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2025 Second Alert HiPo#17B_Movement of 3 ½” DP Stand Towards Rig Floor.pptx
While racking back a stand of 3 ½” drill pipe during POOH operations, the driller activated the elevator bails tilt function to assist the derrickman. This triggered the safety feature of the shear bolt, designed to prevent the bails tilt system from exceeding safe load limit. As a result, the elevator and bails, swung back towards well center, with the stand contacting the rig floor handrail, which then hit a floorman. He lost balance and fell. The floorman was sent to Qarn Alam clinic, examined, and released without treatment.
Rig Managers to always ensure the SOP for the task is reviewed and clearly understood by all crew members before starting work. Rig Managers to always ensure any deviation from the task is discussed, properly assessed, and a Management of Change (MOC) is in place. Drillers to always ensure hard barrier controls are implemented where possible and maintained to prevent human error or unintended activation.
All documents in place. SOP clearly stated that tilting the bails at monkey board level should be avoided. The equipment inspected. No hard control to limit the tilt function of a stand above monkey board. Good housekeeping performed prior starting the operation, safe zone area identified. Swing of the stand introduced uncontrolled energy. The decision to tilt the bails at the monkey board level was made without proper discussion or MOC No final verification was done to ensure critical steps in the SOP were being followed. The unsafe act of tilting the bail links was not identified or stopped during execution

Category:Second AlertsDocument Type:Operational Safety
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