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What happened?


A wireline crew swabbed a sour well with a hydrogen sulphide (H2S) concentration of approximately 10 per cent. During the operation, the crew needed to remove the lubricator assembly to perform routine maintenance.

The crew closed both master valves on the wellhead, bled off pressure above the master valves and purged the system with nitrogen. Purge gas was introduced at the top of the lubricator assembly and from the wellhead wing valve to the well test separator and flare line.

Monitoring was conducted to verify the effectiveness of the purge. The lubricator assembly was disconnected from the wellhead by a worker wearing a supplied-air breathing apparatus (SABA). Following disconnection from the wellhead, the crew laid down the lubricator and performed maintenance, which took approximately one hour to complete.

The crew then commenced moving the lubricator back to the wellhead for reconnection. A wireline operator without SABA positioned the lubricator over the BOP when he noticed a strange taste and felt light-headed. He stepped back from the wellhead before losing consciousness and falling down the stairs on the wellhead platform. The injured worker quickly regained consciousness, was taken to the hospital for assessment, and released later that day. Upon investigation, wellhead master valves were confirmed to be functioning correctly

This task presented several potential pathways for exposing the worker to dangerous H2S concentrations. Due to either an incomplete purge of the system or ineffective wellhead isolation, H2S began venting from the top of the wellhead while lubricator maintenance was performed. While work procedures recognized and controlled for the exposure hazard during lubricator disconnection, procedures for re-installing the lubricator assumed the wellhead remained isolated and purged, and therefore did not require respiratory protection for the worker or verification that the area around the wellhead opening was free of hydrogen sulphide gas.

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Life Saving Rules

LineofFire

Line of Fire

  • Position yourself to avoid moving objects, vehicles, pressure releases and dropped objects.
  • Establish and obey barriers and exclusion zones.
  • Take action to secure loose objects and report potential dropped objects.
ByPassingSafety

Bypassing Safety Controls

  • Understand and use safetycritical equipment and procedures which apply to the task.
  • Obtain authorization before disabling or overriding safety equipment, deviating from procedures and crossing a barrier.

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