REPORT JUNE

2023sf 2024

DATA SERIES

Safety performance indicators – 2023 data

– Fatal incident reports
Acknowledgements
IOGP thanks those companies that have participated in the data
collection programme.

This report was produced by the Safety Committee.

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 REPORT JUNE
2023sf 2024

DATA SERIES

Safety performance indicators – 2023 data

– Fatal incident reports

Revision history

VERSION DATE AMENDMENTS

1.0 June 2024 First release

2023 safety data – Fatal incident reports

Contents

AFRICA ONSHORE 5

AFRICA OFFSHORE 8

ASIA/AUSTRALASIA ONSHORE 9

ASIA/AUSTRALASIA OFFSHORE 11

EUROPE ONSHORE 12

EUROPE OFFSHORE 12

MIDDLE EAST ONSHORE 13

MIDDLE EAST OFFSHORE 15

NORTH AMERICA ONSHORE 16

NORTH AMERICA OFFSHORE 18

RUSSIA & CENTRAL ASIA ONSHORE 19

RUSSIA & CENTRAL ASIA OFFSHORE 20

SOUTH & CENTRAL AMERICA ONSHORE 21

SOUTH & CENTRAL AMERICA OFFSHORE 21

4
2023 safety data – Fatal incident reports

AFRICA ONSHORE

DATE: 26 Jun 2023

COUNTRY: Nigeria
NUMBER OF DEATHS: 1
FUNCTION; DRILLING
CAUSE: Struck by (not dropped object)
ACTIVITY: Drilling, workover, well operations
PRIMARY LIFE-SAVING RULE: Energy isolation
SECONDARY LIFE-SAVING RULE: Work authorization
FATALITY
Function: Drilling, Employer: Contractor, Occupation: Manual labourer, Body part: Neck/torso/spine,
Nature of injury: Organ function / loss or damage, Time in service: > 1 year < 5 years
NARRATIVE:
The activity on well 2 started on June 17th with the equipment mobilization in location. On June 18th the job
officially commenced on site.
The Scope of Work was to carry out maintenance activities on Xmas Tree and ambient valve recalibration. Operation
was performed with support of Slick Line service and downhole plug.
During the activity, the team observed the Slick Line and the upper sheave were not moving. In order to fix the issue,
the Contractor Supervisor bled off the pressure in the hydraulic hose of the SL stuffing box through the dedicated
hydraulic line, and proceeded to slack the cable at the bottom sheave to resume jar action This brought to failure
the pressure equalization across the downhole plug and consequently led to the ejection of the same inside the
lubricator which parted and jumped on air. The lubricator ejection determined the Slick Line cable tension and
strong knockback. Consequently,the lower sheave, connected to such cable, strongly impacted the IP’s chest and
chin. IP medical conditions immediately appeared critical. The event led also to a slight gas release.
WHAT WENT WRONG:
• Rigless Programme developed PtW, Risk Assessment, Method of Statement, Isolation Certificate, TBT forms: all
available in location, improvement needs have been observed in the procedures coordination and implementation.
• Lack of supervision.
• In presence of an issue (blocked Slick Line sheave), Contractor Supervisor decided to bleed off pressure in
the hydraulic hose of the Slick Line stuffing box by pushing the small ball in the check valve seat allowing the
hydraulic oil to bleed. This brought to the failure of the pressure equalization and following lubricator’s ejection.
Operator did not stop the activity to re-assess the Risks.
• The Contractor’s personnel competences were not previously assessed before starting the activity due to lack of
Procedures. During the contractor’s personnel interviews carried out in the Investigation process, competence’s
gaps appeared evident for some crew members.
• Lack of knowledge on First Aid Operations and Emergency Communications. Night MEDEVAC Operations to be
improved.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
• While dealing with high pressure fluids, ensure proper barriers always in place.
• In case the assessed workflow (as per method of statement) changes, proper risk assessment must be done
and mitigations identified. It must be treated as management of change.

5
2023 safety data – Fatal incident reports

AFRICA ONSHORE

• Whenever you are planning a job, always take into consideration the operational context and the process
conditions.
• All operations (routine and critical ones) require competent person to be performed; their knowledge must be
formally assessed prior to start any job.
• In all locations medevac drills must be performed and personnel to be adequately informed and trained about
the existent procedures to be implemented.
• Proper communication devices in remote areas are fundamental to manage any emergency situation.
• Ensure safe rescue by medevac of the workers during day & night.
• Stop work authority to be always applied whenever required (anyone is entitled).
CAUSAL FACTORS:
PEOPLE (ACTS): Following Procedures: Deviation intentional (by individual or group)
PEOPLE (ACTS): Use of Protective Methods: Personal Protective Equipment not used or used improperly
PEOPLE (ACTS): Inattention/Lack of Awareness: Improper decision making or lack of judgment
PROCESS (CONDITIONS): Work Place Hazards: Hazardous atmosphere (explosive/toxic/asphyxiant)
PROCESS (CONDITIONS): Organizational: Inadequate work standards/procedures
PROCESS (CONDITIONS): Organizational: Poor leadership/organizational culture

DATE: 13 Nov 2023

COUNTRY: Nigeria
NUMBER OF DEATHS: 1
FUNCTION; PRODUCTION
CAUSE: Caught in, under or between (excl. dropped objects)
ACTIVITY: Construction, commissioning, decommissioning
PRIMARY LIFE-SAVING RULE: Line of fire
FATALITY
Function: Production, Employer: Contractor, Occupation: Process/equipment operator,
Body part: Respiratory system, Nature of injury: Inhalation, poisoning, intoxication, asphyxiation, drowning,
Time in service: > 1 year < 5 years
NARRATIVE:
While a Business Partner A-frame/Floater handler was attempting to disconnect a pipe floater from an 8-inch
pipeline to lower the pipe, his arm became trapped, and the weight of the pipeline and the orientation of the floater
dragged him under the water.
WHAT WENT WRONG:
Inadequate hazard identification or risk assessment.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
None allocated.

6
2023 safety data – Fatal incident reports

AFRICA ONSHORE

DATE: 12 Dec 2023

COUNTRY: Nigeria
NUMBER OF DEATHS: 2
FUNCTION; CONSTRUCTION
CAUSE: Assault or violent act
ACTIVITY: Transport - Land
PRIMARY LIFE-SAVING RULE: Other issue – no applicable rule
FATALITY
Function: Construction, Employer: Contractor, Occupation: Transportation operator,
Body part: Head (incl. mouth, etc.), Nature of injury: Cut, Puncture, Scrape, Time in service: Unspecified
Function: Construction, Employer: Contractor, Occupation: Transportation operator,
Body part: Head (incl. mouth, etc.), Nature of injury: Cut, Puncture, Scrape, Time in service: Unspecified
NARRATIVE:
A contractor convoy was ambushed by unknown gunmen. Four government security personnel and two contractor
drivers were fatally injured. Two contractor expats were kidnapped, but were released 17 days later.
WHAT WENT WRONG:
Ambushed by unknown gunmen.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Lack of security.

7
2023 safety data – Fatal incident reports

AFRICA OFFSHORE

DATE: 29 Dec 2023

COUNTRY: Nigeria
NUMBER OF DEATHS: 1
FUNCTION; PRODUCTION
CAUSE: Explosion, fire or burns
ACTIVITY: Transport - Water, incl. marine activity
PRIMARY LIFE-SAVING RULE: Other issue – no applicable rule
FATALITY
Function: Production, Employer: Contractor, Occupation: Unknown, Body part: Leg/knee/hip,
Nature of injury: Burn, Time in service: Unspecified
NARRATIVE:
A Pusher Tug with Environmental barge experienced an engine room fire. One of the crew sustained severe burns
and was admitted to hospital for treatment and later passed away.
WHAT WENT WRONG:
Unspecified.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Unspecified.
CAUSAL FACTORS:
PEOPLE (ACTS): Following Procedures: Deviation unintentional (by individual or group)
PEOPLE (ACTS): Use of Protective Methods: Inadequate use of safety systems
PROCESS (CONDITIONS): Protective Systems: Inadequate/defective guards or protective barriers
PROCESS (CONDITIONS): Tools, Equipment, Materials and Products: Inadequate design/specification/management
of change
PROCESS (CONDITIONS): Tools, Equipment, Materials and Products: Inadequate maintenance/inspection/testing
PROCESS (CONDITIONS): Work Place Hazards: Hazardous atmosphere (explosive/toxic/asphyxiant)

8
2023 safety data – Fatal incident reports

ASIA/AUSTRALASIA ONSHORE

DATE: 02 Jan 2023

COUNTRY: Malaysia
NUMBER OF DEATHS: 1
FUNCTION; PRODUCTION
CAUSE: Falls from height
ACTIVITY: Construction, commissioning, decommissioning
PRIMARY LIFE-SAVING RULE: Working at height
FATALITY
Function: Production, Employer: Contractor, Occupation: Other, Body part: Head (incl. mouth, etc.),
Nature of injury: Unspecified, Time in service: > 1 year < 5 years
NARRATIVE:
Fall from height during scaffolding dismantling at project fabrication site.
WHAT WENT WRONG:
During the incident, the scaffolder was dismantling the cantilever scaffold when the scaffold frame suddenly tilted
after the he stepped onto the ledger box-tie member. This caused the scaffolder to lose his balance and fall onto the
ground, together with the scaffolding structure. The scaffolder was observed hooking his full-body harness to the
scaffold frame instead of the lifeline.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Lifeline to be properly designed and installed. Visually mark the lifeline for easy identification and enforce safety
harness to be secured/hooked to the lifeline at all times while working at height.

DATE: 22 Jun 2023

COUNTRY: Pakistan
NUMBER OF DEATHS: 2
FUNCTION; PRODUCTION
CAUSE: Explosion, fire or burns
ACTIVITY: Transport - Land
PRIMARY LIFE-SAVING RULE: Driving
FATALITY
Function: Production, Employer: Contractor, Occupation: Transportation operator, Body part: Respiratory system,
Nature of injury: Burn, Time in service: Unspecified
Function: Production, Employer: Contractor, Occupation: Transportation operator, Body part: Respiratory system,
Nature of injury: Burn, Time in service: Unspecified
NARRATIVE:
Contractor bowser, filled with crude oil, left the plant around 3 pm. While commuting from the plant to a refinery, at
10.45 pm, the bowser rolled over and caught fire, resulting in the driver's death. The helper suffered a burn injury
and was immediately transported to hospital but later also lost his life.
WHAT WENT WRONG:
System of supervision was ineffective.

9
2023 safety data – Fatal incident reports

ASIA/AUSTRALASIA ONSHORE

CORRECTIVE ACTIONS AND RECOMMENDATIONS:

Introduce the continuous speed check for HAZMAT transportation.
CAUSAL FACTORS:
PEOPLE (ACTS): Following Procedures: Deviation unintentional (by individual or group)
PROCESS (CONDITIONS): Tools, Equipment, Materials and Products: Inadequate design/specification/management
of change
PROCESS (CONDITIONS): Work Place Hazards: Hazardous atmosphere (explosive/toxic/asphyxiant)
PROCESS (CONDITIONS): Organizational: Inadequate work standards/procedures
PROCESS (CONDITIONS): Organizational: Inadequate hazard identification or risk assessment
PROCESS (CONDITIONS): Organizational: Inadequate communication

DATE: 22 May 2023

COUNTRY: Pakistan
NUMBER OF DEATHS: 6
FUNCTION; UNSPECIFIED
CAUSE: Assault or violent act
ACTIVITY: Production operations
PRIMARY LIFE-SAVING RULE: Other issue – no applicable rule
FATALITY
Function: Unspecified, Employer: Contractor, Occupation: Unknown, Body part: Internal organs,
Nature of injury: Unspecified, Time in service: Unspecified
Function: Unspecified, Employer: Contractor, Occupation: Unknown, Body part: Internal organs,
Nature of injury: Unspecified, Time in service: Unspecified
Function: Unspecified, Employer: Contractor, Occupation: Unknown, Body part: Internal organs,
Nature of injury: Unspecified, Time in service: Unspecified
Function: Unspecified, Employer: Contractor, Occupation: Unknown, Body part: Internal organs,
Nature of injury: Unspecified, Time in service: Unspecified
Function: Unspecified, Employer: Contractor, Occupation: Unknown, Body part: Internal organs,
Nature of injury: Unspecified, Time in service: Unspecified
Function: Unspecified, Employer: Contractor, Occupation: Unknown, Body part: Internal organs,
Nature of injury: Unspecified, Time in service: Unspecified
NARRATIVE:
Terror attack - no further information.
WHAT WENT WRONG:
Terror attack - no further information.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Terror attack - no further information.

10
2023 safety data – Fatal incident reports

ASIA/AUSTRALASIA OFFSHORE

DATE: 02 Jun 2023

COUNTRY: Australia
NUMBER OF DEATHS: 1
FUNCTION; PRODUCTION
CAUSE: Struck by (not dropped object)
ACTIVITY: Maintenance, inspection, testing
PRIMARY LIFE-SAVING RULE: Working at height
FATALITY
Function: Production, Employer: Contractor, Occupation: Maintenance, craftsman,
Body part: Head (incl. mouth, etc.), Nature of injury: Unspecified, Time in service: 10 + years
NARRATIVE:
Fatality of a rope access technician whilst performing inspection tasks.
WHAT WENT WRONG:
Pending formal investigation outcome.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Pending formal investigation outcome.

DATE: 07 Apr 2023

COUNTRY: Malaysia
NUMBER OF DEATHS: 1
FUNCTION; DRILLING
CAUSE: Caught in, under or between (excl. dropped objects)
ACTIVITY: Drilling, workover, well operations
PRIMARY LIFE-SAVING RULE: Safe mechanical lifting
SECONDARY LIFE-SAVING RULE: Line of fire
FATALITY
Function: Drilling, Employer: Contractor, Occupation: Drilling/well servicing operator, Body part: Neck/torso/spine,
Nature of injury: Crushing, Time in service: 10 + years
NARRATIVE:
While removing the Christmas tree using air tuggers, the securing bracket for the air tugger failed. This caused the
air tugger winch to rotate and fatally crush the IP against a steel I-beam.
WHAT WENT WRONG:
Location of tugger controls required the floorman to stand between tugger and I-beam. Potential for tugger
movement and line of fire hazard was not identified. Tugger swivel pedestal base was modified from the original
design without documented engineering review or management of change. Previous tugger incidents involving
swivel base malfunction and failure were undocumented and not shared.

11
2023 safety data – Fatal incident reports

ASIA/AUSTRALASIA OFFSHORE

CORRECTIVE ACTIONS AND RECOMMENDATIONS:

• Install OEM-available remote operation capability for tuggers and establish criteria for remote operation to
manage line of fire hazard. Implement physical walk through upon installation to identify and mitigate crush
points.
• Ensure lifting equipment permanently installed on adjustable foundations is engineered, fabricated, and
installed per approved design and modifications are in accordance with management of change processes
(contractor).
• Prohibit work on critical equipment outside of the maintenance system.
CAUSAL FACTORS:
PEOPLE (ACTS): Following Procedures: Deviation unintentional (by individual or group)

EUROPE ONSHORE
No fatal incidents reported.

EUROPE OFFSHORE
No fatal incidents reported.

12
2023 safety data – Fatal incident reports

MIDDLE EAST ONSHORE

DATE: 12 Mar 2023

COUNTRY: Kuwait
NUMBER OF DEATHS: 2
FUNCTION; PRODUCTION
CAUSE: Explosion, fire or burns
ACTIVITY: Maintenance, inspection, testing
PRIMARY LIFE-SAVING RULE: Bypassing safety controls
SECONDARY LIFE-SAVING RULE: Energy isolation
FATALITY
Function: Production, Employer: Contractor, Occupation: Maintenance, craftsman, Body part: Unspecified,
Nature of injury: Burn, Time in service: Unspecified
Function: Production, Employer: Contractor, Occupation: Maintenance, craftsman, Body part: Unspecified,
Nature of injury: Burn, Time in service: Unspecified
NARRATIVE:
On the day of the incident the gathering center was under total shutdown. The job was to replace the corroded 42”
tank vapour gas piping. The activity was performed by cold cutting by the contractor. While cold cutting, an explosion
and fire occurred that resulted in two contractor fatalities, 12 lost work day cases, and 1 minor injury. Emergency
responders attended. The fire was extinguished by fire crew. The employees were transferred to medical facilities by
ambulance. The deceased person was taken by Forensic medical department.
WHAT WENT WRONG:
Workers in the line of fire.
Underestimated the associated hazard of work location and activity.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
• Ensure Method Statement for Critical Activities includes all potential hazards and precautions to eliminate/
mitigate hazards and ensure compliance.
• Ensure close follow-up between all the maintenance and contractors during facility shutdown.

13
2023 safety data – Fatal incident reports

MIDDLE EAST ONSHORE

DATE: 28 Jun 2023

COUNTRY: Kuwait
NUMBER OF DEATHS: 1
FUNCTION; UNSPECIFIED
CAUSE: Pressure release
ACTIVITY: Production operations
PRIMARY LIFE-SAVING RULE: Line of fire
FATALITY
Function: Production, Employer: Contractor, Occupation: Process/equipment operator,
Body part: Neck/torso/spine, Nature of injury: Inhalation, poisoning, intoxication, asphyxiation, drowning,
Time in service: > 1 year < 5 years
NARRATIVE:
When a Production crew was conducting routine well monitoring and troubleshooting, they noticed a spill from a
nearby pipeline. The crew approached the spill site to investigate. Upon arriving at the site, the crew saw the water
disposal pipeline had failed, and a pinhole was sending high-pressure produced water into the desert sand, creating
a five metre-wide and two metre-deep whirlpool. During this observation, one of the workers slipped into the newly
formed whirlpool. Crew members made several attempts to rescue him and were finally able to retrieve him from
the water. One of the rescuers went into the hole and had to be rescued without any further harm. Emergency
Medical arrived on site to begin advanced life-saving techniques but were unsuccessful.
WHAT WENT WRONG:
Unaware of surroundings.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Not available.
PROCESS SAFETY FUNDAMENTAL:
We respect hazards

14
2023 safety data – Fatal incident reports

MIDDLE EAST ONSHORE

DATE: 2 May 2023

COUNTRY: Oman
NUMBER OF DEATHS: 1
FUNCTION; UNSPECIFIED
CAUSE: Exposure noise, chemical, biological, vibration, extreme temperature
ACTIVITY: Drilling, workover, well operations
PRIMARY LIFE-SAVING RULE: Other issue – no applicable rule
FATALITY
Function: Unspecified, Employer: Contractor, Occupation: Manual labourer, Body part: Respiratory system,
Nature of injury: Inhalation, poisoning, intoxication, asphyxiation, drowning, Time in service: 10 + years
NARRATIVE:
At approximately 2:55 am, a contractor was performing circulation prior to cement on well, when the wellhead
started leaking fluid with hydrogen sulphide (H2S) release. A total of 7 people were reported to be impacted (1
deceased, 4 transferred to hospital and stable, 2 examined at site clinic). The well was secured (BOP shut-in) and
the location was evacuated.
WHAT WENT WRONG:
Death from H2S exposure.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Unspecified.
CAUSAL FACTORS:
PEOPLE (ACTS): Following Procedures: Deviation intentional (by individual or group)
PEOPLE (ACTS): Use of Protective Methods: Equipment or materials not secured
PROCESS (CONDITIONS): Tools, Equipment, Materials and Products: Inadequate/defective tools/equipment/
materials/products
PROCESS (CONDITIONS): Organizational: Inadequate hazard identification or risk assessment
PROCESS (CONDITIONS): Organizational: Inadequate supervision
PROCESS (CONDITIONS): Organizational: Poor leadership/organizational culture

MIDDLE EAST OFFSHORE

No fatal incidents reported.

15
2023 safety data – Fatal incident reports

NORTH AMERICA ONSHORE

DATE: 16 May 2023

COUNTRY: USA
NUMBER OF DEATHS: 1
FUNCTION; PRODUCTION
CAUSE: Exposure electrical
ACTIVITY: Construction, commissioning, decommissioning
PRIMARY LIFE-SAVING RULE: Safe mechanical lifting
SECONDARY LIFE-SAVING RULE: Line of fire
FATALITY
Function: Construction, Employer: Contractor, Occupation: Heavy equipment operator, Body part: Internal organs,
Nature of injury: Electric shock, Time in service: Unspecified
NARRATIVE:
A contractor was operating a forklift when the forklift contacted an energized overhead power line, causing the
death of the contractor and equipment damage.
WHAT WENT WRONG:
Incident currently under investigation.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Incident currently under investigation.
CAUSAL FACTORS:
PEOPLE (ACTS): Following Procedures: Work or motion at improper speed
PEOPLE (ACTS): Use of Tools, Equipment, Materials and Products: Improper use/position of tools/equipment/
materials/products
PEOPLE (ACTS): Inattention/Lack of Awareness: Improper decision making or lack of judgment
PROCESS (CONDITIONS): Work Place Hazards: Inadequate surfaces, floors, walkways or roads
PROCESS (CONDITIONS): Work Place Hazards: Storms or acts of nature

16
2023 safety data – Fatal incident reports

NORTH AMERICA ONSHORE

DATE: 24 Feb 2023

COUNTRY: USA
NUMBER OF DEATHS: 1
FUNCTION; PRODUCTION
CAUSE: Exposure noise, chemical, biological, vibration, extreme temperature
ACTIVITY: Maintenance, inspection, testing
PRIMARY LIFE-SAVING RULE: Bypassing safety controls
SECONDARY LIFE-SAVING RULE: Line of fire
FATALITY
Function: Production, Employer: Company, Occupation: Process/equipment operator, Body part: Respiratory,
Nature of injury: Inhalation, poisoning, intoxication, asphyxiation, drowning, Time in service: Unspecified
NARRATIVE:
Worker was managing high fluid levels in the low pressure knock out (LPKO) vessel while bringing wells online at
the facility and was found unresponsive.
WHAT WENT WRONG:
Unexpected release.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Review small building design with focus on ventilation and alarms. Reinforce existing practice of not draining
process fluids within enclosed spaces or near ignition sources. Reinforce use of personal multi-gas protection
monitors to verify acceptable atmospheric conditions, especially prior to building/enclosure entry and during
activities involving process fluids. Ensure lone worker policies and safety-critical tools are functioning as intended –
including calibration and testing – and supervisors are accountable for monitoring use and adherence.
CAUSAL FACTORS:
PEOPLE (ACTS): Following Procedures: Work or motion at improper speed
PEOPLE (ACTS): Inattention/Lack of Awareness: Fatigue
PROCESS (CONDITIONS): Organizational: Inadequate communication
PROCESS (CONDITIONS): Organizational: Failure to report/learn from events

17
2023 safety data – Fatal incident reports

NORTH AMERICA ONSHORE

DATE: 25 Oct 2023

COUNTRY: USA
NUMBER OF DEATHS: 1
FUNCTION; PRODUCTION
CAUSE: Dropped objects
ACTIVITY: Transport - Land
PRIMARY LIFE-SAVING RULE: Driving
SECONDARY LIFE-SAVING RULE: Line of fire
FATALITY
Function: Production, Employer: Company, Occupation: Foreman, Supervisor, Body part: Neck/torso/spine,
Nature of injury: Major/multiple system trauma, Time in service: 10 + years
NARRATIVE:
Company vehicle was traveling in their lane of traffic and was approaching another vehicle going in the opposite
direction. The other vehicle was hauling a trailer that was loaded with a compressor. The loaded compressor
became loose and fell into the path of the company vehicle. The IP was transported to hospital where they passed
away from injuries sustained in the collision.
WHAT WENT WRONG:
Load shifted and fell off the trailer from a vehicle travelling in the opposite direction.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Currently under litigation hold.
CAUSAL FACTORS:
PEOPLE (ACTS): Inattention/Lack of Awareness: Improper decision making or lack of judgment
PROCESS (CONDITIONS): Tools, Equipment, Materials and Products: Inadequate/defective tools/equipment/
materials/products

NORTH AMERICA OFFSHORE

No fatal incidents reported.

18
2023 safety data – Fatal incident reports

RUSSIA & CENTRAL ASIA ONSHORE

DATE: 26 Jun 2023

COUNTRY: Azerbaijan
NUMBER OF DEATHS: 2
FUNCTION; PRODUCTION
CAUSE: Caught in, under or between (excl. dropped objects)
ACTIVITY: Transport - Land
PRIMARY LIFE-SAVING RULE: Driving
FATALITY
Function: Production, Employer: Company, Occupation: Heavy equipment operator,
Body part: Head (incl. mouth, etc.), Nature of injury: Crushing, Time in service: 10 + years
Function: Production, Employer: Company, Occupation: Heavy equipment operator,
Body part: Head (incl. mouth, etc.), Nature of injury: Crushing, Time in service: 10 + years
NARRATIVE:
The driver of a cementing plant truck, lost control and the truck rolled into a ravine.
An ambulance and rescue squad called to the scene reported that the driver died at the scene. The machinist
passenger suffered a head injury and broken arm and was taken by ambulance to the hospital but died after three
hours.
WHAT WENT WRONG:
The driver did not know the route well and could not determine the direction correctly because he was driving the
road for the first time.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
• Effective control over the physical and psychological state of the driver and the serviceability of the vehicle before
the trip.
• Improving the control system for safe vehicle operation (speed control, sudden braking/acceleration, etc.).
• Regularly involving drivers in “Safe Driving” courses.

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2023 safety data – Fatal incident reports

RUSSIA & CENTRAL ASIA OFFSHORE

DATE: 24 Aug 2023

COUNTRY: Azerbaijan
NUMBER OF DEATHS: 2
FUNCTION; CONSTRUCTION
CAUSE: Water related, drowning
ACTIVITY: Lifting, crane, rigging, deck operations
PRIMARY LIFE-SAVING RULE: Work authorization
SECONDARY LIFE-SAVING RULE: Safe mechanical lifting
FATALITY
Function: Construction, Employer: Company, Occupation: Other, Body part: Respiratory system,
Nature of injury: Inhalation, poisoning, intoxication, asphyxiation, drowning, Time in service: 10 + years
Function: Construction, Employer: Company, Occupation: Maintenance, craftsman, Body part: Respiratory system,
Nature of injury: Inhalation, poisoning, intoxication, asphyxiation, drowning, Time in service: 10 + years
NARRATIVE:
While trying to start unloading new concrete slabs from the vessel and loading them onto the offshore platform, 2
employees of the oil and gas construction trust, a welder and a fitter, fell into the water because of failure of the old
concrete slab of the platform. After search and rescue efforts, involving divers, bodies were found and taken out of
the water.
WHAT WENT WRONG:
Failure of planning, lack of pre-task workplace inspection, overloading of load bearing structure. All jurisdictions
require the use of a life jacket or PFD (personal floatation devices) when there is the risk of drowning but proper
equipment was not used.
CORRECTIVE ACTIONS AND RECOMMENDATIONS:
Before starting any loading, the work area is to be inspected, and load bearing capacity calculated. Permit to work
should only be authorized and obtained after workplace inspection with proper identification of red zones. An
approved life jacket should be used by all personnel while on offshore platform operation.
CAUSAL FACTORS:
PROCESS (CONDITIONS): Protective Systems: Inadequate/defective guards or protective barriers
PROCESS (CONDITIONS): Tools, Equipment, Materials and Products: Inadequate maintenance/inspection/testing
PROCESS (CONDITIONS): Organizational: Inadequate work standards/procedures
PROCESS (CONDITIONS): Organizational: Inadequate hazard identification or risk assessment
PROCESS (CONDITIONS): Organizational: Inadequate supervision

20
2023 safety data – Fatal incident reports

SOUTH & CENTRAL AMERICA ONSHORE

No fatal incidents reported.

SOUTH & CENTRAL AMERICA OFFSHORE

No fatal incidents reported.

21
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E: reception@iogp.org

IOGP Americas IOGP Asia Pacific IOGP Europe IOGP Middle East & Africa
T: +1 281 219 9908 T: +61 7 2139 9714 T: +32 2 882 16 53 T: +244 226 434 245
E: reception-americas@iogp.org E: reception-asiapacific@iogp.org E. reception-europe@iogp.org E: reception-mea@iogp.org