Guidelines on completing the Well Engineering 24 hr Incident Notification Form

1. Guidelines on completing the Well Engineering 24 hr Incident Notification Form Just view the slide show...

2. After an incident has occurred an Incident Notification should be raised. This notification should be raised within 24 hours of the incident. This slideshow takes you through the 24 hr Incident Notification Form

3. The Well Engineering 24 hr Incident Notification Form should be used for reporting ALL types of incidents: • health • safety • environmental • security

4. Rig-66 / Super Producer-3 Top SW Engineer (TWX/6X) M Slinger (Cowboy Drilling Co.) When completing the form it is important to identify: • Who it is from • Who it is being sent to: • The Contract Holder / Senior Well Engineer • Contract Manager • Duty Senior Well Engineer (if weekend)

5. Rig-66 / Super Producer-3 Top SW Engineer (TWX/6X) M Slinger (Cowboy Drilling Co.) • who is reporting the incident • name • contact details • reference indicator • date & time of the incident • area / location It is important to fill in all the details on the form TWM/91 S Shoulders 29/02/01 670000 14:30 29/02/01 Super Producer Asset, Super Producer-3 Rig Site, DSV office

6. Next you need to complete details of the incident (what happened) • For completing the information on: • Incident Type • Incident Severity • Potential Risk Rating • You should use the Incident Notification, Investigation, Reporting and Follow-up Guidelines (HSE/97/01).

7. Lets run through an example: A helper was fixing a safety plaque on the wall of the DSVs office. He had drilled the hole in the wall, put in the raw plug and was fixing the screw. He didn’t have the right sized screwdriver with him, so he was using a knife he had found nearby. In the process of fixing the screw the knife slipped and sliced through his forefinger on his left hand, which he was using to steady the screw. He was taken to the medic who cleaned and dressed the wound with butterfly stitches and advised him that he could return to work but should take it easy for a few days. The helper was then sent to the PDO clinic to check that the correct diagnosis had been given. You now have to complete the incident notification form...

8. Incident Type Injury Appendix 4.5 of the Guideline identifies definitions for the broad types of incident. These include: Falls & Trips Falling Objects Lifting / Crane operations Loss of containment Pollution / Environment Road Transport Theft and Sabotage Unsafe Acts / conditions

9. For the: • Incident Actual Severity and • Potential Risk Rating you need to use the HSE Risk Matrix...

10. To work out the actual severity you need to identify the: • Severity Rating and then the • Consequence In this example the helper was injured but can return to work to do light duties i.e. A Restricted Work Case: • the severity is 2 • and the consequence is a “People Injury” or P • therefore the Actual Severity Rating is 2P

11. To work out the Potential Severity you need to identify the: • Probability of it • happening again • the severity • the consequence In this example Probability - this type of accident is likely to happen >5 times per year in PDO - D. Severity - the potential severity is an LTI - 3. Consequence -the potential consequence is “People Injury” - P. therefore the Potential Severity isD3P The incident is classified as a MEDIUM POTENTIAL INCIDENT

12. When completing the actual and potential severity rating it is important to note: • A Near Miss is something that has not resulted in an accident • however it has the potential to be an accident. • the Actual Severity is 0, • however the Potential Severity must be >0

13. Well Engineering It is important to complete the details of the incident accurately and concisely. C2K 714Y Cowboy Drilling Co. The Injured party was tightening a screw into the wall to fix our safety award plaque to the wall. The knife he was using slipped and cut through his finger. Provided treatment by the medic and transferred to PDO clinic for further treatment/evaluation One N/A Mr. Accident Prone, 34 years, Helper, Cowboy Drilling Co. Severely cut forefinger of left hand. Medic applied butterfly stitches and sent IP to PDO clinic for further treatment / evaluation. S Shoulders • Details required include: • Brief description of the incident • No. of persons injured • Brief description of damage • Details of injured party • Name, age, job, company etc.

14. It is also important to correctly identify the: • immediate cause • underlying cause • corrective action Misuse of equipment / tools Improper motivation Individual counselled on need to identify hazards before starting a job. To discuss at next Safety meeting - requirement for hazard identification. For guidance on identifying the correct immediate and underlying causes have a look at the: Incident Notification, Investigation,Reporting and Follow-up Guidelines Appendix 4.6 & 4.7

15. Rig-66 / Super Producer-3 Top SW Engineer (TWX/6X) M Slinger (Cowboy Drilling Co.) Distribution Lists Once the incident form is complete it is important to distribute the form to the relevant people based upon the potential severity of the incident. • In addition it is important to make sure that the correct people are copied for: • Injurious incidents • Road Transport • Environmental • Radiation • Security and Theft

16. Now you know how to complete the Well Engineering 24 hr Incident Notification Form. It is important to report ALL incidents if we are to learn from them and to help prevent similar incidents occurring in the future.