Sino-Tharwa Drilling Co.

Accident / Incident investigation report

A GENERAL INFORMATION B ACCIDENT / INCIDENT DEFINITIONS (encircle one)

Time: 03:30 Pm Date:19-03-2009

Ftl: Where a person sustains injury
Area: NE-Sanhour
SI causing immediate death or death
within 24 hours
LTA: An accident causing injury so
that a person can not continue
Company: El-Hamra Oil Company normal duties the next day or shift
SA: Disabling injury and occupational
illnesses subsequent death, permanent
disability or property damage or loss
over $10,000
SI: A serious incident which under
Slightly different circumstances
Could have resulted in a fatal or
Serious incident

RWC: occurred when an employee

Reported by: Sherif Mohamed Nashaat can’t perform at normal capacity for a full MA: Minor accident, first aid, non
work shift or is assigned to another job disabling injury or property
due to work-related accident or illness loss or loss which does not exceed
Date Reported: 23-03-2009 $10,000

Time Reported: 05:00 Pm MTO: any injury requiring medical care MI: Minor incident which under slightly
or treatment beyond first aid, that different circumstances could have
Person Contacted: Mohamed Sweed doesn’t result in restricted work case or resulted in a minor accident
lost time accident

C FULL DESCRIPTION OF ACCIDENT/INCIDENT INCLUDING LOSS OF PROCESS,

HYDROCARBON RELEASE, MATERIALS, DAMAGE TO PROPERTY, EQUIPMENT
(Attach pertinent information, if required, such as Doctor’s medical report,
copy of Contractor’s accident report, statement of witnesses etc.)

ST- 4 Crew cap turn over On Thursday at 03:00 Pm 19-03-2009 on field road
at about 900m away from the rig site by Sino Tharwa driver Mohamed Abd El-
Hamid Soliman).He was turn back to rig site alone after delivering catering
staff to main camp the driver increase car speed willfulness under the influence of
bad family condition , mistaken action, and after exceeding sharp corner by some
meters he lost his control on the car so the car entered uneven ground area with
the high speed resulting in overturned of the car for one complete cycle and the driver
was lucky by wear seat belt so he did not injured. The accident resulting in damage
to the car from both sides and from the front (broken glass and body damaged)
shown in the photos blow. The license of the driver found valid but he did not
attend defense drive course and so he is not competent driver. From the
investigation , the car maintenance records not available ,the car was used after
the accident to transport the crew from the main camp to the rig site, about 27 Km,
without any service, maintenance or inspection by competent person. Medical check
was carried out on the driver and found free from injuries and in good health, medical
report attached.
 D CHECK OCCUPATION OF AFFECTED PERSON: (Check only ONE item)

1 Roustabout (Lease hand) 12 Truck Driver(Truck Pusher)

2 Floorman 13 Rig Helper
3 Derrick man 14 Truck Helper
4 Driller (Asst. Dr.) 15 Welder
5 Tool pusher (Asst. TP)(Tour pusher) 16 Maintenance Supervisor
6 Electrician(Electronic Technician) 17 Catering Personnel(Camp Staff)
7 Motorman 18 Radio Operator
Deck Supervisor(Deck
8 Mechanic(Repair Technician) 19
Coordinator)
9 Crane Operator(Forklift Operator) 20 Camp boss
10 Barge Engineer/Ballast Control Op. 21 Medic
11 Superintendent/other Supervisors 22 Other__________________

E CHECK PART OF BODY: (Check only ONE item)

1 Eyes(eyelid) 10 Toes
2 Head(face, nose, mouth, chin, jaw, teeth, eyebrow) 11 Neck
3 Back 12 Shoulder(s)
4 Trunk / Torso(chest, abdomen, groin) 13 Elbow(s)
5 Arm(s) 14 Knee
6 Hand(s) / Wrists 15 Skin
7 Finger(s)(Thumb[s]) 16 Lungs / Respiratory Problems
8 Leg(s) 17 Digestive / Internal Problems
9 Feet / Ankles 18 Other___________________

F CHECK NATURE OF INJURY / ILLNESS: (Check only ONE item)

1 Amputation 10 Burn (electrical)

2 Crush 11 Burn / scald
3 Skin infection 12 Burn (chemical)
4 Sprain / strain 13 Infection
5 Fracture 14 Shock (electric)
6 Cut / abrasions 15 Dislocation
7 Splinter / FB 16 Other

CHECK INCIDENT TYPE: (Check only ONE item)

G

1 Struck By 11 Cut
2 Struck Against 12 Exposure to Weather
3 Caught Between / In 13 Jump
4 Slip / Fall Same Level 14 Vehicle
5 Slip / Fall Different Level 15 Exposure to Gas
6 Strain / Overexertion 16 Chemical Inhalation
7 Contact With Chemicals / Fluids 17 Sprain
8 Electrical Shock 18 Heat Exhaustion / Stroke
9 Flame / heat/ steam (contact / exposed) 19 Caught On
10 Debris 20 Other__________________
 H CHECK EQUIPMENT TYPE: (Check only ONE item)

1 Tongs 15 Stairs
2 Elevators 16 Well Control(BOP) Stack (well head, tree)
3 Slips(drill collar clamp) 17 Material
4 Spinning Chain 18 Pressure Hoses / Lines
5 Iron Roughneck, Pipe Spinner, etc. 19 Crane / Forklift / Cherry Picker
6 Rotary 20 Ladders
7 Pipe / Collars / Tubulars / Csg. 21 Decks (grating, walkway)
8 Cathead / Drawworks 22 Welding, Cutting, Grinding Equipment
9 Slings (rope, cable, chain, web) 23 Chemicals (sack, drum, pail, bulk hopper)
10 Hand Tools: Manual 24 Top Drive (blocks, swivel, kelly)
11 Hand Tools: Power 25 Anchor Chains / Cables / Winches
12 Engines / Pumps / Machinery 26 Rig Floor Winch / Deck Winch (air / hydraulic)
13 Vehicles/Transportation(boat, car, truck, bus, helicopter) 27 Boat Cargo (Skids, Tubulars, Containers, Etc.)
14 Kelly Bushings (master bushings) 28 Other___________________

CHECK OPERATION AT TIME OF INCIDENT: (Check only ONE item)

I

1 Tripping in/out(makeup/brakeout BHA, test tools, etc.) 12 Cementing

2 Making Connection 13 Special Operations (wireline, perforating, etc.)
3 Routine Drilling Operations 14 Walking
4 Running Casing / Tubing(Rig up/down Csg. Tools) 15 Training
5 Laying Down / Picking up Pipe / Tubulars 16 Well Testing
6 Material Handling Manual 17 Abrasive Blasting / Paint / Scale Removal
7 Material Handling Crane / Forklift / Cherry Picker 18 Painting(painting related tasks)
8 Rigging Up / Down(rig move preparation, rig move) 19 Running / Retrieving Anchors
9 Well Control(BOP) Stack(well head/tree) Install/Maintenance 20 Handling Riser
10 Rig/Equipment Repairs or Maintenance 21 Jacking Up / Down Operations
11 Mud Mixing / Pumping 22 Travel / transportation
23 Other___________________

J CHECK LOCATION AT TIME OF INCIDENT: (Check only ONE item)

1 Rig Floor(rotary, pipe set back area) 13 Work Room (Change House, Storage House)
2 Pipe Rack / Pipe Deck 14 Living / Camp Areas / Accommodations
3 Catwalk / V-door 15 Crew / Work Boats
4 Derrick/mast (crown, monkey/stabbing board, A-frame) 16 Cellar / Substructure / Moonpool
5 Well Control(BOP) Stack/wellhead/tree Area 17 Truck, boat, car, bus, vehicle
6 Mud Mixing Tank / Area 18 Machinery Spaces
7 Shale Shaker 19 Mud Pump Room
8 Mud Pits / Tanks 20 Pontoon
9 Engine Room / Generator Room 21 Fuel / Water Storage Tanks
10 SCR / Electrical Room 22 Jacking House
11 Stairs / Ladders 23 Forklift / Cherry Picker / Crane
12 Rig Pad/Rig Decks (rig/well site/location, yard) 24 Other_Field road______________
 K CHECK Basic (root) causes : (Check item)

1 Inadequate capability 8 Inadequate supervision

2 Lack of knowledge (not trained) 9 Inadequate engineering
3 Lack of skill 10 Inadequate purchasing
4 Stress 11 Inadequate maintenance
5 Improper motivation 12 Inadequate tools ,equipment ,materials
6 Abuse / misuse 13 Inadequate work standard
7 Wear and tear 14 Inadequate work instructions / procedures
7 Unsafe work permit 14 Other _____________________

CHECK Immediate (direct) causes : (Check only ONE item)

L

1 Operating equipment without authority 15 Inadequate guards or barriers

2 Failure to warn 16 Inadequate or improper PPE
3 Failure to secure 17 Defective equipment ,tools or materials
4 Operating at improper speed 18 Congestion of restricted action
5 Making safety devices inoperable 19 Inadequate warning system
6 Removing safety devices 20 Fire and explosion hazards
7 Using defective equipment 21 Poor housekeeping , disorder
8 Failing to use PPE properly 22 Noise exposure
9 Improper loading 23 Radiation exposure
10 Improper placement 24 Temperature extremes
11 Improper lifting 25 Inadequate or excess illumination
12 Improper position for task 26 Inadequate ventilation
13 Servicing equipment in operation 27 Under influence of alcohol and or other drugs
14 Horseplay 28 Other Uneven ground
 Indicate main part of body affected (tick box)
Part of Body Injured: ACCIDENT
M / INCIDENT COSTING

Head A Leg
Estimated Injury Cost Chest Digestive
$ Finger
Eye Foot Abdomen Back/Spine Hand/wrist
B Estimated Property $
Ear Toe Hip Respiratory Arm
Loss/Damage/Environmental Cost
Neck Shoulder Multiple Other (specify)
C Estimated Repair Cost $

Nature of Injury/Illness (Tick one or more boxes) $

D Estimated Investigation Cost
Amputation Crush Skin Infection Sprain/Strain
Fracture E Cut/abrasions
Estimated Rig DowntimeSplinter/FB $Burn (chemical)
Burn (electrical) Burn/Scald Dislocation Infection
Shock (electric) Other Incident
Total (specify) Cost (A+B+C+D+E) $ Under Estimation

OPERATIONS ACTIVITY LEADING TO INCIDENT

N SKETCH / SITE PLAN G Indicate actual activity leading to incident
Indicate major operation in progress at the location of the incident (tick box)
(tick box)
Maintenance
Rig move Using portable tools Manual lifting
Domestic/Catering
Drilling
Operation/machinery Driving
Construction/Civils
Materials Handling
Other (specify) Electrical work Other (specify)
Transport
Repair oil hose

H BASIC UNDERLYING CAUSES(S)

Inadequate tools/ Inadequate Breach of Security

Lack of skill
Equipment purchasing
specification
Inadequate supervision Security Incident
Improper motivation
Inadequate Inadequate work
maintenance procedures Other (specify)
Abuse/misuse
of equipment Excess wear & tear Lack of knowledge
Carelessness & temper
O CORRECTIVE ACTION PROPOSAL ( To be filled in by Supervisor initiating this form)
IMMEDIATE CAUSE(S) Actions & Conditions (tick box)
I Name:Sherif Mohamed Nashaat Date: 23/03/2009 Signature: Sherif Mohamed Nashaat
Operating equipment Failing to use PPE Using equipment Defective tools,
without authority improperly equipment, materials
Improper lifting
Making safety devices
1- Safety meeting with all the staff to communicate Inadequate protective Inadequate
the lessons ventilation
learned to all
inoperative
Improper loading equipment
concerned. Congestion or area
Using defective
2- Daily check
equipment/tools for the car
Servicing before
equipmentstart moving
Inadequate and recording
guards for any service.
restricted
in service or barriers
3- Stop using the car and sent it to Cairo for repair.
Horseplay
4- Clear the situation and avoid blame Failure culture.to follow Other (specify)
Poor housekeeping Inadequate warning Security
System Procedures Break release
M P MANAGEMENT REVIEW OF SUPERVISORS ACTION PLAN
(Comments by Tool pusher or Supervisor’s Line Manager)

Name:Ahmed Abd El Baset Date: 22-03-2009 Signature:Ahmed Abd El Baset

1-Defense of drive course to be conducted with all driver from start.

2-Inside vehicle monitoring system (IVMS) to be installed for the cars.

Rig HSE Engineer

Signature:Sherif Mohamed Nashaat

Name: Sherif Mohamed Nashaat Date: 22-03-2009

CORRECTIVE ACTION APPROVAL

N Q
To be completed by the persons listed below. If any of the above comments are not agreed with, it is recommended that
they be discussed with the relevant person to agree necessary actions.

Signature:
HSE Manager Date:

Signature: Date:
Superintendent

Signature: Date:
Top Management