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2025 Second Alert LTI#22 Cellar grating frame dropped and hit IP finger
During Slickline rig-up phase after lowering an assembled pressure control equipment (PCE) set by crane to align with the X-mass tree inside a deep cellar, the injured person was standing on a cellar platform trying to connect the PCE, he found difficulties to align the connection. He gave a signal to the banksman to lift the PCE , during this process the PCE touched cellar grating frame causing a dislodged of cellar grating frame and struck the IP right index finger against the PCE connection, resulting in Fracture Finger.
Ensure SOP and risk assessment address site-specific rig-up conditions such as rig up in deep cellars. Ensure interaction risks like PCE contacting grating frames are considered during area preparation. Ensure to get out of the cellar whenever there is a movement of load. Ensure toolbox talks emphasize the hands-off rule. Ensure final checks verify that grating frames cannot move or contact PCE during operation. Ensure abnormal situations are identified early and work is stopped to reassess risk.
SOP and risk assessment did not fully address rig up process in deep cellar. Zone management was not managed properly. The IP was in the line of fire. The TBT covered the rig-up activity but did not emphasize on the Hands-off Walk the line was not properly conducted to avoid touching the cellar grating frame. Failed to identify abnormal situation during rig-up.


Category:	Second Alerts	Document Type:	Operational Safety
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