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2023 Second Alert LTI#11 Finger pinched between torque valve and ground
At around 19:15 Hrs., near the waste pit, A roustabout was helping the directional driller to install a low torque valve on the geo span unit. The low torque valve was installed but crossed threaded the connection by hand and was difficult to remove. The directional driller turned around to bring the hammer, meanwhile the IP was still holding and fixing the position of the low torque valve when suddenly it disconnected from its connection and tumbled from an approximate height of 1ft, resulting into pinching IP Right hand ring finger between the low torque valve and the ground
How do you verify that all pinch points and line-of-fire hazards have been identified before starting a task? What actions would you take if equipment becomes stuck, cross-threaded, or does not assemble as intended? How do you ensure your hands and body always remain clear of dropped-object and pinch-point hazards? How do you confirm that the JSA and TBT fully reflect the actual task being performed? When should hands-free tools or lifting aids be used, and how do you verify they are available before work starts? How do you challenge unsafe practices that may have become accepted as "the normal way" of performing the job? No hand belongs in a pinch point—stop, reassess, and use hands-free tools
The task-specific hazards associated with manual handling, pinch points, and line-of-fire exposure were not adequately identified and discussed before starting the work. The Job Safety Analysis (JSA) used for the task was generic and did not effectively address the actual work steps, equipment weight, or required controls. Hands-free lifting and positioning devices were not used during the handling of the 38 kg low torque valve, exposing personnel to pinch-point hazards. The partially connected and cross-threaded valve created an abnormal condition, but the work area was not made safe before corrective action was attempted Supervision was ineffective at a critical moment, resulting in the worker remaining in the line of fire after the instruction to stop work was given Repeated performance of the task led to normalization of risk and reduced recognition of the hazards associated with manual handling and pinch points


Category:	Second Alerts	Document Type:	Safety
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