Lessons learned : RWC of Dropped Object Incident

Summary of Incident: Incident with RWC classification occured at Marunda - Jakarta.

This is an Dropped Object incident
Date: 02 July 2015 PSL: HPS Location: Marunda - Indonesia
RHS no: 663942 Case Classification: RWC
The CT crew where preparing CT equipment for inspection by quality inspector. During the rig up process for the CT injector a
1.75"strraight bar was required to be installed to conduct a pull test and snub test. The crane was busy shifting N2 tanks around and
had blocked the access to use either the crane or a fork lift to install the bar. The CT crew decided to try to manually install the bar
because of the dead line to get equipment ready, during the attempt to install the bar they decided that it was to heavy and could not
be done safely by hand. So during the operation of laying the bar down the injured person was standing on the ground to help guide
the bar down when it slipped from the personnel onto top of the injector and the blunt end of the bar striking the injured person on
the laced up area of his work boots .

Consequence: Resulted in foot getting fracture but no requiring surgery.

Causes:
▌ Lack of dropped object training
▌ No pull test work method available.
▌ Poor communication prior and during the execution of the task
Corrective actions: <immediate actions>
▌ Take the Injured Personnel to hospital for medical treatment
▌ Stop the working activities in BSD and Marunda then perform safety stand-down with the full team to discuss
the initial findings of the incident

Preventive actions: <ensure that the incident is not repeated>

▌ Ensure competency of crew to undertake the task through refresh or re-assign on DROPS Awareness Training
and JSA Training
▌ Develop Work Method for Pull Test
▌ Socialize lesson learned and check list for pull test job
1