Record Number: 1628

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: 40
OCCUPATION: foremen: construction trades
INDUSTRY:
oil or gas well operation
Industrial sector: mines, quarries and oil

ACCIDENT INFORMATION:

DATE OF ACCIDENT: Confidential
PLACE: INNISFAIL 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:

Two workers were overcome by H2S while attempting to remove a "hydrate plug"
from a 75 mm fibreglass pipeline. The accident occurred at the installation of
a new satellite battery. The "hydrate plug" moved in the line and knocked a
temporary fitting called a "dresser sleeve" off the open end of the pipe,
releasing H2S gas. One worker, without wearing respiratory protective
equipment, entered the excavation, where the open end of the pipe was located,
and was overcome by H2S. Another worker, who was not wearing respiratory
protective equipment, was also overcome by H2S when he entered the excavation
to rescue the downed worker.

INVESTIGATION:

DATE: 1985-05-29
UNSAFE ACT(S):
operating or working at unsafe speed
unsafe position/posture, inappropriate operational position
safety device removed or rendered inoperative
UNSAFE CONDITION(S):
hazardous spatial layout or work area arrangement
unsafe dress or apparel
INDIRECT CAUSE(S):
unsafe job procedure
worker's temporary/permanent mental/physical limitations
management's deliberate disregard of known safe procedures
EMPLOYER ACTION(S):
eliminate unsafe procedure
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): 44883015 44883016 44883082 44883094



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