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PT.

HUABEI PETROLEUM SERVICE

ACCIDENT INVESTIGATION REPORT

Hand grinder fall down from the workshop


table and hit Mechanic Helper head

Date : October 21, 2011 at 19.30 pm.


Location : HPS D# 03 , SBD # 05
Victim : Mechanic Helper ( Sofyan)
Accident Description

On Oct 21, 2011 at 7:30 pm, mechanic helper


Person injury : want to grind tang sharpring by hand grinder in
welder shop. He put the hand grinder on the
Name : Sofyan working table and he’s also didn’t check position
Position : Mechanic Helper
switch on or switch off, take off his hardhat and
Age : 38 Years
Exp : 1 years
put on the table. When IP wan to plug-in the
Company : PT. Tritama electric source at under the table. After plugging
in the power, the hand grinder automaticly running
and drop down from the table to IP head. His
head was cut a wound approximately 5 cm length
by running grind disk, the victim was sent to BGP
Clinic immediately and got 5 stitches. Then IP
brought to DKT Hospital in Jambi to scan his head
and the result it’s no fracturing then doctor
recommend to light working.
2. Accident Photo’s
3. Root Causes and Categories

No Root Causes Root Cause Category


1 Lack of SOP Implementation Procedure.
4. Recommendations

No Description Corrective Action Due Date PIC Status


1 Lack of SOP Prepare SOP for using Oct 25. Rig Supt. Closed
Implementation grinder and share to all 2011
rigs
Socialize SOP on Tail Oct 25. HSE Officer Closed
Gate Meeting and have 2011
attendant list

Replace position of Oct 23. Electrician Closed


plugging in the power 2011

Clear marking on/ off Oct 23. Electrician Closed


position for all electrical 2011
equipments

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