boxes of pipe flanges was involved in a motor vehicle incident while travelling on a dual carriage way. The vehicle struck the rear of the 3rd party tipper truck causing minimal damage to the tipper and severe damage to the cargo truck prime mover cab. The Tipper driver was uninjured whilst the cargo driver suffered minor injuries.

Your learning from this incident•Always ensure you adjust your speed when faced with a hazard•Always ensure you apply defensive driving techniques and read the road ahead•Always ensure you are cautious of other 3rd party road users•Always ensure brakes are working effectively prior to departing on journeys•Always ensure you report any defects, abnormalities or strange noises from your vehicle to your management / workshop team

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Leave space be safe

PDO Second Alert




1. Do you ensure hazards presented by 3rd party vehicles are communicated to drivers on a regular basis?2. Do you ensure drivers follow defensive driver techniques?3. Do you ensure vehicles are maintained as per manufacturers and SP2000 requirements and brake testing equipment is

used to test the effectiveness of vehicle brakes during vehicle maintenance and after repairs to braking systems?4. Do you ensure staff are encouraged to report vehicle defects and concerns?5. Do you ensure you offer support and guidance to staff dealing with personal issues?


Date: 1st Mar 2021 Incident: HiPo#16 MVI

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Date: 28th Mar 2021 Incident: HiPo#20 MVI

What happened?A canter carrying a crew of 4 plus the driver was on route to its work location when the driver lost control of the vehicle steering. This resulted in vehicle veering off the graded road striking an embankment before rolling over onto its side. The crew were lucky to only escape with 2 of the passengers suffering minor pain the their shoulders. Immediate post incident investigations identified a mechanical failure

Your learning from this incident..Drivers• Always ensure you conduct a thorough pre use daily vehicle inspection • Always ensure you test your brakes and steering prior to departing on journeys• Always ensure you report any defects, abnormalities or strange noises from your vehicle immediately

to your management / workshop team• Always ensure your vehicle is in date with its maintenance / servicing schedule

Maintenance Teams• Always ensure you conduct road tests of vehicles following maintenance and repairs• Always ensure you schedule vehicle maintenance ahead of time to prevent delays• Always ensure you record all work conducted

Immediately report any vehicle defects to the workshop team

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PDO Second Alert




1. Do you ensure that drivers are inspecting the vehicle before starting the journey?2. Do you ensure that vehicles are maintained as per manufactures requirements?3. Do you ensure drivers are encouraged to report vehicle defects, strange noises and/or abnormalities?4. Do you ensure you keep up to date with any recalls from vehicle manufacturers?5. Do you ensure drivers are competent to conduct daily driver checks and maintenance teams are competent to

conduct maintenance activities?


Date: 28th Mar 2021 Incident: HiPo#20 MVI

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Date: 9th Mar 2021 Incident: HVL#1 MVIWhat happened?

A Tipper after loading 10 mm gravel from Nimr crusher was proceeding to Amal. Whilethe tipper was approaching Amin A "T" Junction, the front right wheel assemblydetached. The driver applied defensive driving technique and parked the vehicle safelyon the road shoulder. No injury to driver.Your learning from this incident..

Drivers• Always check and inspect your vehicle to ensure it is free of defects.• Always report any defects or problems you do find with your vehicle immediately• Always apply defensive driving technique to stop the vehicle safely in case of any

abnormalities observed during driving.Maintenance Team• Always ensure proper maintenance of vehicles prior inducting into operations• Life for all maintenance free spares/ accessories to be defined, recorded and

disseminated to maintenance team

Keeping maintenance procedures up-to-date is key to ensure safe operations

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PDO Second Alert




1. Do you ensure that your drivers report all defects they encounter during driving?2. Do you ensure that all vehicles are fit to drive?3. Do you ensure that life cycle is defined for all maintenance free spares/ accessories?4. Do you consider age of vehicles while carrying out maintenance activities? 5. Do you ensure competency of mechanics carrying out maintenance activities?

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Date: 9th Mar 2021 Incident: HVL#1 MVI



What happened?An Asset Damage incident occurred at a Warehouse yard in Harweel, when a driver had parked the heavy vehicle after loading near to the warehouse. The driver exited the cab and was on route to the warehouse office to collect his ticket when he turned and seen the vehicle was rolling forward slowly and struck the perimeter fence close to the entrance / exit gate. There were no injuries and only minor damage resulted.


• Always ensure you turn off engine and place wheel chocks when parking heavyvehicles.

• Always ensure you report vehicle defects• Always ensure your vehicle is road worthy• Always ensure you conduct basic brake checks prior to driving your vehicle in a safe

location(apply handbrake and try to drive, drive forward slightly and apply footbrake)

Chock up, or roll away

PDO Second Alert




1. Do you ensure your heavy drivers and crane operators use wheel chocks when parking vehicles?

2. Do you ensure regular maintenance and testing of your vehicles braking system? 3. Do you ensure your site has set procedures for vehicles (induction, signage,

dedicated parking etc.)4. Do you ensure site-specific risk assessment for parking area has been conducted?5. Do you ensure all relevant previous learning have been communicated to your staff? 6. Do you encourage drivers to report vehicle defects and ensure they are rectified to

required standards?




SLIP, TRIP & FALL


Potential Severity

1 Helper lost balance & jump from the truck, landed on his right hand resulted to wrist injury

LTI Medium

2 While employee was walking in the office , he slipped landing on his left hand causing injury to his wrist.

LTI Medium

3 Electrician partially fell into shale shaker settling tank NM HiPo

Date: 02.01.2021 Incident title LTI#1, slip , Trip & fall

What happened?

Operations was moving ambulance shade frame from to new location using ASM flat-bed truck. Helper climbed on the top of the trailer to unsecure / release the load. IP was required to be inside of the frame to perform this task.

After completing the removal of the chains and boomers, one weld on a beam of the frame resting on the truck deck failed from the passenger side of the truck bed. This resulted in a weight shift and allowed the frame to come / roll off of the truck bed (driver’s side). While the frame was moving the IP (still on truck bed) lost his balance on the edge of the truck bed and fell to the ground from 1.6m height on the driver’s side, landed on his right hand, with a wrist fracture.


• Always ensure load are secured from the ground.• Ensure review of the JSA and mitigate the need to work from truck bed.• Ensure engagement of sub contractors in adhering the BBS program.• Ensure adequate supervision always on location.


Always secure the load from the ground

PDO Second Alert



1. Do you ensure that you are audit and review your sub contractor management system.2. Do you ensure that line of fire is considered in your risk assessment.3. Do You Ensure the loads are secured as per SP 2001?4. Do you ensure that loads are inspected and free from damage prior handling.5. Do you ensure that all subcontractors are engaged in BBS Program and adhere to apply stop

work authority .6. Do you ensure that HEMP is communicated to rig movers and to all personnel.


Date: 02.01.2021 Incident title LTI#1, slip , Trip & fall


Date: 19.01. 2021 Incident title: LTI#4 Slip, Fall & Trip

What happened?

An employee while exiting one of the offices he slipped, fell down and had a fractured left wrist.


• Always be careful and watch your steps while walking .• Always conduct Hazards hunts • Always ensure good house keeping in your working areas• Always reports unsafe condition immediately• Always ensure the floor is dry before removing the sign board

Always watch your step and pay attention.


PDO Second Alert


Confirm the following:1. Do you ensure your employees are aware of the office risks and hazards including slips, trips and falls?2. Do you ensure the office risks and hazards are included in the office HSE induction pack? 3. Do you ensure that regular safety “Hazard Hunts” are conducted in your office? 4. Do you ensure your employees follow good house keeping practices? 5. Do you ensure that learning from incidents are effectively communicated within your team?


Date: 19.01. 2021 Incident title: LTI#4 Slip, Fall & Trip


Date: 17th Mar 2021 Incident: HiPo#1 9 Slip, Fall & Trip

What happened?

Electrician was walking in shale shaker area (Near shale shaker # 3), when he stepped on

settling tank gate grating edge, the grating got imbalanced and electrician foot went into the

tank. No injury reported.


• Always ensure grating gates are clean and secured properly.

• Ensure tanks grating are inspected to identify potential hazards

• Ensure that working area is clear of slip, trip and fall hazards

• Frequently check the gate hinges condition and report any damages / corrosion

• Ensure tanks gratings are part of weekly hazard hunts

Always ensure design of frame fully supports gate openings on all sides

Grating Gate was unsecured

Grating Gate is secured by

four sided frame

PDO Second Alert

Target Audience: Drilling, Logistics & Operation.



1. Do you ensure grating gates are clean and secured properly.2. Do you ensure all the gates on tanks supported with proper frames 3. Do you ensure all frame work is free of corrosion 4. Do you ensure to frequently check the gate hinges condition for corrosion.

* If the answer is NO to any of the above questions please ensure you take action to correct this finding

Date: 17th Mar 2021 Incident: HiPo#1 9 Slip, Fall & Trip


STRUCK BY


Potential Severity

1 Driver standing close to a tipper tyre in a leaning position before fixing, it fell on the drivers’ right lower leg

LTI Medium

Date: 11.01.2021 Incident title : LTI -02, Struck by

What happened?

Tyreman was carrying out fixing the tyre of the tipper meanwhile the driver rotated the standby tyre which was kept leaning towards the truck for filling of air. After filling, the driver stood close to the same tyre and was observing the Tyreman's activity. Suddenly the standby wheel fell on the driver’s lower leg resulted in pain, swelling and restricted movement of the right lower leg.


• Always stay away from restricted areas.• Always ensure the objects are kept in stable position.• Avoid unauthorized or unassigned work in workshops.• Always Intervene when you notice unsafe action.• Always ensure adequate supervision.• Ensure drivers utilize the waiting rooms in workshops to rest during short

maintenance activities.

Do not leave loads / Heavy equipment parts unrestrained


PDO Second Alert



1. Do you ensure visitors to workshops follow work instruction fundamentals?

2. Do you ensure your assurance checks on procedures are present, adequate and effective for out of site locations?

3. Do you ensure that workers are educated to stay away from line of fire ?

4. Do you ensure that employees do not to carryout unauthorized activity ?

5. Do you ensure hazards are identified for the task you performing?

6. Do you ensure that employees are made aware to intervene in unsafe action ?

7. Do you ensure LFI are cascaded and regularly discussed during the HSE meetings ?


Date: 11.01.2021 Incident title : LTI -02, Struck by


OHL& RELEASE ENERGY# Short Description of Incidents Actual

SeverityPotential Severity

1 pipe wrench slipped and released from co-rod caused the upper pipe wrench to rotate

LTI HIPo

2 During Rig move, dolly bolts sheared, causing dolly to be separated from the oilfield and then travelled uncontrolled off the road

Asset Damaged

Medium HVL

3 PMRs got tripped while carrying out live sleeve and tie-in jumpers Oil Deferment

HiPo

Date: 13th Feb 2021 Incident title: LTI#6 Release Energy

What happened?

At approximately 14:55 hrs On 13th February 2021, the operation was backing off the continuousrod from the bottom stuck overshot (stuck with the body of the tubing). After TBT crew Installedtwo pipe wrenches on the continuous rod and started turning anticlockwise to release theconnection of the overshot. Two employees were on each pipe wrench. Suddenly the lower pipewrench slipped off, the torsional force causing the upper pipe wrench to rotate hitting derrick manin his right hand causing him falling and continued rotating and hit Driller in his back.

Your learning from this incident.

• Always ensure SOP & JSA are precisely followed.

• Always ensure TBT covers the steps and tools mentioned in the SOP & JSA.

• Always ensure to use the correct tool prior starting the job.

Always use Ratigan wheel to rotate the continuous rod

Target Audience: Drilling & Operation

PDO Second Alert



1. Do you ensure that the correct tool for the task is in use?2. Do you ensure that the crew is adhering to the SOP?3. Do you ensure that the proper tools is adequately covered in the SOP?4. Do you ensure that the risks are identified prior starting the job?5. Do you ensure that all tools required are available at site and in a good condition?


Date: 13th Feb 2021 Incident title: LTI#6 Release Energy


Date: 15th Mar 2021 Incident: HVL#3 Released Energy

What happened?

while TOCO was moving mast dolly from rig 44 to 43 with oilfield truck, mast dolly towinghook bolts (4 bolts) sheared leading to separation of the dolly from oilfield with the towinghook strike on several places at the road causing damage to the hook and dolly towing bracesand diverted off road.The Dolly rolled freely and made contact with electric pole stabilizing cable and cut it. Aftercutting the cable, dolly kept moving and stopped almost 500+ meter from initial separation.


Always ensure correct towing speed is known to all and followed

• Always ensure TBT is held with all relevant parties and all required information are discussed.

• Always ensure to drive according to the road condition • Always ensure pre-checks done to the equipment before handing

over to the third party/subcontractor. • Ensure secondary retention is available where required • Report road hazards, damage and missing road signage to your

journey manager

PDO Second Alert




1. Do you ensure relevant SOP are shared and reviewed with all parties?

2. Do you ensure equipment pre-check is carried out before handover to the third parties/rig mover

3. Do you ensure driver follows all HEMP and road safety regulations?

4. Do you ensure your supervisors are able to recognize and react appropriately to unsafe situation /

condition?

5. Do you ensure road survey done before mobilizing the wide loads by relevant parties?

* If the answer is NO to any of the above questions please ensure you take action to correct this finding

Date: 15th Mar 2021 Incident: HVL#3 Released Energy


Date: 2th Jan 2021 Incident: HiPo#09 OHL

What happened?PMRs got tripped while carrying out live sleeve and tie-in jumpers installation at B phase between new concrete pole OHL & existing Wooden pole OHL after completing the R and Y phase jumper connection. At 09.52hrs reported to PDO who visited the location and found PMRs recorded sensitive earth fault due to Imbalance current while paralleling PMR in the same line as this is the first time. PDO team observed the workplace and crew are safe then normalized the PMR at 10.04hrs.


• Always ensure that you have right Method of statement for all tasks.• Always ensure that you escalate all type of new work conditions.• Always ensure that the STOP work empowerment is in place.• Always ensure that the line walkthrough was done with construction team.

STOP if it is Unsafe !

No PMR protection relay behaviour study

PMR protection

relay behaviour study is Available

PDO Second Alert




1. Do you ensure that you have a comprehensive method statements for all scenarios2. Do you ensure that PMR protection relay behavior study is conducted for the respective activities. 3. Do you ensure that all potential hazards are considered before start of the activities and communicated to the team.4. Do you ensure that the site team is empowered to STOP activities if it is unsafe. 5. Do you ensure that site team has a process flow chart for safe work. 6. Do you ensure that supervisors are competence to undertake critical activities. 7. Do you ensure competency gap risk assessment is communicated.


Date: 2th Jan 2021 Incident: HiPo#09 OHL


MAN LOST


1 journey manager was not able to contact the driver or identify his location on IVMS due to no GSM or GPS coverage

NM HiPo

Date: 23th Jan 2021 Incident: HiPo#05 Man Lost

What happened?

A man lost was initiated when a driver failed to contact his journey manager. The journey manager was not able to contact the driver or identify his location on IVMS due to no GSM or GPS coverage and not able to contact the delivery location as it did not have a telephone connection. PDO emergency team and ROP were mobilised to search for the driver. Driver was identified the following morning near a Rig (which had not been his planned rest stop) where he had spent the night.

Your learning from this incident..Drivers• Always ensure you follow your journey plan• Always ensure you use the landline, sat phone etc when delivering to sites with no GSM

coverage• Always ensure you ask for help at any local facility when lostJourney Managers• Always ensure you initiate the man lost procedure as per SP2000• Always ensure drivers are aware of how to contact you when travelling to areas with no GSM

coverage

63

Make every effort to contact JM when required

PDO Second Alert




1. Do you ensure drivers have been briefed to use delivery location landline phone / sat phone etc if delivering to location without GSM coverage?

2. Do your Journey Managers know locations which do not have GSM / GPS coverage?3. Do your Journey Managers brief known GSM / GPS dead locations to drivers?4. Do you ensure man lost procedures are understood and followed by Journey Managers?5. Do you ensure all visitors to your site are signed in and accounted for at Rigs and Camps? 6. Do you ensure drivers are aware of the route to their destination?


Date: 23th Jan 2021 Incident: HiPo#05 Man Lost

64


FIRE & EXPLOSION


Potential Severity

1 Camp fire Asset Damaged

HiPo

Date: 24th Jan 2021 Incident: HiPo#06 Fire& Explosion

What happened?

At around 13:30hrs, assistant cook heard fire alarm and immediately informed hisroommate and went out of the room to check the alarm source. He noticed somesmoke and Immediately raised the alarm which was placed outside the kitchen andreported the situation to his supervisor. Mechanical permit holder rushed to theincident location and called PDO emergency number and the HSEA called ROP andthe camp boss called electrician to shut off the power from main DB.


• Always ensure the responsibilities are clear by your line manager.• Always ensure electrical connections and switches are inspected regularly.• Always ensure all hazards and controls are identified in Risk Assessment.• Always ensure electrical inspections are carried out regularly.• Always ensure compliance with SP 1232 & 1277 requirements.

Switch Off electrical appliances before you leave

Do not leave any electrical appliances on

PDO Second Alert




1. Do you ensure camp audit conducted effectively?2. Do you ensure HEMP/Risk Assessment reviewed and updated regular basis?3. Do you ensure roles and responsibilities are clear and communicated to all employees?4. Do you ensure electrical safety checks and certificates of conformity are carried out regularly? 5. Do you ensure emergency drills and (fire drill) are conducted on regular basis effectively?6. Do you ensure regular inspections and fire checks are carried out by competent person?7. Do you ensure your camp is build as per SP 1277 & 1232 and civil defense legal requirements?


Date: 24th Jan 2021 Incident: HiPo#06 Fire& Explosion


Documents

Q1_2021_ All incident_2nd Alert.pdf - PDO