Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
INCIDENTorPotentialIncident
Tools/ Equipment/ Product/ Failure/Malfunction(FailDownhole) Chemicals/ Fluids/ Slurry notperformor placedasper design. Off depthor improper spaceout Mediaexposure
Not meetingexpectation(Wellproduction, Client, Others):
Tools/ Equipment/ Product/ Failure/Malfunction(Failonsurface) Unplanned/Undesiredenergy release Regulatory/Contract/ Licenseviolation
Tools/ Equipment/ Product not at fault.
Data/ Informationquality/ Integritydelivery failure Unable toreachdesireddepth Loss of well control Locationlogistics/ Procurement/ Customs incident
Late/No/ Substandarddelivery ofProduct/ Service/ Data Lost/Droppedinhole(Tool, Equipment, Others) Invoicefailure Globallogistics/ Procurement/ Customsincident
IMMEDIATECAUSE
SubstandardActs SubstandardConditions
Using unauthorized equipment InadequateGuards or Barriers
Operating Equipment without authority InadequateWarningSystem
Operating at improper speed Inadequateor Improper equipment
Operateequipment outof specification Inadequate3rdparty (non-SLBmanaged) equipment
Knowingly using defective equipment Inadequatedocumentedinstructions
Using equipment improperly Inadequate Information/Data
Making safety devices inoperative Inadequate Job/Workpreparation/Planning
Improper jobplanning Inadequate support/ Assistance
Improper Loading/ Lifting/ Handling/Placement/ Position for task Inadequate communication infrastructure/ Process
Improper chemicalmixing/Blending DefectiveTools, Equipment, MaterialsorSoftware
Improper equipment/ Product selection/ Jobdesign Inappropriateworksitecondition(Noise,Radiation, Mud, Snow,Ventilation, Illumination, Harmfulmaterial,Others)
Improper/ Inadequatemaintenance Fire&ExplosionHazard
Improper behavior/Foolingaround Poor Housekeeping/Disorder
Impropermake-up/ Assembly Congestionor Restricted Action
Improper Filing/ Archiving/Record keeping External conditions(Sea,Weather,Roadetc.)
Improper storage Downhole conditions(Temperature,Pressure)
FailingtousePPEproperly Downhole conditions(Obstruction, Restriction,Debris)
Failure towarn/Intervene Downhole conditions(Sand, Scale)
Failure tosecure/ Protect Downhole conditions(Reservoir, Flowrate)
Failure tofollowdocumentedinstructions Downhole conditions(Chemistry, Corrosion)
Failure toidentify Hazard/Risk Downhole conditions(Others)
Failure tocheck/Monitor/Observe
Failure toReact/Correct
Failure tocommunicate/Coordinate
Under influenceofalcohol andorOther drugs
SystematicCause AnalysisTechnique
ROOTCAUSES
PersonalFactors JobFactors
Inadequate Inappropriate height, weight, size, strength, reach, etc Inadequate Unclearor conflictingreportingrelationships Inadequate Inadequatereparative Communicationofneeds
AbuseorMisuse Improperconductthatis
condoned
Intentional Inadequateunderstanding/appreciationofoperationalcapabilities
Unintentional Overselling/overpromising
Improperconductthatisnot Intentional
condoned
Unintentional
Sc
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Pri
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LACKOFMANAGEMENTSYSTEMCONTROL
Commitment,Leadership PoliciesandObjectives Organizationsand ContractorandSupplier RiskManagement BusinessProcesses PerformanceMonitoring AuditsandReviews
andAccountability Resources Management andImprovement
C&SEvaluation,Qualificationand Assets, ProductsandSystems
Commitment andLeadership Policies OrganizationalResponsibilities Risk Management Process PerformanceReview Audits
Selection Integrity
Accountability Objectives OrganizationalStructure C&SManagement Risk Control Processes EventReportingand Management Reviews
TrainingandCompetence C&SPerformance ManagementofChange Business Continuity ComplianceMonitoring
CorrectiveActions andContinuous
InformationManagement
Improvement
Standards andGuidelines RecognitionPrograms
Records