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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: 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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