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Lost Workday Case Incident caused by 1P lost the index finger on right hand during L/D

the 5”HWDP.
Type of Incident: the present incident. For any non-routine / high,
Lost Workday Case Incident risk/first time job, Risk Assessment/ Job Safety Analysis
to be made& discussed with all staffs & maintained the
Location: record.
 Light System (Like traffic light- Green & Red) to be
Date & Time of Incident: installed in cellar area & rig floor to alert the rig
25th JULY 2014@ 11:10 AM floor & cellar area crews at all SINOPEC Rig.
 Length of stopper plate to be increased or newly
Incident Description in Brief: designed stopper plate to be made so that pinch
Nipple up BOP for section was in progress when the incident
had occurred. At around 11:10, 25 July 2014,crew of night point of hands and fingers can be avoided.
shift(0:00-12:00)carried out L/D the 5”HWDP which for  Safety alert for the incident to be developed by
inserting cement for section A, when the third joint of the first SINOPEC and to be circulated to all SINOPEC rigs
stand was lower in the mouse hole ,the HWDP could not for information sharing and necessary preventive
reach the stopper which in the mouse hole ,due to the length
of HWDP is short. Crew could not open the elevator. SAGAR, actions. The safety alert to be discussed with all
one roustabout got to cellar area to adjust the position of crew members covering both shifts on all rigs.
stopper .suddenly HWDP fall down in the mouse hole, the Position of Roustabout at time of Incident
right hand index finger of IP was pinched between the stop
plate and the second hole of the mouse hole . IP was sent
the hospital for treating.
Outcome:
1P lost the index finger on right hand.
Potential Outcome:
This incident had the potential to cause severe harm to the IP.

What Went Wrong:


· HWDP in mouse hole cannot seat on the stopper due to
short of length, crew on rig floor open the elevator
forcibly.
· Weakness in communication – the roustabout (injured
person) did not communicate with crew on rig floor
before he adjust the stopper.
· Lack of senior crew supervision during operation.
· The prevention measures of JSA had not been carried
out.
· Leader on duty perform HSE responsibly poorly
· Cross operation.
Recommended Immediate Corrective Actions:
 Language barrier need to be considered while
deploying the expatriate crews. It has to be ensured
that crews have understand in their local language.
 review the Safe operating procedures
(SOP), Job safety analysis (JSA) for laying down tubulars
incorporating the root causes and lessons learnt from

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