Record Number: 948

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: 23
OCCUPATION: rotary well drilling and related occupations
INDUSTRY:
cement and chemical treatment of wells
Industrial sector: mines, quarries and oil

ACCIDENT INFORMATION:

DATE OF ACCIDENT: Confidential
PLACE: LEGAL DESCRIPT AREA: Red Deer region
TYPE OF ACCIDENT:
struck by flying object (due to pressure release)
SOURCE OF INJURY:
boilers, pressure vessels (incl. pressurized pipes, hoses)
coal and petroleum products

ACCIDENT DESCRIPTION:

Crews were conducting a hot oil stimulation of a gas producing well. A
pressure relief valve set at 2200 PSI was rigged into the annulus port of the
wellhead and connected through a chicksan to 54.9m of 50.8mm I.D. used
production tubing through a reducing hose fitting and flex hose to an
underground waste tank. Midway through the stimulation program the pressure
relief valve unloaded. Gas pressure caused the relief tubing to separate at
the 18.288m joint with force and jet action which whipped the tubing around the
wellhead, fatally injuring one worker.

INVESTIGATION:

DATE: 1980-05-14
UNSAFE ACT(S):
unsafe position/posture, inappropriate operational position
using unsafe equipment, using equipment unsafely
operating without authority, failure to secure or warn
working on moving or dangerous equipment
UNSAFE CONDITION(S):
hazardous spatial layout or work area arrangement
INDIRECT CAUSE(S):
management's deliberate disregard of known safe procedures
EMPLOYER ACTION(S):
eliminate unsafe procedure
OHSO ACTION(S):
inspections
approval of new procedures, equipment, etc
issue a requisition or order
OTHER'S ACTION(S):
prosecution of employer
REGULATION(S): 27076032 27076192 27076208 27076224



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