HSE ALERT

“Fatality Happened due to 36” pipe roll over”

May 20, 2020
 HSSE ALERT (2016 – 0065)
(2020-#0010)
Fatality Incident happened due to 36” Pipe rolled over.

□ INCIDENT OVERVIEW & CAUSE

O Incident Description

A FATALITY has been occurred in Fabrication Shop, where a 36 inches pipe trolley utilized and
placed in a narrow & wide space area incidentally collapsed/ toppled and rolled over the
workplace causing to hit the Pipe Fabricator worker while performing his daily routine activity.

Direct Cause

 Failed to anticipate that the pipe trolley collapsed & rolled over toward his pose.
 Wrong body positioning to foresee the possible collapsed/ rolled of pipe trolley.
 Failed to conduct visual checking prior to perform the work activity.
 Non-conducting regular inspection of pipe trolley assembly.
 Lacked of supervision by the assigned supervisor.
 Failed to remind the worker about the worse or high risk scenario.
 Review the existing MS/TRA for possible improvement.

□ PREVENTIVE MEASURE
 Conduct TBM prior to start the work activity & ensure to convey any worse scenario.
 Perform S-PCM with all concern/ involves person for the activity.
 Provide proper wedge or stopper to avoid possible roll-over.
 Perform visual checking for the pipe trolley to be used.
 Conduct 100% inspection for all PPE’s.
 Arrange frequent work supervision throughout the completion of activity.
 Follow the specific requirements mentioned in MS/TRA.
 Adapt & follow all preventive measures mentioned above prior to perform on same activity.
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