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Slide Number 1 PDO FATALITIES IN 2000 Date Fatalities Inc. PDO Department Contractor Type 23- Aug 1 Road Marmul Asset Marmul Contracting 03-Aug 2 Road Gas Al-Kharousy Est. (Dodsal) 22-Jul 1 Road Well Engineering Damac (Sea&Land) 21-Jun 1 Indus. Electrical Infrastructure Al Hassan (BHEL) 10-Jun 1 Road Exploration Veritas Geophysical 08-Jun 1 Indus. Bahja/Rima Asset Al Hassan 05-Jun 1 Road Well Services PDO 27-May 1 Road Tech. Services Tuboscope Vetco

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Page 1: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 1

PDO FATALITIES IN 2000

Date Fatalities Inc. PDO Department Contractor Type

23- Aug 1 Road Marmul Asset Marmul Contracting

03-Aug 2 Road Gas Al-Kharousy Est.

(Dodsal)

22-Jul 1 Road Well Engineering Damac (Sea&Land)

21-Jun 1 Indus. Electrical Infrastructure Al Hassan (BHEL)

10-Jun 1 Road Exploration Veritas Geophysical

08-Jun 1 Indus. Bahja/Rima Asset Al Hassan

05-Jun 1 Road Well Services PDO

27-May 1 Road Tech. Services Tuboscope Vetco

Page 2: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 2

1 YR LTIF/TRCF ROLLING AVERAGE, 1993-2000

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80

Jan-93

Ap

r-93

Jul-93

Oct-93

Jan-94

Ap

r-94

Jul-94

Oct-94

Jan-95

Ap

r-95

Jul-95

Oct-95

Jan-96

Ap

r-96

Jul-96

Oct-96

Jan-97

Ap

r-97

Jul-97

Oct-97

Jan-98

Ap

r-98

Jul-98

Oct-98

Jan-99

Ap

r-99

Jul-99

Oct-99

Jan-00

Ap

r-00

LT

IF

1.00

1.50

2.00

2.50

3.00

3.50

4.00

TR

CF

PDO LTIF

PDO TRCF

Page 3: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 3

PDO & Contractors LTI Free Milestones, 2000

0

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4

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08-J

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28-J

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10-F

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19-F

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26-F

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03-M

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10-M

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16-M

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22-M

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24-M

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28-M

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04-A

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06-A

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13-A

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15-A

pr

22-A

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27-A

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01-M

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29-J

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03-A

ug

Page 4: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 4

Incident DetailsIncident Details

• Date : Saturday 27 May, 2000

• Time : Approximately 15.15hrs

• Location: 106km north of Bahja (midway between Bahja and Qarn Alam)

• Incident Type : Road transport

• Severity : Third party fatality (C4P)

• Contractor : Tuboscope Vetco (Deutschland) GmbH (TVD)

• Contract : C682038 - MFL Inspection of Flowlines

• Deceased : Tariq Mahmoud Mohammed Saddiq -39 years old (Pakistani)

Road Traffic FatalityPedestrian hit by vehicle

Page 5: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 5

Road Traffic Fatality 27th May

Pedestrian hit by vehicle

Page 6: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 6

Findings Findings

• Primary cause of the incident was the pedestrian’s apparent lack of attention to traffic on the road

• Deceased arrived in Oman from Pakistan 3 weeks before the incident and was probably disoriented with the direction of traffic flow in Oman

• Deceased and companion appear to have been solely focussed on hitching a ride back to Haima

• Driver was in good physical and mental condition before commencing the journey

• Some flaws revealed in the administration of contractor Journey Management Plan but these had no direct influence on the incident

Road Traffic Fatality 27th May

Pedestrian hit by vehicle

Page 7: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 7

Corrective ActionCorrective Action

• Speed limiter option(on/off) removed from all contractor vehicles

• Contractor to tighten up on Journey Management procedures

• Compulsory toolbox briefings by Journey Manager for all drivers prior to commencement of any journey

• Warning letter issued to driver and Journey Manager

Road Traffic Fatality 27th May

Pedestrian hit by vehicle

Page 8: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 8

Incident Details

Date : Monday 5 June, 2000

Time : Approximately 15.45 hrs

Location : Between Qarn Alam and Saih Rawl

(About 26 km from Qarn Alam Camp)

Incident Type : Road traffic accident

Severity : 4P Single Fatality

Potential : C5P Multiple Fatality

Dept involved: Well Services

Contractor : Offsat - Contract No. C688007 (Al Mutahidha Transport subcontractor to Offsat)

Deceased : Khalfan Mubarak Al Omairy (46 years, PDO Omani staff)

Road Traffic FatalityCollision pick-up & trailer-truck

Page 9: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 9

Road Traffic Fatality 5th June Collision pick-up & trailer-truck

Page 10: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 10

Findings

• Pick-up driver and passenger were listening to a radio phone-in debate. Their vehicle wandered into oncoming traffic lane

• Progress of the journey indicates pick-up average speed 80km/hour

• All three occupants in pick-up were wearing seat belts

• Passengers failed to alert driver (“buddy” system). One asleep the other distracted driver with discussion on the radio debate

• Trailer-truck driver had Journey Management plan. Well Services crew called Fahud on leaving Barik-6 well site

• Truck driver used flashing headlights to alert pick-up, not effective in broad daylight. Horn would have been more appropriate.

Road Traffic Fatality 5th June Collision pick-up & trailer-truck

Page 11: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 11

Corrective Action

• Introduce competency assessment tests where date of birth is amended

• Emphasize effectiveness of using vehicle’s horn

• Increase efforts to minimise kilometres driven

• Follow Journey Management procedure in Well Services

• Improve toolbox communication methods to combat language differences

Road Traffic Fatality 5th June Collision pick-up & trailer-truck

Page 12: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 12

Incident Details

Date : 8 June, 2000

Time : Approximately 09.30 hrs

Location : Rima Environmental Complex

Incident Type : Industrial

Severity : 4P Single Fatality

Potential : C5P Multiple Fatality

Dept involved : Bahja/Rima Asset OBM

Contractor : Al Hassan

Deceased : Leth Bahadur (age 36, Nepali)

Operation : Vacuum truck operator

Fatal Industrial Incident 8th June

Vacuum truck

Page 13: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 13

1st failed bolt

blockage

2nd failed bolt

3rd failed boltPressure release valve

Failed weld - should have

been one machined piece

Poor design, manufacture and

welding of bolt and pin

`

Operator was standing here just before blast

Page 14: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 14

Findings

- Design of door retaining assembly of ELCO vacuum tanker substandard

- Poor functioning of safety relieve valves

- No indications of explosion

- Inexperience of driver and helper

Fatal Industrial Incident 8th June

Vacuum truck

Page 15: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 15

Corrective Action

• ELCO tankers taken out of service

• Inspection of all inventorised tankers

• Implement detailed safety valve testing procedure

•Inspect routinely suction tanker door bolts/housing

•Inspect suction tankers for potential blockages

•Revise procedures for use of vacuum tankers

Fatal Industrial Incident 8th June

Vacuum truck

Page 16: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 16

Incident Details

• Date : Saturday 10 June, 2000

• Time : 13:37 hrs. (from In-Vehicle Monitoring System)

• Location : Blacktop road between Salalah and Thumrait, 15km N of Salalah

• Severity : 4P Single Fatality

• Potential : D4P Single Fatality

• Contractor : Veritas Geophysical (Contract Number C889004)• Deceased : Kasab Amur Sulaiyam Al Junaibi, Omani Driver (39 years old)

Road Traffic Fatality 10th JuneRoll-over Fuel Tanker of Seismic Contractor

Page 17: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 17Looking downhill in direction of vehicle travel

Road Traffic Fatality 10th JuneRoll-over Fuel Tanker of Seismic Contractor

Page 18: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 18

Findings

• Driving too fast for the road conditions

• Attitude: failure to follow rules and procedures

• Insufficient hazard identification

• Heavy Good Vehicle (HGV) course lacks practical assessment

• Low gear road sign missing

• Safety belt mounting design fault

• Performance of in-vehicle monitoring system erroneous

Road Traffic Fatality 10th JuneRoll-over Fuel Tanker of Seismic Contractor

Page 19: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 19

Corrective Action

• Include risk assessment of supply routes in scouting trips

• Define standards for in-vehicle monitoring systems

• Revise HVG course

• Introduce driving disciplinary standards within PDO operations

• Recommend placement “engage low gear” sign to ROP

• Review seat belt mounting with manufacturer

(mounting should be on strong point on cabin floor)

• Investigate HGV roll bars with Hino

• Agree consistent standards for tankers across Shell group (centre of gravity)

Road Traffic Fatality 10th JuneRoll-over Fuel Tanker of Seismic Contractor

Page 20: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 20

Incident Details

Date : 21st June, 2000Time : 18:00 hrsLocation : Outside perimeter fence of Hubara

Power Station (under construction)Severity : 4P

Pot. Severity : 4P(C) & 4A(C)Contractor : Al Hassan (subcontractor to BHEL)Deceased Name : Mohammed Saleem (40 years old, Pakistani

grader operator)

Operation : Grading

Fatal IncidentGrader operator killed by his grader driving over him

Page 21: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 21

Head of body here Feet here

Fatal Incident 21st June 2000 Grader operator killed by his grader driving over him

Page 22: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 22

Findings

• Position of body indicated deliberate fall, suggesting suicide. Supported by letter and other evidence

• Operator is able to exit the grader whilst the vehicle is in motion. (No ‘dead man’s handle’)

• Point of entry/exit from grader is very exposed.

• Long time in desert camp with long working hours and limited rest periods

• Evidence of family problems and disturbed mind

Fatal Incident 21st June 2000 Grader operator killed by his grader driving over him

Page 23: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 23

Corrective Action

• Revise Company specification for earth moving and construction equipment

• Review requirement for contractor staff to have a counsellor available

Fatal Incident 21st June 2000 Grader operator killed by his grader driving over him

Page 24: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 24

Incident Details

Date: 22st July, 2000

Time: 17:00 hrs

Location: 57 km South of Adam on the Muscat - Salalah Highway

Severity: 4P

Contractor: Sea and Land (Draieh Catering Services (DAMAC))

Deceased Name: Aslam Darvi (age 39, Indian)

Operation: Rig Boy

Road Traffic Fatality 22nd July 2000Roll-over

Page 25: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 25

Roof caved-in due to absence of rollover cage protection in the

front

Roof in rear unaffected due to rollover protection in the back

Road Traffic Fatality 22nd July 2000Roll-over

Page 26: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 26

Findings

• Recruitment of an inexperienced driver

• Inadequate Journey Management

• Complacency with regard to managing road safety

• Inadequate Safety Management Systems (DAMAC)

• Inadequate sub-contractor management (S&LDC)

• Inadequate PDO monitoring of sub-contractor

Road Traffic Fatality 22nd July 2000Roll-over

Page 27: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 27

Corrective ActionCorrective Action

• Subcontractor compliance with PDO road safety specifications

• Five year experience requirement for all drivers

• Additional driver assessments for those below the age of 25

• Improved information cascade to subcontractors via the PDO external

web site

Road Traffic Fatality 22nd July 2000Roll-over

Page 28: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 28

MAIN SHORTCOMINGS

• Supervision

• Following rules

• Hazard awareness

• Attitude

Page 29: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 29

EXISTING INITIATIVES

• Safety Champions (PDO + Contractor) for key issues

• Company introduction of STOP

• PDO/Contractors Safety Conference in 1998 and 1999

• Monthly HSE Area Contractor Forums held on site

• Weekly MD reviews of LTI’s and high potential incidents

• Structured Communication

• General Safety work stoppages

• Intensive HSE Road Shows

• Launched WHIMS (Work Hazard Identification Management System) to support preparation of Job Safety Plans

• HSE Audit and Inspection Effort (also Improvement KBA ongoing)

• Terminate Contractors/stop from tendering for poor HSE performance

Page 30: Slide Number 1 PDO FATALITIES IN 2000 DateFatalitiesInc.PDO Department Contractor Type 23- Aug1RoadMarmul AssetMarmul Contracting 03-Aug2Road Gas Al-Kharousy

Slide Number 30

ADDITIONAL ACTION

• Safety Blitz with focus on contractor HSE management

• Focus on Road Safety management:

- Disciplinary actions

- Review driver/vehicle specifications

- Improve driver training

- Review jouney management

- Engagement of sub-contractors

• Introduction of HazId packages and other tools to identify safety hazards