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- REPORT
CHARACTERISTICS:
DONOR: Alberta Community and Occupational
Health Occupational Health and Safety Division JURISDICTION:
ALBERTA REPORT TITLE: Fatality Investigation Data
Base
INFORMATION ABOUT DECEASED:
NAME: Confidential
SEX: Male AGE: 19 OCCUPATION: mining and quarrying: cutting,
handling, and loading INDUSTRY: oilfield maintenance and
construction Industrial sector: mines, quarries and
oil
ACCIDENT INFORMATION:
DATE OF ACCIDENT:
Confidential PLACE: PONOKA AREA: Red Deer region NATURE OF
INJURY: poisoning (systemic from toxic substance) TYPE OF
ACCIDENT: contact with gases/fumes by inhalation (lack of
oxygen) SOURCE OF INJURY: hydrogen sulphide
exposure
ACCIDENT DESCRIPTION:
The deceased was
required, as part of his daily duties, to gauge the sour
crude oil storage tanks. The external (automatic) gauging
system was broken, so the deceased had to physically gauge the
storage tank from the ladder, using a steel tape with a
plumb-bob attached, through the thief hatch on top of the tank.
When he opened the thief hatch (200mm in diameter) on top of the
tank, he was overcome by H2S gas fumes and fell 6.08m to the
ground. The H2S content of this well is 18-22%, and worker was
not wearing respiratory protective equipment at the time,
although it was available in his truck. The worker's body was
discovered lying on the ground at the base of the ladder by a
local farmer when he went to investigate why the truck was
still at the well site with the lights
on.
INVESTIGATION:
DATE: 1984-11-17 UNSAFE
ACT(S): safety device removed or rendered inoperative UNSAFE
CONDITION(S): defective tools, equipment, materials or
supplies INDIRECT CAUSE(S): worker's lack of experience or
knowledge unsafe job procedure management's deliberate
disregard of known safe procedures EMPLOYER
ACTION(S): eliminate unsafe procedure ensure that proper
personnel do work OHSO ACTION(S): approval of new
procedures, equipment, etc meeting with company
representatives OTHER'S ACTION(S): by government agency
other than OHSD, WCB or judiciary REGULATION(S):
00448083
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