Investigation Report
Fall Through Uncovered Access Hole During Subsea BOP Maintenance
03-28-2024 2200 G31938 WR 51 Required Evacuation - RW/JT (> 3 days)
- BSEE
- Investigation Report
- Unknown
- Dropped objectsFalls from heightMechanical failure
- Inspection and maintenanceLifting operationsWorking at height
- Fall protection equipment
- Fall preventionJob safety analysisPositive retention and reliable securingSafety communication
- Upstream oil and gas
- Vessel
Summary
BSEE investigates a fall of approximately nine feet through an uncovered access hole during subsea BOP maintenance aboard Deepwater Atlas. A damaged hatch had been removed without a barrier or adequate communication. The report examines unsecured fall protection, missing hazard analysis and hatch design, and records medical evacuation and installation of permanent grating.
Classifications: Dropped objects; falling objects; DROPS.
Classifications: Falls from height; fall from height.
Classifications: Mechanical failure; equipment failure.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Lifting operations; load lifting; hoisting.
Classifications: Working at height; work at height.
Classifications: Fall protection equipment; safety harness; fall arrest equipment.
Classifications: Fall prevention; edge protection; guardrails.
Classifications: Job safety analysis; JSA; job hazard analysis; JHA.
Classifications: Positive retention and reliable securing.
Classifications: Safety communication; toolbox talk; toolbox talks.
Classifications: Upstream oil and gas; oil and gas extraction; upstream petroleum.
Classifications: Vessel; aboard ship; onboard vessel.