Investigation Report
Statoil - Mongstad - Investigation of work accident
Statoil - Mongstad - Investigation of work accident
- Havtil
- Investigation Report
- Unknown
- Falls from heightMechanical failureRisk management
- Inspection and maintenanceWorking at height
- LadderValve
- Competence and trainingFall preventionManagement of changeRisk assessment
- Downstream and process industries
- Onshore facility
Summary
Investigates a serious injury at Mongstad refinery during valve inspection before compressor maintenance. An employee fell about three metres from a ladder. Findings concern an unassessed change to a geared valve, gear overload, inadequate training, ladder practice and task risk assessment. The precise reason for losing balance remains uncertain.
Classifications: Falls from height; fall from height.
Classifications: Mechanical failure; equipment failure.
Classifications: Risk management; risk evaluation.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Working at height; work at height.
Classifications: Ladder; ladders.
Classifications: Valve; valves.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Fall prevention; edge protection; guardrails.
Classifications: Management of change; MOC; change management.
Classifications: Risk assessment; hazard assessment.
Classifications: Downstream and process industries; refining; petrochemicals.
Classifications: Onshore facility; onshore plant.