BSP-AA-201615 TWD July 2016

IP twisted knee while working on the C-plate

Target audience for this alert
 Well Operations Team Lead, LCWE, Drilling & CWI supervisors, WSDE
 Toolpusher, Tourpusher, Drillers, Assistant drillers, floorhands, Tubular running service providers

What happened?
On June 26th, the rig was running the cement
stinger to cement the surface casing in place using a
false rotary table or “C-plate”. To make connection
the floorhands were having to step onto the C-plate
to work the slips and stabbing guide. By design the
C-plate had an opening of 23cm. The height of the
C-plate was 0.98cm above the rig floor. At the
time of the incident the IP was working on the C-
plate with the stabbing guide and placed his right
foot into this opening. This caused him to loose his
balance. A colleague managed to hold the IP and
prevent him from falling on the rig floor. The IP
twisted his knee. No symptoms of swelling were
seen but IP complained about pain when moving his
leg.

Why it happened
 Immediate causes:
 Using false rotary for cement stinger job.
 Manual removal of the stabbing guide.
 Design of the C-plate with the 23cm gap.
 Underlying causes of the incident:
 Iron roughneck not designed with automated stabbing guide.
 OEM design of C-plate.
 Root cause
 Pre-phase job planning.
 Lack of learning from other operations, which not using a false rotary table to run the cement
stinger.

This document is made available for information only and on the condition that (i) it may not be relied upon by anyone, in the conduct of their own operations or otherwise; (ii) neither Brunei Shell
Petroleum Company Sendirian Berhad (BSP) nor any other person or company concerned with furnishing information or data used herein (A) is liable for its accuracy or completeness, or for any
recommendations or advice given in or any omission from this document, or for any consequences whatsoever resulting directly or indirectly from any use made of this document by any person, even if
there was a failure to exercise reasonable care on the part of BSP or any other person or company as aforesaid; or (B) makes any claim, representation or warranty, express or implied, that acting in
accordance with this document will produce any particular results with regard to the subject matter contained herein, or to satisfy the requirements of any applicable federal, state or local laws and
regulations and (iii) nothing in this document constitutes technical advice. If such advice is required it should be sought from a qualified professional advisor. The content of this document may (i) be
based on, but not identical to facts relating to a third party incident about which BSP has become aware; (ii) contain recommendations that are one, but not necessarily the only way, of addressing
incident learnings.
Lessons learned
 Subsequent cement stinger operations should be planned without a false rotary table to eliminate the risks
involved.
 Following options were identified for 2 different scenarios:
1. When running surface casing with a spear. Design the landing joint such that the top of the
landing joint is sufficiently below the rotary table after landing. The casing spear can reach below
the rotary table. Run and retrieve the cement stinger using the normal slips at the rotary table level.
After the cement job, the landing joint be can either be retrieved with the casing spear or by using
a pup joint.
2. When running surface casing conventionally. Use a landing string which consists of two parts with
pup joint on top having a connection that is easily retrievable; i.e. ACME thread. After landing the
casing, the top part of the landing joint can then be removed. Run and retrieve the cement stinger
using the normal slips at the rotary table level. After the cement job, the landing joint be can be
retrieved by using the same pup joint as used while running it.
 See picture below. This eliminates the need for a false rotary table.
 In operations where false rotary table are still required (such as running workstrings for gravel pack operations),
the risks of slips & trips need to be recognized and minized as much as possible by using a properly designed
work platform.

Actions
 Update standard procedures for running cement stinger in surface casing cementations, to eliminate the
use of a false rotary table.
 Ensure use of proper work platforms when use of false rotary tables is unavoidable.

Further information
FIM No. 1661440
Grauwmans Rob TWD/12 rob.grauwmans@shell.com

FOOTER: Insert disclaimer here