COS SAFETY SHARE
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Copyright 2020 – Center for Offshore Safety, all rights reserved. Center for Offshore Safety and the COS logo are either trademarks or registered trademarks of the Center for Offshore Safety in the United States and/or other countries. 15377 Memorial Drive, Suite 250, Houston, TX 77079. API Global Markeng and Communicaons: 2020-235 | PDF NOTICE: COS Safety Shares are based enrely on data voluntary reports by U.S. Operators and Contractors and you use it at your own risk. API has not verified the accuracy of reported data and makes no representaon or warranty, either express or implied, or assumes any liability, with respect to the accuracy, completeness, or ulity of the informaon contained herein. API is not undertaking to meet the dues of employers, manufacturers, or suppliers to warn and properly train and equip their employees or others exposed to health and safety risks. 2019033 COS SAFETY SHARE What happened? Picking up 4" heavy-weight drill pipe singles, Assistant Driller accidentally hit elevator unlatch button on joystick instead of float button and dropped a joint of drill pipe to the floor. When elevator unlatched, joint dropped and the pin end struck the rotary. Subsequently, the joint fell across the rotary towards the handrails at the east side of the drill floor. The box end of the joint landed approximately two feet from the handrail. Four members of the drill crew were at or near the rotary when the joint fell. The pin end of the joint fell approx. three feet to the rotary. What went wrong? Unlatch button requires being pressed twice for actuation/unlatch of elevator. The operator did not ensure the correct operation of the equipment. Why did it happen? The joystick was identifiable by sight but not by feel. What areas were idenfied for improvement? The Elevator release button on the Joy Stick was fitted with a tactile device to allow the operator to readily identify the Elevator Release Button by feel alone and to increase the operator’s awareness of differentiating the control buttons. HUMAN ERROR PROMPTS HUMAN PERFORMANCE CORRECTION WHAT WILL WE DO TO PREVENT THIS FROM HAPPENING HERE?
Transcript of COS SAFETY SHARE
Copyright 2020 – Center for Offshore Safety, all rights reserved. Center for Offshore Safety and the COS logo are either trademarks or registered trademarks of the Center for Offshore Safety in the United States and/or other countries. 15377 Memorial Drive, Suite 250, Houston, TX 77079. API Global Marketing and Communications: 2020-235 | PDF
NOTICE: COS Safety Shares are based entirely on data voluntary reports by U.S. Operators and Contractors and you use it at your own risk. API has not verified the accuracy of reported data and makes no representation or warranty, either express or implied, or assumes any liability, with respect to the accuracy, completeness, or utility of the information contained herein. API is not undertaking to meet the duties of employers, manufacturers, or suppliers to warn and properly train and equip their employees or others exposed to health and safety risks.20
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COS SAFETY SHARE
What happened?Picking up 4" heavy-weight drill pipe singles, Assistant Driller accidentally hit elevator unlatch button on joystick instead of float button and dropped a joint of drill pipe to the floor. When elevator unlatched, joint dropped and the pin end struck the rotary. Subsequently, the joint fell across the rotary towards the handrails at the east side of the drill floor. The box end of the joint landed approximately two feet from the handrail. Four members of the drill crew were at or near the rotary when the joint fell. The pin end of the joint fell approx. three feet to the rotary.
What went wrong?Unlatch button requires being pressed twice for actuation/unlatch of elevator. The operator did not ensure the correct operation of the equipment.
Why did it happen?The joystick was identifiable by sight but not by feel.
What areas were identified for improvement?The Elevator release button on the Joy Stick was fitted with a tactile device to allow the operator to readily identify the Elevator Release Button by feel alone and to increase the operator’s awareness of differentiating the control buttons.
HUMAN ERROR PROMPTS HUMAN PERFORMANCE CORRECTION
WHAT WILL WE DO TO PREVENT THIS FROM HAPPENING HERE?
