Safety Alert

Failure To Revise Job Safety Analysis Leads To Injury

BSEEBureau of Safety and Environmental EnforcementBSEE Safety Alert 418

Failure To Revise Job Safety Analysis Leads To Injury

Read at BSEEOpens the publisher’s page on bsee.gov

Summary

A crew removing a heater tube added handrail removal without revising its job safety analysis. Crane tension and a prybar freed the handrail, which struck a worker and caused facial fractures. The alert identifies planning, training and policy failures, and recommends considering training programmes, discussing changed duties and using stop-work authority.

Topics

About This Record
Publisher
Bureau of Safety and Environmental Enforcement
Type
Safety Alert
Reference
BSEE Safety Alert 418
Date
22 April 2021
Topic
Line of Fire, Risk Management
Activity
Inspection and Maintenance, Lifting Operations
Equipment
Crane
Control
Competence and Training, Job Safety Analysis, Safety Communication, Stop-Work Authority
Sector
Upstream Oil and Gas
Link
Checked , working
Record
bsee-safety-alert-418 · added 2 September 2026

Report a problem with this record