Investigation Report
2017-001 KC 96 Investigation of October 20, 2015 Fatality During Pipe Handling, Lease OCS-G 33531, Keathley Canyon Block 96 Drillship Pacific Santa Ana
2017-001 KC 96 Investigation of October 20, 2015 Fatality During Pipe Handling, Lease OCS-G 33531, Keathley Canyon Block 96 Drillship Pacific Santa Ana
- BSEE
- Investigation Report
- 2017-001
- Human factorsLine of fireMechanical failure
- DrillingLifting operations
- Operator displays and control interfaces
- Competence and trainingExclusion zonesOperational supervisionRisk assessment
- Upstream oil and gas
- Offshore installationVessel
Summary
BSEE investigates a fatal pipe-handling incident aboard Pacific Santa Ana during tripping operations. A failed fingerboard latch seal allowed a latch to close, obstructing a pipe stand that bowed and recoiled into a floor hand. The report examines control-display limitations, task allocation, risk assessment, training and supervision.
Classifications: Human factors; human performance; ergonomics.
Classifications: Line of fire; struck-by hazards.
Classifications: Mechanical failure; equipment failure.
Classifications: Drilling; well drilling.
Classifications: Lifting operations; load lifting; hoisting.
Classifications: Operator displays and control interfaces.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Exclusion zones; red zones; restricted access zones.
Classifications: Operational supervision.
Classifications: Risk assessment; hazard assessment.
Classifications: Upstream oil and gas; oil and gas extraction; upstream petroleum.
Classifications: Offshore installation; offshore platform; offshore rig.
Classifications: Vessel; aboard ship; onboard vessel.
2017-001.