TRIPOD BETA – SLEDGE HAMMER DROPPED TO WHP-A MEZZANINE DECK

Job sequence incorrect in

Beam was too tight to Weight of casing was on
the POA
Did not have sledge hammer Sledge hammer not reinstall top of the beam
Hammer dropped to (PR)
big enough in stop drop tool tethered / Not use stop
WHP-A
box drop tool

Active Failure Pre-Condition Latent Failure

Latent Failure Pre-Condition
Active Failure

Risk assessment
Job was not stopped / Person did not recognize
Wooden hammer handle did not cover
Slippery / oily hammer Hammer slipped Person took over the associated hazard to the
with no grip change of task to
handle away sledge hammer to activity / deviation from
(HW) reinstall H-Beam
install H-Beam original plan
(CO)

Latent Failure Pre-Condition Active Failure Active Failure

Pre-Condition Latent Failure

Current method of using the H-Beam leaves

gap between conductor and rotary table /
Currently no alternative method to eliminate
the use of H-Beam on the rig
(Double elevator? / Casing with welded
Basic Risk Factor (BR Factor) Event / Hazard beam?)
DE : Design Knock H-Beam with (HW)
HW : Hardware Sledge Hammer
MM : Maintenance
Management Latent Failure
EC : Error Enforcing Condition Alternative method Event
Sledge hammer Procedure JSA
PR : Procedure Stop drop tool Sledge hammer
TR : Training design
dropped to WHP-A
CO : Communication Mezzanine Deck
IG : Incompatible Goals
OR : Organization
DF : Defense Rotary table
cover

Target
Effective barrier Sledge hammer

Red zone /
Barricade
Failed barrier (DF)
Sledge hammer
Did not have Rotary table hole dropped through gap
hole cover not covered between conductor &
(DF) rotary table
Missing barrier

Latent Failure Pre-Condition Active Failure