Diving Safety Incident Analysis
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Questions and Answers

What were the main points of failure that contributed to the incident involving the diver and the unplanned release of production gas? (Select all that apply)

  • The task Specific Risk Assessment was not adequately reviewed at the Toolbox Talk. (correct)
  • Several people could have intervened and stopped the job but did not. (correct)
  • The divers continued with dummy stab removal despite the gas bubble release without challenging the 'as-found' condition. (correct)
  • The Dive Supervisor had previously used divers to remove blind stabs, which created a normalisation of this way of working. (correct)
  • Specific task plans were not developed for diver dummy stab removal. (correct)
  • Dummy stab removal with diver and hand tools was a deviation from procedure. (correct)
  • What was the primary cause of the wooden packing block falling through the gap in the mesh platform during pipelaying operations?

    The wooden packing block, used for crossover packing on the spooler reel, had compressed into the parent coating of the pipe. It was thought that this was the mechanism that has transported the block on the pipe and into the lay system.

    The worker who fell through the open hatch in the BSEE incident sustained injuries to his leg and knee.

    True

    According to the NTSB report, what was the 'probable' cause of the fire on the towing vessel?

    <p>The NTSB's investigation suggested that undetected cracks in the starboard muffler allowed exhaust gases from an operating engine to escape and ignite wooden structures affixed to the common bulkhead of an accommodation space.</p> Signup and view all the answers

    What were the key factors that contributed to the snagging of the container on the deck of the vessel? (Select all that apply)

    <p>The crane operator did not notice the potential snagging point, so continued the operation.</p> Signup and view all the answers

    What was the primary cause of the anchor chain parting on the tugboat?

    <p>The crotch strap of a worker's lifejacket got caught on the lever of the anchor clutch, slightly engaging it, which put tension on the anchor chain during the operation of the winch, and subsequently caused it to part.</p> Signup and view all the answers

    Study Notes

    Diver Exposed to Unplanned Release of Production Gas

    • During saturation diving at 65m, a diver was exposed to a sudden, unplanned release of hydrocarbon gas (estimated pressure >150 bar).

    • The pressure release caused a stuck blind stab to be ejected and the diver to be pushed backwards by the force of the gas.

    • The diver was unharmed.

    • The incident was considered a high-potential near miss.

    • Saturation divers were working on a subsea skid, where incorrect tagging was identified.

    • A dummy stab removal was to be carried out using hand tools (T-bar and hammer).

    • During hammering, gas bubbles released from a receptacle, followed by a large release.

    • Divers were instructed to stop working for 10 minutes to allow gas to discharge.

    • Diver 1 returned to the bell; Diver 2 continued hammering the blind stab.

    • The dummy stab ejected, releasing trapped, high-pressure production gas.

    • Diver 2 was pushed backwards by the gas but remained on top of the skid.

    What Went Wrong

    • Unlike previous work, isolation of the skid was not demonstrated due to pipework configuration and lack of venting.
    • The incident was similar to a previous incident in the North Sea (a reference is provided).
    • Critical controls for high potential incidents need to be in place.
    • Stop Work Authority needs reinforcement across all worksites and operations.
    • Personnel should be encouraged to ask questions and assess potential risks.
    • Procedures and task plans should clearly include critical "hold points" outlining ROV tool use.

    Dropped Object - Wooden Packing Block

    • During pipelaying, a wooden packing block (approx. 1kg) attached to the pipe, crossed the main deck, and entered the pipelay tower.
    • It fell more than 10 meters through the system, landing on the workstation floor.
    • No injuries were reported.

    What Went Wrong

    • The dropped block passed through an inadequate gap in workstation barrier system - DROPS barriers.
    • An insufficient or inadequate barrier to stop the wooden block from entering the pipeline was a contributing factor.
    • The dropped object passed through the gap around the pipe due to pipe deflection and did not retract with the pipe.
    • Small pipe packing blocks should be avoided.

    BSEE: Person Fell Through Open Hatch

    • A worker fell through a damaged open hatch, sustaining leg and knee injuries.

    • Factors contributing to incident: lack of situational awareness, inadequate fall protection measures, failure to properly secure the hatch cover and failure to alert others.

    • BSEE identified working conditions in offshore environment can present challenging hazards.

    • This incident highlights the importance of consistently checking surroundings for potential hazards. This is relevant for various work situations, including loose grating, damaged handrails, hot work areas, and lifting heavy objects.

    NTSB: Fire on Vessel - Escaped Exhaust Gases

    • A fire broke out in a stateroom on a small towing vessel.

    • The fire was extinguished safely, with no injuries.

    • The vessel was destroyed.

    • An off-duty pilot was awakened by a smoke alarm and the smell of smoke.

    • A latent issue such as a defect in the muffler during construction or the exhaust system design's allowance for thermal expansion were possible contributors.

    • Hot exhaust gases escaped into the stack area.

    • Cracks in welds on the upper section of the starboard muffler allowed the escape of exhaust gases.

    • Combustible materials in the joinery, outfitting, and furnishings contributed to the extent of the fire damage.

    Lessons Learned (Various Incidents):

    • Machinery exhaust systems often run through tight spaces, making access and inspection difficult.
    • Inspection of welding and other potential weak points in exhaust systems is crucial.
    • Stop Work Authority procedure needs reinforcement.
    • The importance of crew communication and visibility during tasks (e.g., snagged container).
    • Ensure barriers are suitably designed to prevent gaps for potential dropped objects.
    • Always check surroundings before starting work activities.
    • Identify hazards and consider possible actions.

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    Related Documents

    IMCA Safety Flash PDF 2024

    Description

    This quiz explores a critical incident involving a saturation diver exposed to an unplanned release of hydrocarbon gas at a depth of 65 meters. It delves into safety protocols, incident response, and the implications of pressure releases in underwater operations. Understanding these scenarios is vital for improving safety measures in diving practices.

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