Record Number: 1536

FATALITY REPORT

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: 27
OCCUPATION: architectural and engineering technologists and technicians
INDUSTRY:
oil or gas well operation
Industrial sector: mines, quarries and oil

ACCIDENT INFORMATION:

DATE OF ACCIDENT: Confidential
PLACE: DRAYTON VALLEY AREA: Edmonton 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:

Two workers were overcome by H2S gas and died when a 12.7mm stainless steel
tubing separated from a fitting of a temporary, auxiliary hydrate control
injection system, at a sour gas well.

INVESTIGATION:

DATE: 1984-11-22
UNSAFE ACT(S):
no unsafe act identified
UNSAFE CONDITION(S):
defective tools, equipment, materials or supplies
INDIRECT CAUSE(S):
worker's lack of experience or knowledge
management's deliberate disregard of known safe procedures
EMPLOYER ACTION(S):
eliminate unsafe conditions
eliminate unsafe procedure
provide instruction, training, supervision to workers
OHSO ACTION(S):
approval of new procedures, equipment, etc
meeting with company representatives
issue a requisition or order
OTHER'S ACTION(S):
no action
REGULATION(S): 00448083



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