Group Annexures 2017-18

Development Drilling Group (I)
2017 - 18
KUWAIT OIL COMPANY
KPC HSSE POLICY
We are committed to provide a safe, secure and healthy working environment for everybody who works with us, and are responsible for
working towards the goal of no accidents, and no harm to our people, environment, our assets, and the communities in which we operate.
We believe that all incidents, injuries and workplace illnesses are preventable. We will prevent pollution and the negative/adverse impacts
our operations have on the environment by reducing waste, emissions and discharges, and use resources efﬁciently. We will produce,
market and distribute quality products that can be used safely by our customers.
To accomplish this, we will:
March 2015
2017 - 18
KUWAIT OIL COMPANY
KOC Risk Actions 2017-18

Sr Basis /
Risk Actions Threshold Target Stretch Action by
No Remarks
Opns. TL, Engineers,

1 Verify and follow-up with Contractor on the communicated alerts discussion in safety meetings during SVV, Leadership Visits, HSE Inspections & other visits.
Supervisors, HSE Supv.
Recommendations from Safety Alert #: DEV DG-I / SA-01-2016/17

50% 75% 90% Q3
Truck Pusher Hit by Drill Pipe Gate (LWDC) at KDC-55
50% 75% 90% Q3
Cable Sheave hit Schlumberger’s Operator Foot at SP-992
50% 75% 90% Q3
Baker Hughes Logging Operator LTI Incident at BWD-139
50% 75% 90% Q3
Electrician Injured on Stabbing Board (LWDC) at SP-174
50% 75% 90% Q3
HIPO Dropped Object Near Miss Incident at KDC-17
50% 75% 90% Q3
MVA – Roll over of Trailer Carrying Diesel Tank at SP-990
50% 75% 90% Q3
Assistant Driller injured while arranging tools LTI Incident at BWD-149
Recommendations from Safety Alert #: EB31/2016-17/19
50% 75% 90% Q3
Injury during Pulsation Dampener Repair
Recommendations from Safety Alert #: EB31/2016-17/20 Opns. TL, Engineers,
2 50% 75% 90% Q3
Fall from height during Rig-Up - Driller Head Injury (Personal Injury- LWC) Supervisors, HSE Supv.

50% 75% 90% Q3
Floor Man Finger Injury Incident (RWC)
50% 75% 90% Q3
Asset Damage, Level I - HIPO
50% 75% 90% Q3
Rig Carrier Moderate Fire Incident at Burgan
Recommendations from SP-175 Fatal Incident
50% 75% 90% Q4
Safety Flash #: SF-01-2016/17
Recommendations from BWD-133 Blowout Incident
50% 75% 90% Q4
Safety Flash by HSE Group - Dated 9th Aug 2016
Recommendations from KDC-23 LTI Auger Incident
50% 75% 90% Q4
Safety Flash #: DEV DG-I / SF-02-2017/18
Recommendations from BWD-118 LTI Incident
50% 75% 90% Q4
Safety Alert #: EB51/2017-18/35
50% 75% 90% Q4
All TLs, Opns & Drilling -
3 Monitor Contractor top level management leadership visit are being complied 50% 75% 90% Engineers & Rig Q4
Supervisors
To continue monitoring the certification status of the well control equipment ;BOP’s for all rigs by maintaining
4 60% 80% 90% Engineers & Rig Ongoing
BOP Register for 2015-16 with regular follow up and quarterly updates with contractors.
Supervisors
To monitor & follow up the well control training certification including maintaining the training matrix and status with quarterly updates for…..
5 Ongoing
(a)Contractor Personnel 70% 80% 90% Engineers
(b) KOC Supervisors 70% 80% 90%
Verify the implementation of applicable FIMs KPIs 2017-18 during site visits, SVV, HSE Inspection etc and Opns. TLs, Engineers, as per FIMs
6 60% 80% 90%
follow up with contractor. Rig Supv., HSE Supv KPIs
Internal reporting of all minor well control Kick, H2S release incidents during well operations to Base Office
Operations TLs, Opns.
7 immediately. Investigate to find out root causes with relevant recommendations on corrective / preventive 40% 60% 80% Ongoing
Engineers, Rig Supv
actions & report the incidene case with recommendations in Open wells lessons learning.
Opns. TLs, Engineers,

8 Follow up with contractor Conduct survey of earthing and bonding of fuel storage facilities rig and Camp. 60% 80% 90% Q4
Rig Supv., HSE Supv
Verify & follow up with contractor for conducting Well

Opns. TLs, Engineers,
9 Control Drills with Drill Performance observation & evaluation with recommendations and continous 60% 80% 90% Ongoing
Rig Supv., HSE Supv
improvement to ensure effective operational emergency repsonse.
2017 - 18
KUWAIT OIL COMPANY
Contractor Risk Actions 2017-18

Sr Basis /
Risk Actions Threshold Target Stretch Action by
No Remarks
Discussion of safety Alerts/ Safety Flash received from Dev,Drlg Group on bekow incident in Dev Drlg Group during 2017-2018 and implemet the applicable
1
corrective and preventive action recommnedation.

50% 75% 90% Q3
Truck Pusher Hit by Drill Pipe Gate (LWDC) at KDC-55
50% 75% 90% Q3
Cable Sheave hit Schlumberger’s Operator Foot at SP-992
50% 75% 90% Q3
Baker Hughes Logging Operator LTI Incident at BWD-139
50% 75% 90% Q3
Electrician Injured on Stabbing Board (LWDC) at SP-174
50% 75% 90% Q3
HIPO Dropped Object Near Miss Incident at KDC-17
50% 75% 90% Q3
MVA – Roll over of Trailer Carrying Diesel Tank at SP-990
50% 75% 90% Q3
Assistant Driller injured while arranging tools LTI Incident at BWD-149
50% 75% 90% Q3
Contractor
2 50% 75% 90% Q3
Fall from height during Rig-Up - Driller Head Injury (Personal Injury- LWC)
50% 75% 90% Q3
Floor Man Finger Injury Incident (RWC)
50% 75% 90% Q3
50% 75% 90% Q3
Rig Carrier Moderate Fire Incident at Burgan
Recommendations from SP-175 Fatal Incident
50% 75% 90% Q4
Safety Flash #: SF-01-2016/17
Recommendations from BWD-133 Blowout Incident
50% 75% 90% Q4
Safety Flash by HSE Group - Dated 9th Aug 2016
Recommendations from KDC-23 LTI Auger Incident
50% 75% 90% Q4
50% 75% 90% Q4
50% 75% 90% Q4
Ensure PJSM & JSA review for - new BHA assembling / pick up / lay down, Rig up/ Rig Down, High Pressure -
2 Testing / bleed off, Man Riding Activity, R/I & Tubular Laying / Pick Up with Crane by verification during SVV, 90% 95% 100% Contractor Ongoing
Leadership Visits, Site Tours, HSE Inspection etc.
3 Monitor Contractor top level management leadership visit are being complied 90% 95% 100% Contractor Q4
Compliance to certification status of the well control equipment ;BOP’s for all rigs by maintaining BOP
4 90% 95% 100% Contractor Ongoing
Register for 2017-18 with regular follow up and quarterly updates with contractors.
To ensure well control training certification including maintaining the training matrix and status with Monthly
updates to operation teams.
Implementation of applicable FIMs KPIs 2017-18 during site visits, SVV, HSE Inspection etc and follow up with As per FIMs
6 90% 95% 100% Contractor
contractor. KPIs
Reporting of all minor well control Kick, H2S release incidents during well operations to Base Office
7 immediately. Investigate to find out root causes with relevant recommendations on corrective / preventive 90% 95% 100% Contractor Ongoing
actions & report the incidene case with recommendations in Open wells lessons learning.
8 To ensure Conduct survey of earthing and bonding of fuel storage facilities rig and Camp. 90% 95% 100% Contractor Q4
conduct Well Control Drills with Drill Performance observation & evaluation with recommendations and
continous improvement to ensure effective operational emergency repsonse.
Reporting High Potential Near Miss and Incident to KOC. Prepare and circulate Alert/Flash for high potential
Ongoing as
near misses & incidents occurrences and communicate to all concerned KOC operations team within Shift.
and when
Investigate high potential Near Misses & Incidents with detailed root cause analysis (Ref:KOC CLC Model &
applicable
Investigation procedure) and communicate the report officially with in 10 working days to concerned KOC
based on near
10 Operation team. 90% 95% 100% Contractor
miss/ incident
Communicate the Alert/flash report to concerned rig with in 1 working day and close the corrective & preventive
and as per
action iimmidiately along with sharing the Alert/flash recommendations with other rigs of contractor with in 10
communicatio
working days for flash recommendations with other rigs of contractor with in 10 working days for clouser of
n from KOC.
preventive action as per time frame based on risk.
Ongoing as
Closure of pending action from KOC HSE Inspection,KOC HSE Audit ,KOC SOCs, Contractor incidents and
11 90% 95% 100% Contractor and when
near misses, KOC Leadership visits,KOC SVVs etc.
applicable
Safety Alerts
2017 - 18
KUWAIT OIL COMPANY
Safety Alert #: DEV DG-I / SA-01-2016/17
Truck Pusher Hit by Drill Pipe Gate (LWDC)
(Moderate Level- II)
Type of Incident: Losses:

LWDC – Truck Pusher Injured while loading Pipe box Fracture on right ankle leg truck pusher.
(Level-II)
Recommended Corrective Actions:
Location: 1. Contractor should fully enforce and execute
MN – 224 their “Time Out for Safety” program, which
mandates that any crewmember be authorized
Date & Time of Incident: to “Stop” jobs for safety reasons.
15 April 2016; 07:50 hrs. 2. Refresher awareness on Behavior Based
Safety, rigging and slinging and Hazard
Incident Description in Brief:
identification Performance to be provided &
The task was loading drill pipe box on truck, by
effectiveness to be ensured to make all crews
using two cranes, Subcontractor (IP) truck pusher,
competent to perform each task safely.
Contractor asst. driller and two roustabouts were
3. Contractor needs to conduct post load check by
involved in this task. The R/A rigged up the slings
the crew to check whether the load will be safe
and truck pusher was giving signal to the cranes.
to load on truck.
(IP) truck pusher was standing 7 feet approx.,
4. Contractor to conduct JSA (Job Safety Analysis)
away from the truck, while they placing the drill
review on heavy load operations and
pipe box on the truck. At this point the saddle of
incorporate the findings in the JSA.
the truck and T- gate from drill pipe box rubbed
5. Contractor and Subcontractor shall deploy
against each other and drill pipe box T-gate
competent supervisor for supervising each
popped up from the socket and fell down to the
Critical/Tandem lift.
ground and hit on the right leg ankle of the truck
pusher. Informed to 160 and line management,
Hospital check revealed fractures on right ankle
leg.
What Went Wrong?

1. Saddle of the truck was not removed prior to
load drill pipe box.
2. Pin was not installed on drill pipe box T-Gate.
3. IP was standing close near the truck, which was
being loaded.
4. Stop work authority not utilized by coworker and
supervisor while loading drill pipe and T gate
was rubbing with saddle.
Potential Outcome: Could have caused more

severe injury to the victim and might led to multiple
fracture.
Cable Sheave hit Schlumberger’s Operator Foot
Type of Incident: Potential Outcome:

LWC - Lost Work Day Case This incident could have led to a serious or major incident.
Location: Losses:
Rig: Sinopec-992, Field: Burgan Right Foot Injury- Hair line fracture on the right foot of
Well Name: Well BG-1057 Schlumberger’s Operator.
Date & Time of Incident: Recommended Corrective Actions:

6th June 2016; 18:30 hrs.
1. Proper job specific lifting plan and procedures has to be
Incident Description in Brief: implemented before performing such operations.
During an ESP Run, the cable got trapped in the sheave, 2. PTW & JSA to be specific to the job and reviewed while
then the crew levelled it down to the rig floor in a horizontal carrying out the job by discussion of procedures &
position to fix the problem. control measures in pre-job safety meeting.
Schlumberger crew removed the Centre Bolt of the Sheave 3. PTW has to be developed and raised prior to the non-
and the rig Assistant driller was instructed to lift the sheave routine job.
from horizontal position to vertical position in order to
secure the bolt. 4. Pre job safety meeting should be held with the involved
And during the process Assistant Driller applied more crew prior to the commencement of the work.
tension than what was required which led the sheave to be
lifted above 2 feet from the floor and the sheave fell down 5. All the bolts need to be properly installed and pin
hitting the right foot of the Injured Person which results in secured prior to lifting.
hair line fracture.
6. During lifting, adequate competent supervision, center
What Went Wrong? of gravity of the load, secured of load and distribution
should be considered.
1. Improper position or posture for the task: IP placed his
right foot on the line of fire that is exactly below the
suspended load(Cable sheave)
2. Assistant Driller applied more tension than what was

required which led the sheave to be lifted above 2 feet
from the floor and the sheave fell down hitting the right
foot of the IP
3. Actions to correct the cable position inside the Cable

sheave were not properly planned.
4. To tension the sling without securing the cable sheave

with bolt and pin.
5. Failure to Identify Hazard/Risk that is IP and his 1. Center bolt came out.
immediate supervisor did not realized that the wheel 2. Wheel fell down.
may fell down if they did not install the bolt properly. 3. Hit the operator’s foot.
Baker Hughes Logging Operator LTI Incident at Rig BWD-139
Type of Incident: 5. Forklift operator and logging operator didn’t understand

Personal Injury (LTI- Level II) the severity of risk while transferring fuel with the help of
Location: Forklift.
BWD-139, Well #: BG1183 6. Forklift had no provision to secure the day tank to prevent
Date & Time of Incident: from fall. At the time of the incident, the fork was very
6th October 2016; 03:20 hrs. close to the logging unit.
7. There was no cap on the day tank due to that, diesel
splashed out on tank and fork that made fork surface
more slippery.
At the time of incident, wire line logging was running by

Outcome:
Baker Hughes. Mr. Kanai Mandal BH Field operator (IP)
requested BWD NTP to provide diesel for logging truck. The IP Kanai Mandal had the following injuries:
NTP instructed forklift operator to fill BWD day tank and  Compound Fracture in left tibia & fibula above the ankle
transfer the diesel to the logging truck. Forklift Operator filled joint.
the day tank from rig main storage tank, lifted in forklift and  Compound Fracture in left femur above knee joint.
 Internal injury in abdomen.
approach to the logging truck. The IP connected the hose
from the day tank to the logging truck’s fuel tank and gave
Potential Outcome:
upward signal to lift the tank, to create gravitation force that
Fatality may occurred due to severe impact of tank fall from
helps in increased flow of diesel. When Tank was lifted up,
height. Fire may occurred due friction and presence of fuel.
IP was not visible to the forklift operator, as he was under
the raised day tank. After a few minutes, the day tank Losses:
slipped from forklift and fell on IP’s body. Immediately the Personal Injury to the Baker Operator. IP will be away from
Forklift Operator came down and asked for help. Nearby job for long time until fit to work.
drilling crew and Baker Hughes, logging personnel rushed
to the scene and removed the day tank from the IP’s body.
Bleeding from left leg was noticed. Immediately IP
1. No fuel transfer in day tank and forklift. 20-25 liter
transferred to Adan hospital by rig ambulance for medical
standard jerry can only to be used to transfer the fuel.
treatment.
What Went Wrong?
1. Fuel Transfer (in logging truck) activity comes in Logging

Services Company scope but there is no
2. fuel transfer procedure available with Baker Hughes
Logging Services. The drilling Contractor Burgan also
does not have such procedure or guidelines in place.
3. The forklift lifted the day tank after filling it from diesel
storage tank and approached the logging truck. The
position of forklift was very close to the logging truck and
created the line of fire.
4. Fuel Transfer activity with the help of Forklift was
IP was filling diesel in Logging truck tank, BWD
considered as a low risk, routine and normal activity. The diesel day tank slipped out from the forklift fork
potential risk was not calculated in all personnel. and fell over on the left side of IP's body
Electrician Injured on Stabbing Board (LWDC) - (Moderate Level- II)
Type of Incident: Recommended Corrective Actions:

LWC – Electrician Injured on Stabbing board (Level-II)
1. Contractor to ensure implementation of “Stop Work
Location: Authority” program, which mandates that crew members
RA-655 are authorized to “Stop” jobs for safety reasons.
2. Refresher training on Hazard Identification & Working at

Date & Time of Incident: height to be provided to all crew.
2nd June 2017; 06:50 hrs.
3. Contractor to issue a safety alert on the incident
mentioning corrective and preventive action taken. Safety
alert to be circulate to all Contractors rigs and KOC for
On 2nd June 2017 @ 06:50 hrs. BOP pressure testing was in
sharing the lesson learnt for preventing similar incidents.
progress and rig electrician (IP) was doing the maintenance
of casing stabbing board after the successful casing job. He 4. All hazards in the work areas need to be captured in JSA
was standing on landing platform of the derrick ladder. for all non-routine tasks i.e. maintenance of rig
While approaching the stabbing board from landing platform, equipment’s, work at height / mast etc.
IP’s right foot got entangled in the edge of mast beam (section 5. Ensure discussion on TBT & JSA should be completed
between Stabbing board & landing platform). Subsequently involving all rig crew in the job performing area.
IP lost the balance and his body fell forward and landed on Awareness on Effective site communications pertaining
stabbing board edge with impact on right rib area. to the work activities between the different departments
to be cascaded to all rig crew.
Immediately IP rescued from height to floor by utilizing basket
type stretcher. First aid was administered and later sent to 6. Where possible advanced planning to be made to avoid
any shortcuts to save the rig time. Instruction should be
Jahra hospital for further medical examination. Hospital check
circulated to all Sinopec rigs.
revealed fractures on ribs.
7. Explore the feasibility to cover the gaps between the
What Went Wrong? stabbing board and derrick landing platform to prevent
the recurrence
1. Uneven level (approx. 5.5 cm) between landing platform
and derrick beam could have caused entanglement of
IP’s foot in the gap.
2. Poor hazard identification by the rig crew, failed to
identify the existing hazard in the area.
3. Stop work authority not utilized by coworker (Derrick
man) to alert the IP on existing hazard.
Potential Outcome:
Could have caused more severe injury to the IP and might

have led to multiple Fractures.
Losses:
Electrician Rib Fracture.

HIPO Dropped Object Near Miss Incident at Rig KDC - 17
Type of Incident: Potential Outcome:

HIPO Near Miss Fatality may have occurred due to fall of heavy object from
that height.
Location: Losses:
KDC - 17, Well #: MN 093 Nil
Date & Time of Incident: Recommended Corrective Actions:

2nd June 2017; 02:30 hrs.
1. Adhere to approved Standard Operating Procedures
Incident Description in Brief: (SOP). And job safety analysis (JSA).
2. Kelly Swivel fittings shall be checked on regular basis
A Control Valve Weighing around 9-10 Kgs fell from the top by the Supervisor prior to its engagement in Operations.
of the Kelly Swivel to the Rig Floor (Approx. 85 Ft) while 3. Driller shall go slowly while the Kelly Swivel is pulled up
mouse hole drilling was done using Kelly. The Valve is part with the block, in order to establish a proper control.
of the Kelly Spinner which is attached to the Swivel. During 4. During such Operations Derrick Man shall be deployed
the Mouse hole Drilling Operation it reportedly hit the diving on Monkey Board for signaling purposes.
board flapper of the Monkey Board and came off the Swivel. 5. While carrying out such non routine operations an
This fell near to the Air Winch on the driller side of the Rig experienced supervisor shall be present to ensure that
Floor. No one was injured nor did any property damage the job is carried out in a safe manner.
occur to the Rig. 6. Regular DROP Survey to avoid recurrence of same
incident.
What Went Wrong? 7. Driller and D/M will update the Register book in Rig floor
after each time they close and open the diving board
1. The Risk of dropped object from Swivel was not flapper and should sign the log to confirm.
assessed prior to start of the job. 8. Rig Manager to improve handover between STP, NTP
2. Crew engaged in the Work is inexperienced in this Rig and Driller during shift change.
and were doing this operation for the first time.
3. The Release Valve that fell from the Swivel was not
properly fitted to the Kelly Swivel.
4. While the driller was pulling up the Kelly Swivel the Signal
for safe operation was given by NTP who was standing
on the Rig Floor (He will not be able to view the Swivel
position properly from that angle).
5. The Diving Board Flapper was not folded back and was
left in line with the diving board creating less room for the
Kelly Swivel.
Outcome:
 Swivel Valve weighing around 10 Kgs fell from a height
of 85 Feet (From Monkey Board to Rig Floor).
MVA – Roll over of Trailer Carrying Diesel Tank (Moderate Level- II)
Type of Incident:  One of the right side air lift suspension air bag blown
MVA – Roll over of trailer carrying diesel tank out resulted tilting of the prime mover and the trailer
towards right side and eventually the truck turned
Location: over. The rubber ageing result in air bag burst.
RA-005  The driver took the black road instead of the rig
move road.
 The speed is a possible reason although the driver
Date & Time of Incident: reported the speed was only 12KM/hr. however the
10th July 2017; 09:30 hrs. incident time line and the distance covered does not
support the driver’s claim regarding speed.
Incident Description in Brief:  The diesel inside the tank could have caused
centrifugal force while passing the roundabout.
On 10.07.2017, Rig move was in progress, during rig Lack of safety awareness of the truck driver.
move from RA 005 to SA 477, after loading the rig
diesel tank on the trailer (Mohammed Jarallah Potential Outcome:
Company) and moving to the new location. At
Sabariya round about near GC#23, after crossing 80% Could have caused more severe injury to the IP and
of the roundabout curve, due to mechanical failure, might have led to multiple Fractures.
(one of the air lift suspension air bag/bellows rear end
right side blown out) resulted tilting of the prime mover Losses:
towards right side and eventually the diesel tank also.
High bed trailer and diesel storage tank damaged.
The truck toppled over along with diesel tank, the
(Approx. 50 to 60 liters) Diesel spilled on ground.
prime mover and diesel tank got damaged, resulting in
diesel spilled (approx. 50 to 60 liters) but no Injury.
Emergency Control Center 160 and line management
were informed. 1. Contractor to ensure implementation of “Stop Work
Authority” program, by providing a refresher
What Went Wrong? training to all crew on STOP work authority.
2. Refresher training on Hazard Identification & risk
 Lack of supervision at the rig site. Usage of the flat involved in rig move to be provided to all crew
bed for diesel tank was not stopped by supervisor. including third party crew
 Rig management failed to identify the hazard/risk 3. Contractor to issue a safety alert on the incident
present - transportation of diesel tank without mentioning corrective and preventive action taken.
emptying also using high bed trailer instead of low Safety alert to be circulated to all CONTRACTOR
bed trailer. rigs and KOC for sharing the lesson learnt for
preventing similar incidents.
4. Contractor to ensure the Rig sup. Visits and
participates in pre rig move meeting to ensure
proper implementation of the
procedures/standards, such as adding space for
mandatory signature of superintendent on pre-rig
move meeting or documentation.
5. Ensure discussion on TBT & JSA for critical
activities should be completed involving all rig crew
in the job performing area. Awareness on effective
site communications pertaining to the work
activities between the different departments to be
cascaded to all rig crew.
6. Contractor to submit the minimum time for Rig
move based on the distance including, rig down,
transportation, rig up, etc. for KOC review and
approval.
7. Contractor to ensure diesel tank emptied before
transportation.
8. Prior to each rig move all third party vehicles
involved in rig move operation must be inspected
by competent person / rig crew and Inspection
findings recorded and rectified.
9. Refresher training for defensive driving to be given
to all subcontractors drivers involved in rig move
operation
10. Contractor to conduct awareness training on rig
move procedure and ensure supervisors made
aware about their roles and responsibilities to
ensure safe rig move.
Assistant Driller injured while arranging Directional Tools
LWC -Level II Incident
Type of Incident:  AD was standing within the line of fire of forklift. As

LWC - Personal Injury (Level II) directed by AD, the forklift operator rearranged the
tools in sequence on tubing base (placed 1st tool
after 3rd). AD observed the 1st tool started rolling
Location: towards IP, he intended to stop the tool with his foot,
Well No: UN 0112 and the tool rolled over and struck IP’s foot.
 AD didn’t assess the severity of risk while handling

Date & Time of Incident: the directional tools.
30th Jun 2017 @ 17.20 Hrs.
Incident Description in Brief: 1. A permanent tools rack with proper safe stoppers
Rig BWD 149 was in process to start RIH directional shall be fabricated for similar jobs.
BHA for 8½” hole drilling. Assistant Driller (IP) was 2. During the rig induction to the service company
engaged in arranging SLB directional tools with the personnel, they should be informed to be always
help of forklift operator on location. (The above job was present while their tools are being handled by rig
instructed by SLB operator. During the tool handing crew.
SLB crew was not on location). Forklift brought, 3 3. Rig Crew not to handle service companies tool
directional tools (LWD/MWD) from tool rack and unless their representatives available at site.
placed on Catwalk. AD (IP) observed the tools kept on 4. Line of fire and Lifting & Shifting Awareness
catwalk were not in sequence.
Session to be held for all rig crew
He decided to rearrange the tools on ground. AD (IP) 5. Rig to enforce the implementation of the Stop Work
instructed forklift operator to rearrange the tools on 3 Authority by increasing the crew awareness during
½” tubing piece as per BHA make up sequence. safety stand down meetings and daily meetings.
Forklift operator picked up first tool and kept it after 3rd Refresher Training on Stop Work Authority to
tool on tubing. AD (IP) observed the first tool started provide to all rig crew.
rolling on tubing. He attempted to stop the tool with his 6. A Safety Alert shall be generated and distributed
leg; the tool rolled over and struck against his right to all rigs to share the lessons learned with all rig
foot. IP sustained injury on right foot above ankle joint. crew and BWD employees.
Co. Man informed the incident to ERCU 160 and line
7. All BWD Supervisors shall be provided with Safety
management and IP was shifted to hospital for further
Leadership Training to improve and enhance their
necessary medical treatment.
communication and leadership skills.
Potential Outcome: 8. The entire rig crew shall receive refresher Safety
IP sustained fracture on right foot above ankle joint. Training Courses including the following: Job
Safety Analysis Training, Permit to Work Systems,
What Went Wrong? Step Back 5x5 Program, and HAZID Training
 No dedicated tool rack (with stopper) was arranged
for placing directional tools. Instead of rack, the 3
directional tools were kept on 3 ½” tubing piece
(base) without stopper.
1
22 1
3 Directional drilling
tool (1/2/3)
Asst. Driller (IP)
3 ½” tubing base
(no stopper)
AD (IP) observed the

first tool starts rolling
on tubing base, he
attempted to stop the 2
tool with his leg, the 1 3
tool rolled over /struck
against his right leg and
sustained injury on right
foot above ankle joint
SAFETY FLASH
LESSONS LEARNED FROM MAJOR INCIDENT @
DRILLING RIG BWD-133 / WELL AH-0229
INCIDENT ON 9TH AUGUST 2016
INCIDENT DESCRIPTION
RIG BWD - 133 UNCONTROLLED FLOW
On 3rd August 2016, the Rig
4’ RIG FLOOR
BWD-133 started drilling a new
well (AH-0229) at Magwa. On
GROUND LEVEL 31’ 6th August 2016, encountered
PIPE RAM
BLIND RAM CHOKE LINE 6’
total loss at 393 feet (Dammam
CELLAR PIT
KILL LINE formation); switched over to lime
96” 22” KUWAIT SERIES FORMATION
water drilling.
CMT 15.8 PPG

120’ 18 5/8”
3/8/2016 -19:00 Hrs. On 7th August 2016, at 12:30 Hrs.
144’ 22” DRILLING COMPLETED
observed gas flow from annulus
5/8/2016 - 03:00 Hrs.
16” DRILLING STARTED 16” (@ 1087’). On 9th August 2016,
293’ 5/8/2016 - 23:30 Hrs. at 11:30 Hrs. uncontrolled flow
PARTIAL MUD LOSS
of gas, oil and other materials
393’ 6/8/2016 - 02:30 Hrs. TOTAL MUD LOSS
(mud and cement) gushed out of
6/8/2016 - 02:30 Hrs. SWITCHED
OVER TO LIME WATER DRILLING
the drill pipe. The well was
secured on 10th August 2016, at
around 02:55 hrs.
DAMMAM FORMATION
KEY FINDINGS
687’
The Well blowout was caused
by influx of hydrocarbon fluid
from Radhuma formation into
the wellbore as hydrostatic
RUS FORMATION
pressure was lesser than its
formation pressure due to total
losses in Dammam formation at
393’ depth.
1067’ Loss zone (Dammam) was not
properly secured prior to
7/8/2016 - 12:30 Hrs.
GAS FLOW FROM ANNULUS RADHUMA FORMATION entering the gas prone
1087’
7/8/2016 - 13:00 Hrs. GAS WARNING formation (Radhuma).
Risk assessment was not done
taking into consideration the
KEY RECOMMENDATIONS surrounding sensitive and
Compliance to the Drilling Procedure (Well specific) must be ensured (such as residential area during
guideline for handling circulation losses detailed in the procedure). preparation of Pre-Data
Alternate design with additional casing shall be considered during Pre-Data Drilling Package such as risk of
Drilling Package preparation based on offset well data. H2S gas release.
Blowout preventer with shear rams shall be included in the initial well design Resources incompetency in
taking into consideration of H2S risk and hydrocarbon release near to sensitive well control was evident with
residential areas. less number of resources
Ensure real time changes during drilling (such as total loss) are managed through having experience in well
Management of Change process with risk assessment for the change. control / drilling.
Ensure effective Recruitment, Selection and Training processes are established
with proper performance criteria for Drilling Personnel.
Emergency Control Center (160) shall be informed prior to any hydrocarbon WITH COMPLIMENTS FROM:
release and flaring HSE GROUP
Site specific Emergency Response Plan specific to well shall be prepared.

Moderate Level (II)
Type of Incident:  Lack of knowledge / skill experience.

Moderate (Level-II)  Misperception of risk and inadequate pre-task
checking.
Location:
SP-284, BG-1144 Potential Outcome:
Could have resulted into Major injury / Permanent
Date & Time of Incident:
Disability.
19 October 2016, 20:15PM
Losses:
Personal Injuries
The rig crew (consisting of one Derrick-man and three
floor-men) were opening the pulsation dampener top Recommended Corrective Actions:
cover plate of Mud Pump #02 in order to replace the 1. All pressurized equipment and systems should be
diaphragm. The crew already unscrewed & removed 11 depressurized before any maintenance work is
out of 12 nuts on the cover and while they were opening carried out.
the nut of the last stud, suddenly the top cover plate 2. All the control measures for the JSA to be to
popped up and entrapped nitrogen pressure from the communicated/explained to the crew during Pre-Job
dampener released. Consequently, the derrick man who Safety Meeting.
was standing on the mud pump fell down on his face 3. The Permit Applicant/job supervisor and the Issuer
resulting into face/nose injury. One of the floor-men, shall ensure implementation of all identified
who was standing on a nearby pipe (at a height of controls mentioned in the JSA and Permit against
approx. 2 feet), fell on the ground and sustained minor the identified risks.
injury on his forehead. Both the IPs were immediately 4. All non-routine maintenance works are to be carried
given First-Aid by the rig medic and sent to Adan out under continuous supervision.
hospital for treatment. 5. Caution signs/ instructions shall be used as
antecedents on the pulsation dampener.
What Went Wrong?
6. Necessary instruction and relevant training shall be
 Pulsation dampener pressure was not bled-off prior provided for the workers on safe working with
opening the top cover plate. The pressure gauge was pressurized and energized equipment or system.
also not checked and the crew commenced the work
assuming that Pulsation dampener was already de-
pressurized.
 Failure to follow procedure:
 Pulsation dampener pressure was not bled-off
despite it was identified as a hazard control measure
in the Job Safety Analysis as well as in the PTW.
 Although Cold Work Permit was obtained for this
non-routine activity, the Permit Applicant and the
job supervisor (the rig Mechanic) was not present at
the job location to supervise the work. The crew
members were performing the activity without
proper supervision.
KOC - Development Drilling Group (II)

Fall from Height during Rig-Up Activity - Driller Head Injury

(Personal Injury- LWC)
Type of Incident: Losses:

Personal Injury Personal Injury with LWC
Location: Recommended Corrective Actions:

SP-901, MN - 103 1. Job supervisors shall be communicated about
their roles and responsibility with full
Date & Time of Incident: compliance.
20th October 2016, 12:45PM 2. All working at height jobs shall be carried out
using full body safety harness or with proper
Incident Description:
Incident Description in Brief: working platform.
At the time of the incident, Rig up activities was 3. Job safety Analysis shall be adequate to the
under progress at MN 103 location. After raising job. JSA shall be carried out by team including
the mast, guy line (wire rope) support fixing job job performer, supervisor and safety and shall
was under progress. One of the guy-line got stuck be reviewed by STP.
to mud tank sun shed and IP was trying get it free 4. 4. During interruption of job due to any technical
by standing on mud tank railing and pulling. While issues, the supervisor/ driller shall reassess
pulling the guy- line, IP lost his balance and fell HSE risks and proceed with modified method.
5. Ensure all risk, hazards and control measures
down on ground (@12’) and his head got hit to
shall be communicated effectively during pre-
pipeline fitted to mud tank. First aid was given at
task meeting. All non-routine activities shall be
rig site by medic and shifted him to hospital by rig
carried out under competent supervision.
ambulance.
6. Necessary training, awareness shall be
provided for the workers on safe working
What Went Wrong?
during rig up, rig down and rig move operation.
1. Driller who was supervising the job got
7. “STOP” the job Authority shall be implemented
involved in job and trying to get stuck guy-line
effectively at site and shall be verified regularly
free by placing himself in extremely wrong
by Rig Manager and Rig Supervisor.
position.
IP climbed on the railing & tried to
2. Poor communication between driller and rest Free stuck guy line. His feet was on top of
of the working crew. Driller was out of sight The railing without any Support or safety
Harness.
from AD who was pulling the guy-line.
3. Failure to follow procedure:
 Not using full body safety harness while
standing over the mud tank railings to
release the stuck guy-line.
 Failure to follow Roles & Responsibility as a
supervisor
4. Inadequate Job Safety Analysis and control Suspected to hit his head
With any of protruding / sharp
measures. Objects on the ground.
5. Misperception of risk and inadequate pre-task
checking.
Potential Outcome:
Could have caused serious injury or Fatality.


Type of Incident:  Inadequate job planning.
Asset Damage, Level I - HIPO  No Pre Job Safety Meeting conducted for Crane
Operator
Location:  Poor Coordination between rig crews
BG 445/ KDC 21  Risk taking behavior of the crane operator
 Stop Work Authority not implemented
Date & Time of Incident: Potential Outcome:
20-11-2016 @ 1745 hrs
Crane’s boom in contact with 132 KV Live High voltage
Incident Description in Brief: Electrical Lines could have resulted in fatalities.
On 20-11-2016 Rig KDC 21 was under rig move Losses:
operations from old location BG 445 to New
 Five Tires of Crane got busted immediately
Location BG 493. More than 80% rig move was
done and during this rig move, Fire Water Pump
 12’’ of the High tension line got damaged
and Diesel Tank were dragged outside the rig area
under live 132 KV High voltage electrical lines Recommended Corrective Actions:
approx.210 ft. from BG 445. At 1745 hours (during  No rig Move operation at night time
darkness) at BG 445, mobile Crane operator  Need to follow clearance distance for electrical
brought crane {(KT # 14240, Al-Ratawy Co.)- Sub- high voltage lines as per KOC HSEMS.
Contractor of KDC} with elevated boom to lift fire  Strict prohibition of movement of any crane
water pump. Suddenly he heard a loud noise of tire near (within 15 feet) to electrical power lines.
busting. Crane Operator jumped from his cabin and  JSA need to be revised to include external
noticed that five tires are busted completely. Some hazards like overhead electrical power lines,
crew member informed him that the boom touched utility lines, flow lines etc near to site.
overhead electrical cable and spark came as a  Operations at the rig site should be strictly
result of friction. within the Rig layout & Safe distances.
Immediately line management was notified and  Electrical Hazards sign boards must be placed
emergency 160 informed. In the meantime the at all energized sources
power was automatically shut off as a result of  All overhead power lines shall be marked and
contact between crane boom and overhead high hard barriers/bund walls installed to fully restrict
voltage lines. Once security and emergency teams the vehicular and heavy equipment’s
arrived to BG 445 location, they informed that power movements.
has shut down for the overhead electrical lines and  To provide effective supervision at all the work
advised to lower the boom and remove the crane locations.
from location. Crane was removed 40 ft away from  Contractor to carry out a pre-rig move check list
overhead power lines. No injury to any person. and ensure these powerlines/and live
facilities/service lines are clearly marked and
What Went Wrong? identified to prevent/restrict working
 Crane’s Boom came in contact with High Tension
electrical Lines
 Not Following Rig Move procedure and carried Rig Move
Move Operation at Night Time
 Work environment dark and without illumination
 Carelessness of the Crane Operator
 Inadequate Supervision
 Inadequate risk assessment and Ineffective JSA
Not mention of hazards on HV line in the vicinity.
Development Drilling Group (II)

Power Tong Hit Floorman Resulted in Minor Cut on Neck- RWC
Type of Incident:  JSA has not identified the Hazards may arise
due to Casing make-up at height
Restricted Workday Case  In-competence of the rig crews
Location:
Potential Outcome:
SA 669/ BWD 115  Could have resulted in severe personal injuries/
damage
Losses:
01-03-2017 @ 0915 hrs
 Minor cut on neck resulted in RWC
On 01st March 2017 around 0915 hours, Running 13 Recommended Corrective Actions:
3/8" casing operation was ongoing. One of the floor
man was standing on temporary platform (2.5 ft-
1. Existing temporary platform should be
from Rig floor) to operate the Casing Power tong for removed and a safe approved working
making connection. While make-up connection no. platform should be in use for working at height
47, suddenly Floorman’s legs got slipped on the work
temporary platform and in panic condition he pulled 2. Power tong snub line should always be in use
the lever of the power tong. The power tong started for make-up casing joints.
to move reverse and hit the Floorman’s neck. As a 3. Only nominated personnel (AD & Driller)
result of impact, the IP fall down on the rig floor from should use the power tong
temporary platform. He had injury on his right side 4. Specific Job Trainings need to be conducted
of neck area and the IP was conscious. for the rig crews
5. JSA should be revised to include the hazards
Rig Medic applied pressurized bandage for related to make up casing joints at heights.
controlling bleeding. Informed emergency 160 and 6. Stop Work Authority should be implemented
line management. Immediately IP was sent to Jahra effectively through reinforced for all the crew.
hospital by rig ambulance in header position. IP was 7. Lessons learnt from this incident should be
circulated to all rig.
conscious while transported by Rig Ambulance.
Doctors applied 16 stiches on the wounds of the
neck area and took X- ray. The X-ray has revealed
no cracks and IP was under observation in Jahra
Hospital. Next day the IP got discharge from
hospital and resumed the job with light duty activity.
What Went Wrong?
 Floorman slipped on temporary working platform

and in panic condition pulled power tong lever
 Improper Working Temporary Platform (2.5 ft)
 Responsibilities were not identified and not
followed properly
 Stop Work Authority not Implemented

Safety Alert #: EB 11/ 2016-17/29
FLOOR MAN FINGER INJURY INCIDENT

(RWC)
Type of Incident:
Restricted Work Case Recommended Corrective Actions:
1. Awareness sessions to be organized for the rig
Location: crew on elimination and control measures on
Well - SA # 605 the hazards from working in the line of fire.
2. Providing additional handle and guards, to
easily handle the power tong from the sides of
Date & Time of Incident: the power tong.
22nd March 2017 @ 10:57 hours 3. To ensure and check for any obstruction in the
free movement of the power tong during every
Incident Description in Brief: casing job operation.
On 22nd March 2017 around 10:55 hours during 4. Preparing Job Safety Analysis (JSA) for Power
Operation RIH (Running in hole) 13 3/8 " the IP and tong operation and discuss with the crew
the other floor man was trying to push back the regarding the potential hazards and control
power tong after stabbing casing Joint #96. Whilst measures.
5. Color coding of pinch point hazards in the
the Asst. Driller was pulling the power tong towards
power tong.
the tong post (driller side) to park the tong, the Asst.
driller was picking up the hook, for parking the
power tong. Meanwhile the power tong swung back
towards the casing. The IP and the other floor man
could not control or stop the swung. The power tong
returned and the floor man (IP) fingers caught
between the casing and the power tong handle. IP
got injuries in right hand middle and ring finger. IP
was wearing high impact gloves. IP was
administered first aid at the rig and sent hospital for
treatment. After treatment the IP came back to rig.
Reported to 160 and to the line management.
Conducted safety stand down meeting with both
crew.
What Went Wrong?
1. The IP was in the line of fire of the power tong
movement.
2. The air winch wire rope, which was used to
hang the power tong, was touching the casing
stabbing board (obstruction) every time when it
is being moved to park the tong on the tong
post.
3. The hazard of air winch wire rope touching the
casing stabbing board overlooked.
Potential Outcome:
Could have caused major injuries.
Losses:
Injury to Floor man (Right hand middle & finger)
Safety Alert # EB 11/2017-18/34
Rig carrier Moderate Fire Incident at Burgan
Type of Incident: and tire reinforcements with the ground surface would
Fire Incident (Moderate – Level 2) have created ignition source and initiated the fire.
 Due to the sudden release of energy from the tire, the
Location: On rig road Near Well BG 571 prevailing hot temperature, would have initiated the
fire.
Date & Time of Incident:  The rig carrier was left unattended had led to un-
noticing the initial inception of the fire to prevent the
14th June 2017 @ 11.15 Hrs.
damages.
Potential Outcome: Could have caused a major fire if
the near-by well was under fire.
On 14th Jun’17 around 0900 hours, Rig move was in
Losses: Rig carrier damaged
progress for Dev. Drilling-II Rig from old Well # BG- 784 to
new Well # BG-102. The Truck Pusher was driving the Rig Recommendations:
carrier and on the way to the new well at around 10.10 1. During hot summer, the rig move timing to be
hours, the Rig carrier tire (left rear second tire) burst close restricted to early morning hours after sunrise and late
to Well #BG 571. The Truck Pusher assessed the situation, evening hours before sunset.
moved the Rig carrier 20 Meter away from Well # BG-571 2. In case of any sudden release of tire pressure, the rig
and parked on the rig road. Around 10.15 hours, the Truck carrier should not be driven with the flat tire. It should
Pusher (who drive the rig carrier) informed another Truck
be parked on the rig road, away from any hydrocarbon
Pusher who was at the old location, about the Rig carrier
tire puncture. As the new Well # BG-102 was nearby he facility.
advised the Truck Pusher (driving the rig carrier) to go to 3. To reinforce that during rig moves, the convoy should
the new location for getting required equipment for tire be stopped at safe location at specified intervals, to
replacement. check the stability of the loads, and condition of tires
At around 10.50 hrs, a Well Surveillance Engineer, from and other unsafe conditions as observed.
GC—03, came to well BG 571 as part of routine checks,
4. Maintenance of rig carrier tire and pre-check on tire to
found the rig carrier was parked and there was no person
there with the rig carrier. Later he left to another well BG be implemented as part Preventive Maintenance
363, which is 300 meter away from the well BG 571. At Program and pre-start inspection with checklist as per
around 11.05 hrs, he noticed smoke coming from the clause 5.1.13 KOC.GE.037
location of rig carrier parked and noticed fire in the rig 5. Personnel involved in the rig move to be made aware
carrier. Immediately he informed the GC-03 Operator. In about the importance of moving the Rig move vehicles
turn GC-03 operator informed ERCU 160 about the fire in in convoy.
a truck near to the well BG 571. KOC fire team reached
6. The Tool Pusher/ Truck pusher or the pre designated
the location at around 11.25 hrs and started controlling
the fire. Senior crew will be responsible in piloting the Rig Move
Around 1300 hours Company Man & Tool-Pusher Convoy. They should not leave the rig convoy.
received information about the fire on Rig Carrier, rushed 7. The rig carrier or any mobile plant / equipment during
to location and found that KOC Fire Team has already the rig move should not be left unattended under any
extinguished the fire and the rig carrier was completely circumstance.
damaged due to fire. The fire was extinguished around 8. Firefighting, H2S Safety, emergency response training
13.00 hrs. Later at around 18.00 Hrs, the damaged Rig
for the rig move crew to be part of the training matrix.
carrier was shifted on the low bed truck and removed
from the location. 9. Rig move procedure should be strictly reinforced by the
KOC rig supervisor and the Contractor. In case any
Probable Causes activity is carried out in violation to the rig move
procedure Stop work authority to be executed by the
 The movement of the rig carrier, after the tire
puncture, the friction created due to the contact of rim rig crew.
Prepared by Dev. Drilling Group (II)

Safety Alert # EB 11/2017-18/34
Prepared by Dev. Drilling Group (II)

Safety Alert #: E B 5 1 / 2 01 7- 1 8 / 3 5 2
Lost Time Injuries at Well # SR-1037, North Kuwait
Type of Incident: Potential Outcome: Could have resulted into Fatality

Multiple Lost Time Injuries (Major- Level 3)
Losses: Right hand wrist and distal part of Asst. Mechanic
Location: was amputated & Roustabout lost Right hand four fingers
SR # 1037 North Kuwait
Date & Time of Incident:  Performance and reliability of rig related equipment like
08 May 2017 @ 1245 hours power tong shall be inspected regularly prior to use and
records to be maintained.
 Ensure that personnel having required experience and
On 08th MAY 2017, routine Running-In-Hole 3 ½” tubing with
Optical Fiber cable was in progress. Around 11:30 hours, Training shall only be authorized & permitted to perform
power tong was found stuck with the tubing and was not release such tasks.
by tong hydraulic power. Chief Mechanic, along with Rig crew  Job safety Analysis should be developed specifically for
was able to free the power tong dies by opening top/bottom each job, including maintenance activities.
cover plates of Power tong. Cover plates were re-installed and  To develop/adhere with standard operating procedure for
function tested Power Tong and found OK.
Rig Equipment Maintenance in accordance with OEM.
Crew changeover occurred at 1200 Hours. The Power Tong got
stuck again immediately on the first joint of tubing which they  Lockout & Tag Out procedure shall be implemented
were trying to open-up for laying down due to damaged effectively.
coupling on the joint above. Driller shut off the power of the  The personnel, who are supposed to implement LOTO
tong from driller console. Chief Mechanic opened the top & program, are provided with necessary training.
bottom cover plates of the tong and tried to rotate the dies but
 Effective supervision for all the jobs at the rig site.
was unable to do so. Then Roustabout started to push the roller
from front and Asst. Mechanic tried to lift the dies from bottom  Ensure no unauthorized personnel shall be carried out any
side of the tong, simultaneously. Chief Mechanic did not maintenance or critical activities.
ensure that all hands were clear from the rotating gears of the  Effective Implementation of Stop Work Authority to
power tong and instructed to Driller to switch-on the hydraulic prevent any future unsafe act or condition.
power of the tong from the Drillers Panel. As soon as Driller
switched-on the power, the dies rotated and resulted in Asst.
Mechanic right hand trapped/crushed and Roustabout having
finger cut injuries inside the power tong.
What Went Wrong?

 Continued use of defective power tong even after repeated
failure of the power tong
 Roustabout & Asst. Mechanic were performing the
maintenance on power tong in unsafe manner utilizing
their hands
 Sr. Mechanic asked driller to switch ON the power of
power tong from driller console without ensuring safe
physical position of Asst. Mechanic and Roustabout.
 No Lockout and Tag out procedures were followed
 JSA used is not specific for the maintenance job
 No standard procedure for power tong maintenance job in
place
 Poor supervision by senior crew personnel. Roustabout
was not supposed to be on the rig floor for maintenance
job.
 Fatigue & inadequate rest. Sr. Mechanic worked more than
12 hours due to repeated power tong defects.
 No stop work Authority utilized
Roustabout hand Position Asst. Mechanic hand Position
KO C - Dev elopment Drilling Gro up (II )

Personal Injury (LTI) Incident at Rig KDC – 23
Major – Level III
Type of Incident:
Personal Injury (LTI - Level III)
Location:
Well #: UG 0259
12th Jul 2017; 11:20 Hrs.

While drilling the 16” hole, IP (Roustabout) slipped inside
the auger system while cleaning it. IP has removed a part
from the grating and stood on the top edges of the auger to
clean it. After slipping, IP was stuck in the auger and his
both legs, from above the knee, were cut by the blades of
the auger.
One derrick man heard the screaming of the IP and

immediately asked for help. Electrician shut down the
Auger. The company man, Toolpusher, and the medic
reached the auger, and moved the IP from the auger to the
ground. He was treated by the medic to stop the bleeding
and then moved by the ambulance of the rig to Adan
Hospital. He was conscious the whole time till he reached
the hospital. Called 160 and line management and informed
about the accident.
What Went Wrong?

1. IP did not ensure LOTO of Auger before working on
Auger.
2. IP has stepped on the Auger without the gratings on it.
3. IP was not stopped by his coworkers from doing this
unsafe act.
4. IP was not aware of this high potential risk.
5. Adequate sign boards were not available about this risk.
6. Inadequate supervision
Potential Outcome:
IP’s both legs amputated from above the knee.

Under KPC Investigation.
2017 - 18
KUWAIT OIL COMPANY
Lost Time Injury Permanent Disability Incident @ KDC Rig 23 (UG 259, WK)
Investigation Committee Report
10. RECOMMENDATIONS
A) Specific Recommendations
Sl. TARGET
SPECIFIC RECOMMENDATIONS RESPONSIBILITY
No. DATE
Conduct a Behavioral Based Safety (BBS) training to

1 Contractor Immediate
practices and subsequently for strict implementation
to avoid any kind of short cuts.
Study and develop a scheme to assure workers that Immediate

2 visa renewal will be on time and payment fee be paid Contractor
by the contractor.
Enhance the Leadership Site Visit and be more pro

3 active to have more management visibility at the site Contractor Immediate
and demonstrate HSE commitment ensuring workers
welfare, health and safety are prioritize.
Develop & communicate Safe Operating Procedure

for Auger System covering normal operations, Immediate
4 maintenance, Start up and shut down, as well as, the Contractor
responsibilities of rig personnel who will execute the
work.
Ensure strict implementation of Permit To Work

(PTW), Lockout Tag out and Job Safety Analysis KOC Drilling
5 Immediate
(JSA) procedures prior to carrying out maintenance Operations / Contractor
including cleaning of the auger system.
Issue and implement a Written Standing Instruction

6 (Auger Cleaning) based on the developed Safe Contractor
Immediate
Operating Procedure.
Allow only trained & authorized personnel to operate Immediate

7 Contractor
and perform maintenance on the auger system.
Conduct a regular inspection to ensure that auger Immediate

8 gratings are in place and properly secured with lock Contractor
out (clip) at all times.
________________________________________________________________________________
Kuwait Petroleum Corporation Page 27 of 74
Sl. TARGET
SPECIFIC RECOMMENDATIONS RESPONSIBILITY
No. DATE
Provide hazard-warning signs / posters for augers and Immediate

9 Contractor
ensure crew awareness on hazards associated with it.
Ensure crossover platforms are in place and used Immediate

10 Contractor
wherever required to avoid stepping on the auger.
Review rig management supervision and establish a

11 system that will improve the effective control of all Contractor Immediate
ongoing rig activities.
Strict implementation of STOP work authority with KOC Drilling

12 emphasis on observed unsafe acts / practices / Operations / Contractor Immediate
conditions.
Train designated rig crews on the auger Safe

13 Operating Procedure as well as the location and use of Contractor
Immediate
ESD (emergency shutdown devices).
Ensure Job Safety Analysis specific for the job is KOC Drilling
14 developed and to be used for Pre - job safety talk Operations / Contractor Immediate
meeting with the rig crews before starting the work.
Install ESD mechanism connected to the gratings to

15 ensure system will shut down by default once grating Contractor
Immediate
is either removed or placed improperly.
Provide a Safety Officer at the rig site that is having

16 the language of the majority of the workforce to Contractor Immediate
ensure continued effective communication during the
shift.
________________________________________________________________________________
B) General Recommendations
Sl. TARGET
GENERAL RECOMMENDATIONS RESPONSIBILITY
No DATE
Investigate and verify complains on the residency visa

renewal fees (that if workers will not pay - no renewal) Contractor Immediate
1
and delays which is affecting employees scheduled leave
plan.
Review the design and necessity requirement for the KOC Drilling Immediate
2 utilization of Auger system within Drilling Package. Engineering / HSE
(D&T)
A penalty system based of Contractor HSE Performance
KOC Drilling
evaluation shall be developed and implemented to
3 Engineering / Immediate
strengthen Contractor HSE Compliance.
(This was also recommended for the major incident on 08/05/2107 Commercial
@ SR 1037, NK)
Based on Poor HSE Performance record of the KOC Drilling Immediate
contractor(s), it should eventually be linked to the Engineering /
hierarchy of initiation of action(s) against Pre- Commercial with
support from HSE
Qualification of Contractor(s) so as to ultimately not
D&T
allow them participate in future tenders for their non-
4 performance with respect to Poor HSE Performance. This
needs to be worded appropriately & included in all
Drilling Contracts so that KOC can enforce it. Criteria for
poor HSE performance shall be developed by KOC HSE.
(This was also recommended for the major incident on 08/05/2107
@ SR 1037, NK)
Job Descriptions of rig personnel must be signed,

communicated and issued to the respective job position to Contractor Immediate
5
ensure effective understanding of their roles and
responsibilities.
CCTV contract requirements to provide additional KOC Drilling

6 camera to cover the auger system area and increase the Engineering / Immediate
recording memory capacity. Contractor
Contractor has Action Tracker system for tracking closure

of recommendations from their leadership visit, incident
7 investigation and inspection however, a time bound action Immediate
Contractor
plan has to be developed to make sure that items are
properly completed and closed.
________________________________________________________________________________
Sl. TARGET
GENERAL RECOMMENDATIONS RESPONSIBILITY
No DATE
Review and amend KOC.GE.007-Incident Reporting &

Investigation Procedure to clarify the issue of obtaining
approval of resuming work specifically in drilling
8 operations (disturbing incident location etc.) after the HSE Group Immediate
major incident since in all cases Investigation Committee
formed only after minimum 3 days.
Periodic HSE Inspections/Audits shall be carried out KOC Drilling

9 covering all locations / activities at the site. Operations / Immediate
Contractor
HSE Performance review Meeting(s) to be conducted KOC D&T Immediate

periodically between KOC Higher Management and Directorate /
10 Dr Contractors
@ SA 680 (BWD 115)
Lesson Learnt from Near Miss Incidents and previous Contractors Immediate
incidents shall be adequately communicated through all
possible means i.e. Safety meetings, Toolbox talks,
11 awareness session etc. and shall be ensured until full
compliance is achieved.
@ SA 680 (BWD 115)
________________________________________________________________________________

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Development Drilling Group (I)

To accomplish this, we will:

KOC Risk Actions 2017-18

Opns. TL, Engineers,

Recommendations from Safety Alert #: DEV DG-I / SA-01-2016/17

Recommendations from Safety Alert #: EB11/2016-17/29

(b) KOC Supervisors 70% 80% 90%

Opns. TLs, Engineers,

Verify & follow up with contractor for conducting Well

Contractor Risk Actions 2017-18

Recommendations from Safety Alert #: DEV DG-I / SA-01-2016/17

Type of Incident: Losses:

What Went Wrong?

Potential Outcome: Could have caused more

Type of Incident: Potential Outcome:

Date & Time of Incident: Recommended Corrective Actions:

2. Assistant Driller applied more tension than what was

3. Actions to correct the cable position inside the Cable

4. To tension the sling without securing the cable sheave

Baker Hughes Logging Operator LTI Incident at Rig BWD-139

Type of Incident: 5. Forklift operator and logging operator didn’t understand

At the time of incident, wire line logging was running by

What Went Wrong?

1. Fuel Transfer (in logging truck) activity comes in Logging

Type of Incident: Recommended Corrective Actions:

2. Refresher training on Hazard Identification & Working at

Could have caused more severe injury to the IP and might

Electrician Rib Fracture.

HIPO Dropped Object Near Miss Incident at Rig KDC - 17

Type of Incident: Potential Outcome:

Date & Time of Incident: Recommended Corrective Actions:

Type of Incident:  AD was standing within the line of fire of forklift. As

 AD didn’t assess the severity of risk while handling

AD (IP) observed the

CMT 15.8 PPG

Injury during Pulsation Dampener Repair

Type of Incident:  Lack of knowledge / skill experience.

KOC - Development Drilling Group (II)

Fall from Height during Rig-Up Activity - Driller Head Injury

Type of Incident: Losses:

Location: Recommended Corrective Actions:

KOC - Development Drilling Group (II)

Asset Damage, Level I - HIPO

Development Drilling Group (II)

Power Tong Hit Floorman Resulted in Minor Cut on Neck- RWC

What Went Wrong?

 Floorman slipped on temporary working platform

KOC - Development Drilling Group (II)

FLOOR MAN FINGER INJURY INCIDENT

Rig carrier Moderate Fire Incident at Burgan

Prepared by Dev. Drilling Group (II)

Prepared by Dev. Drilling Group (II)

Lost Time Injuries at Well # SR-1037, North Kuwait

Type of Incident: Potential Outcome: Could have resulted into Fatality

What Went Wrong?

KO C - Dev elopment Drilling Gro up (II )

Incident Description in Brief:

One derrick man heard the screaming of the IP and

What Went Wrong?

Recommended Corrective Actions:

Conduct a Behavioral Based Safety (BBS) training to

Study and develop a scheme to assure workers that Immediate

Enhance the Leadership Site Visit and be more pro