Safety Alert
Lack of Communication Results in Fatality
Lack of Communication Results in Fatality
- IADC
- Safety Alert
- IADC Alert 14-11
- Human Factors
- Crushing and pinch pointsHuman factorsMechanical failure
- DrillingInspection and maintenance
- Hose
- Exclusion zonesSafety communication
- Upstream oil and gas
Summary
A mechanic was fatally trapped in an iron roughneck while investigating a burst hydraulic hose during tubular handling. He returned through restricted access without announcing his arrival and entered a carriage gap. The alert describes machine mode changes, continued pipe handling and signage requiring notification of the driller before entry.
Classifications: Crushing and pinch points; crush hazards; pinch points.
Classifications: Human factors; human performance; ergonomics.
Classifications: Mechanical failure; equipment failure.
Classifications: Drilling; well drilling.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Hose; flexible hose.
Classifications: Exclusion zones; red zones; restricted access zones.
Classifications: Safety communication; toolbox talk; toolbox talks.
Classifications: Upstream oil and gas; oil and gas extraction; upstream petroleum.
Summary
An alert about communication failures contributing to a fatal event.
IADC Alert 14-11. Themes: human factors.