Professional Documents
Culture Documents
Immediate Cause(s)-
1. The task is not a routine task, it has never been performed at this location.
2. The employee is experienced with working on various types of oilfield equipment but not disassembling this
pully. He took steps to reduce the risk of spring tension but because of the design of the pully he did not realize
the amount of tension still on the spring.
3. No JHA was completed before doing this task.
Immediate Actions-
1. The disassembled pully has been removed from service and will be replaced with a new one.
2. Inform all area managers of the incident. Discuss that two-part tension pullies will not be disassembled at NOV
locations. They will be replaced with new ones or sent to the manufacturer for repairs.
Lessons Learned-
Before performing a task that has never been performed at a location a risk assessment must be performed. Consider if
employees are knowledgeable and qualified to perform the task. Also consider if special tools or equipment are
required to safely perform the task. Employees will not perform a task unless they are knowledgeable, qualified for the
task, and have the proper tools required.