Contractor Safety Forum

Safety Sharing
November 16, 2018

Azimarine & General Services Limited

Nobody Gets Hurt

 Incident Learnings
Location: Azimarine Fabrication Yard, QIT, Ibeno LGA
What Happened
September 12, 2018: A personnel hit his right sheen on the flange end of a small pipe spool as he attempted to hook-up the load
(pipe spool) with a tag line (for crane lifting), having slipped off a nearby spool which he climbed on to access the previous spool,
requiring First Aid Treatment.
How bad was it?
Minor Abrasion (took hours – days to heal)
How Bad Could It Have Been?
Major Leg Dislocation
What Lessons were Learned?
▪ Inadequate hazards identification & mitigation can cause incidents. The hazards associated with walking on the pipe
spool (which had slippery surfaces) were not identified and as such were not mitigated.
▪ High Risk Tolerance/Complacency often results in incidents. History of performing the task in a similar way (personal
experience/familiarity with task) with known hazards did not result in any negative consequences or hurt. When complacency
sets in, there is bound to incidents.
▪ Poor intervention. Co-workers or task lead did not intervene to stop unsafe condition (slipping hazard) or stop IP from
working in an unsafe area. Poor supervision and lack of team work will usually result in incidents.
Corrective Actions Taken
▪ Last minute risk assessments (LMRAs) to be conducted prior to commencement of any task, to identify & mitigate hazards.
▪ Adequate supervision, mentoring and coaching (especially for new workers) will always be provided for all tasks to ensure
any possible work limitations are addressed.
▪ All personnel are encouraged to ensure a safe work environment & encourage U-See U-Act; take actions to correct an
unsafe condition.
▪ Personnel are encouraged to show their co-worker that they really CARE. They must intervene to stop an unsafe act.
▪ All personnel must care for their co-worker. They must intervene to correct an unsafe act & stop an incident.
▪ Personnel must apply Stop, Think & Act for all tasks – if site conditions change; work must be stopped and re-assessed.

Nobody Gets Hurt

 Significant Near Miss Learnings
Incident: Near-miss Location: Azimarine Fabrication Yard, QIT, Ibeno LGA.
What Happened
August 18, 2018. A small pipe spool dropped on a low-bed truck almost rolled over from the truck, owing to non-placement of a
wedge immediately.
Immediate response
The rigger and the truck driver immediately rushed to place a wedge to support the load, to prevent it from falling off the truck.
What lessons were learned?
▪ Whenever a load is in transit, the supporting wedge for its placement must be placed close to dropping area on the truck
(and placed immediately the load is dropped, to secure the load) so as to prevent roll over of the load.
▪ Even when the load is secure on the truck, unauthorized persons are not expected anywhere near the truck, to avoid
crushing by the load in case of any disconnect of the wedge. Thereafter, a sling rope should be used to wrap around he load
to the truck to ensure it is firmly secure.
▪ Adequate and visible caution signs/barriers must be placed / traffic man stationed to alert nearby personnel of possible
dangers e.g. dropped objects around the work site.
Actions taken to prevent reoccurrence
▪ A near miss training session was organized for all the personnel to discuss what actually happened, what could have gone
wrong, and ways to ensure such near misses do not happen again.
▪ Daily tool box talks are now held everyday, from where hazards associated with each tasks are discussed as well as ways to
mitigate such hazards.
▪ Periodic/regular site inspections are now carried out by site lead to ensure work conditions are always safe for every task.
▪ Zero tolerance to risks. Workers are encouraged not to carry out any task if they perceive such tasks as possessing high
risks to personnel, machinery or the environment.
▪ Adequate supervision, mentoring and coaching will be provided for all tasks, especially for new workers. This is aimed at
addressing any possible work limitations which may have the potential to affect the safe execution of such tasks.
▪ Only competent and trained supervisors and work crew are engaged to carry out lifting activities, to avoid
incidents/accidents.

Nobody Gets Hurt

 Company Initiatives
The Management of Azimarine & General Services Limited initiated a Safety Champion Program. The program works
as follows:
A personnel is selected from each department on a rotatory basis to pioneer/champion all safety processes/standards
which AZIMARINE wants to implement, for a period of two weeks.
Goals
▪ Ensure effective implementation of company safety policies and standards and their sustainability.
▪ Ensure effective reporting of all unsafe acts and conditions by all personnel.
▪ Ensure workers who excel in implementation of safety standards are adequately rewarded (appreciated).
Successes
▪ Improved safety culture among the workforce, e.g. conducting house-keeping at the end of every tasks.
▪ Significant decline in the number of near misses and accidents/incidents recorded at the work site.
Challenges
▪ Inadequate reporting of unsafe acts (U-See U-Act), which in turn affects some of the intervention/corrective
measures to be put in place. We take time to enlighten the workers that reporting unsafe acts and unsafe
conditions do not lead to disciplinary actions. Rather, that they are meant for corrective actions and mitigation
purposes. We also advise them to always inform their supervisors whenever they see unsafe acts or unsafe
conditions, and cannot put such in writing.
Employees buy – in
▪ The employees buy-in on the program is massive because its implementation has created more safety awareness
among the workforce and also resulted in safer working environments.
Next steps for the program
▪ Introduction of an MD/CEO Safety award for the best personnel on safety performance (monthly and yearly), as a
way of encouraging the workforce to show more seriousness to safety issues..
▪ Issuance of badges with inscription such as “nobody gets hurt” to all personnel and pasting of the inscription on all
offices to ensure everyone is informed.

Nobody Gets Hurt

 Contractor Safety Forum
Safety Sharing
May 23, 2019

Azimarine & General Services Limited

Nobody Gets Hurt

 Incident Learnings
Location: Azimarine Fabrication Yard, QIT, Ibeno LGA
What Happened
March 19, 2019: A food vendor slipped on the gratings and fell while trying to enter the waiting room of the Fabrication Yard to
serve one of her customers, requiring First Aid Treatment.
How bad was it?
Minor Abrasion (took hours – days to heal)
How Bad Could It Have Been?
Major Leg Dislocation
What Lessons were Learned?
▪ Inadequate hazards identification & mitigation can cause incidents. The hazards associated with walking on the
gratings (with flip-flop slippers) were not identified and as such were not mitigated.
▪ High Risk Tolerance/Complacency often results in incidents. History of moving around the area in the same manner
without recording any injuries/accidents. The lady thought she was going to be lucky all the time, with putting on flip-flop
slippers to walk on the gratings and not get hurt.
▪ Poor intervention. Workers or site lead did not intervene to stop unsafe act (wrong PPE) or stop IP from walking in an
unsafe area. Poor intervention/supervision will usually result in incidents.
Corrective Actions Taken
▪ The lady was stopped from entering the waiting room to serve her customers. Rather she was advised to erect a nearby
kiosk where the workers can go to get food, whenever they are in need.
▪ All personnel are advised to always focus on the direction of movement, to ensure they observe any unsafe condition
(possible obstruction) on the walk path.
▪ The condition of the gratings was re-assessed to ensure it was still safe for use.
▪ Personnel are encouraged to show their co-worker and visitors that they really CARE. They must intervene to stop an unsafe
act. They must also wear the right PPEs at all times especially around the Fabrication Yard.
▪ Personnel must apply Stop, Think & Act for all tasks – if site conditions change; work must be stopped and re-assessed

Nobody Gets Hurt

 Significant Near Miss Learnings
Incident: Near-miss Location: Azimarine Fabrication Yard, QIT, Ibeno LGA.
What Happened
December 18, 2018. A low-bed truck driver while trying to reverse his truck hit a crane which was parked nearby, causing damage to the truck
rear light as well as chest problems to the driver as he hit his chest on the steering.
Immediate response
The truck driver was immediately taken for A&D tests, and the results showed negative (-). He also received treatment for chest pains.
What lessons were learned?
▪ Whenever a truck driver is about to move forwards or backwards, he must be accompanied by a flag man, who direct and control all
traffic, to ensure the truck does not a hit any nearby person, vehicles or structure.
▪ If the truck carries a load, the driver must ensure the load does not obstruct his rear view, if he’s to move backwards.
▪ Adequate and visible caution signs/barriers must be stationed to alert nearby personnel of possible dangers e.g. dropped objects around
the work site.
▪ The truck must also be fitted with reverse alarm which will beam as the vehicle moves backwards, thereby alerting nearby personnel of
the truck movement and the accompanying dangers.
Actions taken to prevent reoccurrence
▪ A near miss training session was organized for all the personnel to discuss what actually happened, what could have gone wrong, and
ways to ensure such near misses do not happen again.
▪ No task no matter how urgent must be carried out without proper approval/authorization. Personnel who go against the rule with face
severe disciplinary actions.
▪ Daily pre-checks/inspections of all vehicles, equipment and machinery are carried out by site lead and operators/drivers to ensure
conditions are safe, before they are run.
▪ Zero tolerance to risks. Workers are encouraged not to carry out any task if they perceive such tasks as possessing high risks to
personnel, machinery or the environment.
▪ Adequate supervision, mentoring and coaching will be provided for all tasks, especially for new workers. This is aimed at addressing any
possible work limitations which may have the potential to affect the safe execution of such tasks.
▪ Only competent and trained supervisors and work crew are engaged to run any equipment/machinery or drive any vehicle, to avoid
incidents/accidents.

Nobody Gets Hurt

 Company Initiatives

The Management of Azimarine & General Services Limited initiated a Safety Champion Program. The program works as follows:
A personnel is selected from each department on a rotatory basis to pioneer/champion all safety processes/standards which
AZIMARINE wants to implement, for a period of two weeks.
Goals
▪ Ensure effective implementation of company safety policies and standards and their sustainability.
▪ Ensure effective reporting of all unsafe acts and conditions, near misses, incidents/accidents by all personnel.
▪ Ensure workers who excel in implementation of safety standards are adequately rewarded (appreciated).
Successes
▪ Improved safety culture among the workforce, e.g. conducting house-keeping at the end of every tasks.
▪ Significant decline in the number of near misses and accidents/incidents recorded at the work site.
Challenges
▪ Inadequate reporting of unsafe acts (U-See U-Act), which in turn affects some of the intervention/corrective measures to be
put in place. We take time to enlighten the workers that reporting unsafe acts and unsafe conditions do not lead to
disciplinary actions. Rather, that they are meant for corrective actions and mitigation purposes. We also advise them to
always inform their supervisors whenever they see unsafe acts or unsafe conditions, and cannot put such in writing.
Employees buy – in
▪ The employees buy-in on the program is massive because its implementation has created more safety awareness among
the workforce and also resulted in safer working environments.
Next steps for the program
▪ Introduction of an MD/CEO Safety award for the best personnel on safety performance (monthly and yearly), as a way of
encouraging the workforce to show more seriousness to safety issues..
▪ Issuance of badges with inscription such as “nobody gets hurt” to all personnel and pasting of the inscription on all offices to
ensure everyone is informed.

Nobody Gets Hurt

 ATLANTIC MARINE & OIL FIELD SERVICES LTD.
Incident/Accident Investigation
Form
Document #: HSE-F-023 Revision: 0
Document Category Form Effective Date May 26, 2020
Department Owner HSE Page 1 of 5

POINT OF CAUSE:
Location/ Project Site SHIFT START (Time) PLACE OF INCIDENT
Eastern Fence Area, QIT
Eastern Fence Area, QIT
DATE OF INCIDENT INCIDENT TIME DATE OF REPORT
25/05/2020 11:40HRS 26/05/2020
INJURY/ ILLNESS PROPERTY NEAR PROCESS ENVIRONMENTAL
NIL LOSS - NIL MISS - YES LOSS - NIL EVENT
NIL
NAME OF INJURED EMPLOYEE REPORTED BY (LEADER) TYPE OF INJURY
NIL AGBA MICHAEL NIL
IMPACT:
TYPE OF INCIDENT (see reverse page) EQUIPMENT DAMAGED TYPE OF INJURY/
NEAR-MISS NIL ILLNESS
NIL
BODY PART INJURED PLANNED COST LOSS POTENTIAL
NIL NIL NIL
LOSS POTENTIAL EVALUATION (see reverse page) RISK CATEGORY

Frequency 1 2 3 1 MAJOR (8-10)

Probability -1 0 1 1 MEDIUM (4-7)
Severity 0 2 4 0 MINOR (1-3)
EVENT DESCRIPTION (provide information about event – where, who, what, how)

At about 11:40hrs, while air-lifting operation was ongoing at the Eastern Fence Area, suddenly the air
hose from the air tank pulled out at the connection clip position. Immediately, the compressor operator
turned off the engine of the compressor.

PROBLEM STATEMENT: (Do we have a problem?)

1. The air-hose connection line is disrupted.

DIRECT CAUSES
• Bulldog clip not holding the hose firmly with the air-tank delivery outlet.

ROOT CAUSES
Personal Factors
• The compressor operator did not carry out air-tank fittings re-confirmation checks prior to
running the compressor engine.

Job Factors
• NIL
 ATLANTIC MARINE & OIL FIELD SERVICES LTD.
Incident/Accident Investigation
Form
Document #: HSE-F-023 Revision: 0 Page 2 of 5

TYPE OF CONTACT Contact with Heat (Hot Surface/Hot materials)

Contact with Heat (Fire)
Hit against Object/Structure Contact with Cold
Hit by Moving Object (Horizontal Movement) Contact with Radiation
Hit by Falling Object (Vertical movement) Contact with Toxic Materials
Fall (Person/Property falls) Contact with Hazardous Atmosphere
Slip, Trip and tip over Contact with Biological Agent
Caught In Contact with Noise
Caught On Contact with Vibration
Caught Between or Under Environmental Release - Air, Water, Soil
Contact with Sharp Object Overstress/Overexertion (People)
Contact with Compressed Air/Gas/Fluid Overload/Overpressure - Physical or
Contact with Foreign Objects/Fluid Equipment Failure (Equipment)
Contact with Electricity (Shock or Arc Flash) Unacceptable Behaviors

INVESTIGATION PARTICIPANTS
Participants: 1. Dominic Asuquo (Compressor Operator).
2. David Ibegbu (Compressor Asst.).
3. Michael Agba (Safety Mgr.). (4). Desmond Osajie (Project Engr.). (5). Ani Chibueze (CSWIP 3.4U)
CORRECTIVE ACTIONS (Counter Measures) ASSIGNED TO DATE OF
COMPLETION
SHORT TERM ACTIONS
1. Proper checks on all connection points before
compressor engine is turned on. Dominic Asuquo
2. Ensure bull-dog clip is firmly secure on the 26/5/2020
pressure hose at the connection point.
3. Recommend the use of second bulldog clip to David Ibegbu
ensure fittings/hose connections are adequately
secured.
 ATLANTIC MARINE & OIL FIELD SERVICES LTD.
Incident/Accident Investigation
Form
Document #: HSE-F-023 Revision: 0 Page 3 of 5

DIRECT CAUSES: Substandard Conditions

DIRECT CAUSES: Substandard Behaviors (Conditions that may lead to the occurrence of
(Behaviors that may lead to the occurrence of an incident) an incident)
Unacceptable (or No) Safeguarding or Barrier
Operating Equipment without Permit / Approval / Training / License Unacceptable / Unsuitable PPE
Operating Equipment at Unacceptable Speed Defective Tools, Equipment or Materials
Operating Equipment with Safety Devices Disabled or Bypassed Congested / Restricted / Overcrowded Work area
Servicing Equipment in Operation (Machine runs) Poor or Improper warning
Failure to control energies Unacceptable Energy Control
Unacceptable PPE Use Unsuitable layout of Control/Display/Alarms
Not Using PPE Presence of Fire & Explosion Hazards
Using Defective Equipment Unacceptable Housekeeping condition
Unacceptable use of Equipment/Tool Presence of Unacceptable Hazardous Materials
Unacceptable Loading / Lifting Unclear Procedure/Instruction
Unacceptable placement Inadequate Work Permits
Unsuitable Position for Task Incomplete or Insufficient Preparation/Planning
Under Influence of Alcohol and / or other Drugs Insufficient or inappropriate Human Resources to do the
Using equipment or material improperly Task
Not Following Policy/Instruction/Standard/Procedure/Work Permit Incomplete or Insufficient Identification of
Incomplete or Insufficient Hazard Identification and Risk Evaluation Regulations/Industry Codes and Permits to operate
Incomplete or Insufficient Checking and Monitoring of Equipment or Task Inadequate Illumination
Insufficient or Unclear Communication during Task Inadequate ventilation
Other Unacceptable behaviors (Horseplay/Running) Inadequate Clearance
Failure to warn people Insufficient Workspace
Temperature Extreme

ROOT CAUSES
Fittings Connection Failure
Personal Factors Improper Purchasing
Lack of Knowledge Improper Maintenance
Lack of Skills Improper Inspection
Improper Motivation Improper Equipment/Tools
Improper Performance Standards
Improper Compliance Requirements
Job Factors
Improper Usage
Improper Leadership
Lack of Communication
Improper Project Management / Change Management
Improper EHS Planning
Improper Contract Management
Improper Emergency Systems
 ATLANTIC MARINE & OIL FIELD SERVICES LTD.
Incident/Accident Investigation
Form
Document #: HSE-F-023 Revision: 0 Page 4 of 5

LOSS POTENTIAL = Frequency + Probability + Severity

FREQUENCY REPORT
Number of times task is performed by REVIEWED BY
Number of each person PROBABILITY
persons Few Many Name: Michael Agba
Less -1 = Low probability of recurrence Ani Chibueze
performing task times per times per
than daily 0 = Moderate probability of recurrence
day day
+1 = High probability of recurrence Date: 26/05/2020
Few (1-10) 1 1 2
Moderate (11-30) 1 2 3
Many (31+) 2 3 3
SEVERITY

0 – No injury or illness or quality, production, environmental or other loss of less than $100.
2 – Minor injury or illness without lost time; non-disruptive property damage; quality, production, environmental or other loss of
$100 to $1,000
4 – A lost time or illness without permanent disability; disruptive property damage; quality, production, environmental or other loss
of more than $1,000 but not exceeding $50,000
6 – Permanent disability; loss of life or body part; extensive loss of structure, equipment, material; quality, production,
environmental or other losses exceeding $50,000 or loss or production greater than 48 hours.
 ATLANTIC MARINE & OIL FIELD SERVICES LTD.
Incident/Accident Investigation
Form
Document #: HSE-F-023 Revision: 0 Page 5 of 5

PHOTOS FROM THE INCIDENT REPORT INVESTIGATION

STATE OF EQUIPMENT AFTER CORRECTIVE ACTION NOW IN

INCIDENT – AIR HOSE PULLED OUT, PLACE – ADDITIONAL BULLDOG CLIP
BULLDOG CLIP OUT OF POSITION, NOW IN PLACE TO SECURE HOSE
SAFETY PIN IN PLACE, WHIP CHECK CONNECTION
SECURED PULL-OUT HOSE.

ADDITIONAL HOLD
BACK WHIP UTILISED
TO SECURE THE
PRESSURE HOSE ALONG
THE LENGHT