Injury Reports

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 Date Time State Township/City Pad Latitude Longitude 911 Address Weather Well Lease Well # Well Field Personnel/Witness Name Position Company Hitch Days Years w/Company Years Oil/Gas Persnl./Wit. Phone Task Summary SUMMARY UPDATES Witness Name Witness Statement Treatment Injury Location Proper PPE Drug Test Time Lost Contributing Factors Notification Timeline Photos & Videos Supervisor Name Corrective Action Supervisor Email Supervisor Phone Supervisor Office Phone HSE Office Phone HSE Name HSE Email HSE Phone Comp. Man Name Comp. Man Email NNE Office Phone Comp. Man Phone NNE Phone Comp. Man Office Phone NNE Email NNE Name NNE HSE Name NNE HSE Email NNE HSE Office Phone NNE HSE Number SUBMITTEE
04/29/201704:30 AMWVFairviewKassay39.658461-80.194436190 Yank Hollow Roadn/aKassayn/aBlacksvilleN/A N/AWireline OperatorNine Energy(000) 000-0000

Breaking down setting tool

At approximately 4:30 AM, on April 29th, 2017, NES was operating wireline on the Northeast Natural Energy Kassay location. NES employee was breaking down setting tool and while trying to expose piston, encountered trapped pressure, which caused the tool to not stroke. NES employee tried to make tool stroke by slamming the tool on surface containment, and while in the process, got finger pinched in the setting tool. Employee later sought medical attention at local ER.

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ER examinationFingern/aNoNoneFailure to identify risk of trapped pressureAfter ER visitAndy TravisRemovedEmail hidden; Javascript is required.(304) 212-0415(304) 212-0415Andy TravisEmail hidden; Javascript is required.(304) 951-0909Andy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909(304) 951-0909(304) 212-0415Email hidden; Javascript is required.Andy TravisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
06/26/201704:25 AMWVFairviewFisher Pad39.697443-80.212391003 Daybrook Rdn/aFishern/aBlacksvilleN/A N/ATraffic ControlECM(000) 000-0000

Traffic control for Fisher frac

At 4:25 am June 26, an employee with ECM twisted his ankle when stepping onto the guard shack step from the ground. The employee's boots were wet at the time and caused him to slip on the wooden floor. This was a pre-existing condition that occured off location on June 22. He had previously gone to the doctor and was instructed to wear an ankle brace, which he was not wearing at the time of re-injury. The ECM employee was relieved on pad and went to a walk in clinic for first aid.

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Ice/RestAnkleYesNoNonePrior injuryImmediateAndy Travisn/aEmail hidden; Javascript is required.(304) 212-0415(304) 212-0415Andy TravisEmail hidden; Javascript is required.(304) 951-0909Andy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909(304) 951-0909(304) 212-0415Email hidden; Javascript is required.Andy TravisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
07/18/201712:35 PMWVMaidsvilleJenkins39.712611-80.1380833835 Mason Dixon Hwyn/aJenkinsn/aBlacksvilleZack AndersonSupervisorExtreme(000) 000-0000

Containment Repairs

Employee Zack Anderson was operating a extrusion welder when he lost his grip on it and instinctively reached out to catch it with his other hand, by doing so he grabbed the heating element causing burns to the tips of his left thumb, index and middle fingers.

He was wearing gloves at the time. He applied ice on location but declined to go to the hospital.
Small blisters appeared on his finger tips.

He has 1 year experience and is the supervisor of the crew.

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IceLeft hand, thumb, index and middle fingersYes/GlovesNoNoOperator errorImmediateAndy TravisFirst aidEmail hidden; Javascript is required.(304) 212-0415(304) 212-0415Andy TravisEmail hidden; Javascript is required.(304) 951-0909Andy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909(304) 951-0909(304) 212-0415Email hidden; Javascript is required.Andy TravisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
11/18/201705:30 PMWVFairviewCoastal39.6629083-80.15239011001 Daybrook Rd, Fairview WV 26570n/aCoastaln/aBlacksvilleCory ChioccawasRig HandPatterson UTI(000) 000-0000

Mud Pump Repairs/

During the process of repairing Mud Pump #1, the Floorhand Cory Michael Chioccawas was manually turning the drum wheel to position the pump in the correct spot for repairs and rolled his right hand middle finger between the wheel and the belt of the pump. He was not wearing his impact resistant gloves. Joey Richardson(drilling Superintendent) was already on site due to the time it had taken for repairs and they began the Axiom/HSE process. As soon as HSE arrived on location, they transported him to the hospital ER for treatment. He received stitches and a split as he broke his finger. Justin Bussey(Operations Manager) and Clinton Hulslander(HSE Supervisior) were on site. The process for doing this work has been changed to keep hands and tools out of the way.

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Fist aid on location. Called AXIOM, then Patterson HSE took him for treatment. Stitches and splintRight hand, middle fingerNoNoYesNot using proper tools for the taskImmediateAndy TravisUse the proper tool for the job, removing hands from hazard pointsEmail hidden; Javascript is required.(304) 212-0415(304) 212-0415Andy TravisEmail hidden; Javascript is required.(304) 951-0909Andy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909(304) 951-0909(304) 212-0415Email hidden; Javascript is required.Andy TravisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
09/08/201706:15 PMWVFairviewCoastal39.6629083-80.15239011001 Daybrook Rd, Fairview WV 26570n/aCoastaln/aBlacksvilleTodd LeeRig HandHighlands(000) 000-0000

Tong Cable Repair/Rig Crown

Employee Todd Lee went to the crown of the rig to check the tong cable in the shive, The driller Eric Stanley left the rig running in case he needed to pick up the tong with the winch line to take the weight off the cable to put it back in the shive. After determining the winch was not needed for this task he started up with the winch to hook on the casing being cut on the table, at this time Todd Lee put his hand on the cable and got his right middle finger pulled into the shive crushing the tip of the finger. He was taken to the hospital and received 4 stitches, took off the nail and broke the bone in the tip of the finger. A saftey stand down was preformed and a follow up will be conducted. Updates will follow as we get them.

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First aid on location. Taken to hospital for treatmentRight hand, middle fingerYesNoYesCommunicationImmediateAndy TravisSafety stand down, discussing the importance of communication and identifying hazardsEmail hidden; Javascript is required.(304) 212-0415(304) 212-0415Andy TravisEmail hidden; Javascript is required.(304) 951-0909Andy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909(304) 951-0909(304) 212-0415Email hidden; Javascript is required.Andy TravisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
12/07/201702:50 PMWVFairviewKasay/MEPCO Waterline39.6629083-80.1523901n/an/aKassay/MEPCOn/aBlacksvilleJohn LambOperatorBear Contracting333(304) 842-3002

Waterline reclamation

The marooka truck was stuck and the excavator operator started to pull the truck with the tailgate and pulled the tailgate off the truck then it struck John Lamb in the leg. He was taken to the hospital and ex rays were done. He has no broken bones, just bruised.

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Rest IceLegYesNoBody Positioning, failure to identify hazard30 minCalvin WearsTBDEmail hidden; Javascript is required.(304) 918-3050(304) 212-0432(304) 212-0432Marc MagroEmail hidden; Javascript is required.(304) 918-3050Mike ShreveEmail hidden; Javascript is required.(304) 212-0432(304) 918-3050(304) 918-3050(304) 212-0432Email hidden; Javascript is required.Mike ShreveAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
03/22/202104:30 PMWVFairviewBunner39.662899-80.21779972 Upper Days Run RdClear 65 DegreesBunnerConstructionBlacksvilleWarren BurhammerTruck DriverAJ Burk11010(304) 695-3442

Warren was climbing down out of his truck bed, after strapping his load down.

In the process he lost his balance and fell to the ground striking his left elbow and injuring his left shoulder. He was taken to St Josephs ER for evaluation, where x-rays determined that he had a left shoulder contusion. He was cleared to return to work 3/24 with no restrictions.

Joe Frame

Employee lost footing while stepping down from truck

RestLeft ShoulderProper PPE was in usenoneno time lostUneven groundImmediateBob DanielMaintain 3 points of contactEmail hidden; Javascript is required.(304) 629-6309(304) 997-8153(304) 997-8153Eddie CarderEmail hidden; Javascript is required.(304) 629-6309Josh FrazierEmail hidden; Javascript is required.(304) 212-0415(304) 517-6188(304) 216-6854(304) 517-6188Email hidden; Javascript is required.John LandisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
02/14/201810:50 PMWVFairviewCoastal39.6629083-80.15239011001 Daybrook Rd, Fairview WV 2657048° and RainyCoastal4H/6HBlacksvilleCory WilsonFrac HandProducers1111(740) 586-8729

Frac pump maintenance

"Cory Wilson, a Producers Service Corporation employee, was standing on a frac pump while replacing valves and seats. He was using a hammer to remove the fluid end discharge cap. Cory slipped and fell back on the iron rack that is mounted on the frac truck. He has some minor skin abrasion on his back and side, and said he has soreness in his ribs. Cory immediately called Axiom, and did not seek any medical attention. Axiom recommended he put ice on his ribs for swelling and to take aspirin for any pain. Axiom will perform a follow up today, and Cory will seek further evaluation if needed. Producers has labeled this a first aid. Cory will be going on days off, returning Monday for dayshift.

This occurred at 10:50 pm on 2/14/18. The weather was 48 degrees F and raining."

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First AidBack/RibsYesNoNoneHousekeeping, body positioning30 minutesShane Stephensonn/aEmail hidden; Javascript is required.(740) 586-8729(740) 454-6253(740) 454-6253Shane StephensonEmail hidden; Javascript is required.(740) 586-8729Mike InmanEmail hidden; Javascript is required.(304) 212-0423(989) 858-6112(405) 757-8725(989) 858-6112Email hidden; Javascript is required.Criss VanGuilderAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
03/13/202009:00 AMWVBattellePaw Paw Waterline39.610269-80.254972n/aCloudyn/an/aBattelleWes BrownTree Clearing CrewReady to Haul1523(304) 231-6323

"Employee was manual felling an area for the future Paw Paw waterline project with another employee approx. 500 ft apart. During one of his completed tree fells approx. 14’ an unseen loose vine that was covered in leafs got intertwined in the neighboring tree approx. 4’ splitting it in half and causing it to spring toward the employee unexpectedly as the employee was traveling away from base of tree via is exit route. The impact striking him in the left side of hard hat."

"The injured employee contacted his fellow employee for help via cell phone who was located at the current site area. Contact was made upon the initial blow from the limb to the head area. That employee in turn went to immediately assist injured and called the on -site foreman gave location details and need for means of egress. Employee was then transported by utv to a waiting pickup and then transported to the nearest hospital for medical treatment/evaluation."

Kevin Hines

Kevin was clearing in the same vicinity 500'-700' away with no line of sight. He received a phone call from Wes letting him know that he had been struck. When he got to Wes, he found him sitting upright, conscious and coherent. They contacted Josh Boulet for assistance, Josh contacted Jeremy Lane. Jememy and MIke Shreve came in and removed Wes with a UTV. Kevin stated that he asked what happened and Wes was unsure.

Observation CT Scan Fairmont General/Ruby Memorialhead/neckProper PPE was in use at time of incidentPost incident drug test was orderedTime lost incidentVine connecting to adjacent treeImmediate NotificationJosh BouletSafety stand down and JSA reviewEmail hidden; Javascript is required.(740) 238-1075(740) 238-1075(304) 231-6323Cody ZukEmail hidden; Javascript is required.(304) 231-6323MIke ShreveEmail hidden; Javascript is required.(304) 918-3050(304) 918-3050(304) 918-3050(304) 918-3050Email hidden; Javascript is required.Mike ShreveAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
12/03/202012:00 PMWVFairviewLemley39.666620-80.143021Lemley Well SiteSunnyLemley7HBlacksvilleJames GrantTraffic ControlGMS444(941) 771-5390

James was checking in personnel and administering temp check and COVID questionnaire for Lemley top hole from a guard shack positioned off location on the access road.

While leaving the shack to check in a vehicle, a weld on the steps broke causing James to fall on his right hip. He notified his supervisor and refused medical attention. He was able to finish his shift and seems to be okay. The shack is not set on level ground and had been cribbed with boards to support and level the shack.

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self administered first aidRight Hip BruiseProper PPE was in use at time of incidentDrug test was taken by GMSno time lostProper cribbing and support for stairs and shack.Immediate Notificationjeff weimerPlaced additional support under stairs with jacksEmail hidden; Javascript is required.(304) 216-7707(304) 216-7707(304) 216-7707Jeff WeimerEmail hidden; Javascript is required.(304) 216-7707Andy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 212-0415(304) 212-0415(304) 212-0415Email hidden; Javascript is required.Andy TravisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
03/06/201803:30 PMWVFairviewMEPCO39.6629083-80.1523901579 MEPCO Road, Fairview WV 2657047° ClearMEPCO7HBlacksvilleJim FarrisTool PusherHighlands21029(304) 205-8500

Cleaning up location, loading truck with scrap metal

While loading a truck with a piece of flowline, Jim Farris was rolling the flowline off of the forks of the telehandler, to make sure he didn’t damage the truck. The forklift operator, Chris Robinson (Highlands Drilling) lowered the flowline without notice pinching Jim's right hand between the flange on the flowline and the trailer.

Chris Robinson

Highlands rig hand. Waiting for Highlands incident report with Chris's account.

First aid on location. Treated at Ruby Memorial, with 4 stitches in index finger and 7 stitches in little finger, XRAY - nothing broken. Given tetnis shotRIght hand, index and little fingersYes, gloves were being worn at time of incidentCheat Lake Urgent CareNoneOperator error, communication, failure to identify pinch point hazard30 minutesJimbo LeeSafety stand down, discussing the importance of communication and identifying hazardsEmail hidden; Javascript is required.(304) 542-8242(304) 842-8242(304) 542-8238Mike LawrenceEmail hidden; Javascript is required.(304) 542-8238Jason WhittEmail hidden; Javascript is required.(304) 212-0424(412) 298-1446(304) 382-1825(412) 298-1446Email hidden; Javascript is required.Jay HewittAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Andy Travis
03/29/201902:30 AMWVBlacksvilleYost39.6296-80.2149Yost PadColdYost11HBlacksville000 000CementerC&J30.510(304) 951-0909

Removing cap from chemical bucket

Cement hand got a minor cut on his right pinky finger while attempting to remove a cap from a chemical bucket without gloves on.

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First aid on locationRight pinky fingerNononoNo PPEnotified immediately000 000Learn to open a container with PPEEmail hidden; Javascript is required.(304) 951-0909(304) 951-0909(304) 951-0909000 000Email hidden; Javascript is required.(724) 972-5226Troy HamidiEmail hidden; Javascript is required.(304) 951-0909(719) 459-2067(304) 382-1825(304) 951-0909Email hidden; Javascript is required.Jay Hewitt IIAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909
10/04/201812:10 PMWVBlacksvilleYost39.6296-80.2149218/Daybrook Run Rd.77 overacastYost1HBlacksvilleMike ShatleyDrillerHighlands Drilling257(276) 337-8383

Move Woodford's 500 gal diesel tank with JLG telehandler.

Mike Shatley picked up the fuel cell using the JLG telehandler and started to back off containment without a spotter. With his wheels turned the forks swung around and knocked over a 55 gal drum of Castrol oil. Puncturing a hole in the drum he immediately got out of the telehandler and ran over to move the drum upright so it would stop spilling. He placed his hand over the sharp edges of the puncture cutting his pointer, middle, and ring fingers through his cotton work gloves. Mike went into the crew shack to wash and bandage his lacerations. He left location to receive stitches at Med Express in Waynesburg, Pa. ~1/2 gal of oil spilled off containment and ~1 gal on containment with Highlands crew immediately cleaning it up.

Mike Shatley

I was trying to pick up the fuel cell. I wanted to back straight out but the wheels were already turned. When I backed up the forks swung around and I saw the drum get knocked over. I immediately got out of the telehandler and put my hand inside the puncture to help me place it upright. The sharp edges cut through my gloves cutting my three fingers.

Went to medexpress in waynesburg for stitchespointer middle and ring finger on right handYesnoYesNot using a spotter to operate equipment.Mike Shatley notified Ross Drnjevich immediately after the incident.Wade RossUse spotter and visually check your surroundings before operating equipment. Be mindful of sharp objects even if you're wearing gloves.Email hidden; Javascript is required.(304) 539-8276(000) 000-0000(000) 000-0000Mike LawrenceEmail hidden; Javascript is required.(304) 542-8238Ross DrnjevichEmail hidden; Javascript is required.(000) 000-0000(337) 500-1530(304) 382-1825(000) 000-0000Email hidden; Javascript is required.Jay HewittAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909
09/10/201807:45 PMWVBlacksvilleYost39.6296-80.2149218/Daybrook Run Rd.80 deg - RainYost11HBlacksvilleAdam CoffmanFloorhandHighlands Drilling50.010.01(000) 000-0000

Climbing a ladder out of the cellar.

Employee Adam Coffman was in the cellar making repairs to the diverter, once finished with his repair Adam was exiting the cellar up a ladder when he slipped on one of the rungs of the ladder and reached out to grab a rung above him. He stated at this time that it strained his arm when catching himself. The night rig manager was close to the employee when this happened. Adam said he had strained this arm 9 months ago. Adam has been a employee for 5 days.

Anthony Honaker

I was standing outside the cellar but didn't realize Adam had slipped and caught himself with his left arm.

icearmYesnonorain made ladder wet.notified immediatelyAnthony HonakerSlow down and ensure proper footingEmail hidden; Javascript is required.(304) 539-8276(000) 000-0000(000) 000-0000Mike LawrenceEmail hidden; Javascript is required.(304) 542-8238Jamie CzerneskiEmail hidden; Javascript is required.(000) 000-0000(724) 705-5435(304) 382-1825(000) 000-0000Email hidden; Javascript is required.Jay HewittAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909
09/07/201810:00 PMWVBlacksvilleYost39.6296-80.2149218/Daybrook Run Rd.80 deg - RainYost7HBlacksvilleMark MinneyFloorhandHighlands Drilling100.080.08(304) 644-0415

Grab a 5 gallon bucket of water to scrub oil base mud off Highland's mud pump.

Mark was carrying a 5 gallon bucket of water back to the mud pump and slipped on wet containment. Right where the containment is seamed together and smooth. Fell on his back with symptoms of lower back pain. Laid there till Grant Town EMS arrived on location at 10:30pm. Grant Town took him to Ruby Memorial Hospital in Morgantown, WV. He was released from the Hospital with a strained lower back. Was informed to take over the counter pain medicine.

Adam Coffman

I WAS WALKING OUT OF THE DOG HOUSE AND TO THE BACK OF LOCATION. AS I APPROACHED HIM HE STARTED CALLING FOR HELP. WHEN I GOT TO HIM HE WAS LAYING ON THE GROUND FLAT ON HIS BACK SAYING HE HAD FALLEN. I ASKED HIM A FEW QUESTIONS AS TO HIS CONDITION, SUCH AS COULD HE MOVE OR FEEL HIS TOES AND HOW DID HE LAND. I RUSHED INTO THE DOGHOUSE TO GET ANTHONY AND WADE. MARK ONLY TOLD ME HIS BACK WAS IN A LOT OF PAIN AND THAT HE COULD FEEL HIS TOES. HE REPEATED MULTIPLE TIMES THAT HIS BACK HURT AND HE COULDN'T MOVE.

over the counter pain medsLower BackYesYesYesWeather/RainRoss notified immediatelyWade RossPump water off containment. Walk path before carrying any type of load in inclement weather.Email hidden; Javascript is required.(304) 539-8276(000) 000-0000(000) 000-0000Mike LawrenceEmail hidden; Javascript is required.(304) 542-8238Ross DrnjevichEmail hidden; Javascript is required.(000) 000-0000(337) 500-1530(304) 382-1825(000) 000-0000Email hidden; Javascript is required.Jay HewittAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909
03/14/201910:30 AMWVBlacksvilleMatteo39° 39' 22.50"80° 11' 57.00"285 yank hollow rdpartly cloudya7BlacksvilleRoger SmithsonSupurvisorHigh Point355(304) 613-7839

crews were burning brush and a stick or amber caught the wiring harness on fire. the excavator wouldn't swing any longer. Roger then shut off the excavator .when he tried to restart it would not start he then opened the engine compartment door and saw the harness was on fire

Once Roger saw the fire he grabbed an extinguisher and put out the fire. after they were sure the fire was out he pulled the crew together and discussed what happened.

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NANAyesNANABurning brushnotified Michael Shreve within 5 minsRoger Smithsonmoniter fires and sticks that fly out of pitEmail hidden; Javascript is required.(304) 613-7839(304) 472-5595(304) 472-5595Todd WhitehairEmail hidden; Javascript is required.(304) 613-6433Michael ShreveEmail hidden; Javascript is required.(304) 212-0432(304) 918-3040(304) 918-3040(304) 212-0432Email hidden; Javascript is required.Michael ShreveAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Michael Shreve
02/27/201803:45 PMWVBlacksvilleCoastal39 41 42.280 13 22.41003 Daybrook RdCloudy 50 degreesCoastal2HBlacksvilleMark AndersonFrac HandProducers212(740) 605-4457

Walking between the frac pumps when he slipped on containment and fell to the ground. Mark had some swelling in his knee.

Walking between the frac pumps when he slipped on containment and fell to the ground. Mark had some swelling in his knee. Axiom was contacted and Mark was instructed to elevate and ice his knee. Mark did not seek medical attention at this time

Josh Patty

Josh walked around the corner and saw Mark slip and fall. Josh contacted the Producers frac supervisor.

ice/elevationkneeyesnonemud on containmentimmediatelyMark-Anderson-Accident.pdfRalph Boley BoleyCalled Axiom, iced and elevated his kneeEmail hidden; Javascript is required.(740) 605-4457(740) 605-4457(740) 605-4457Ralph Boley BoleyEmail hidden; Javascript is required.(740) 605-4457Max OliverEmail hidden; Javascript is required.(304) 212-0415(405) 757-8725(304) 951-0909(405) 757-8725Email hidden; Javascript is required.andy travisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Criss VanGilder
05/17/202111:30 AMWVBlacksvilleKassayNaNaNAsunnyKassay PadKassay PadBlacksvilleRobert HerronContract Well TenderHickory Energy12055(304) 669-3474

Changing filters on outlet filter of compressor.

While changing filters Roberts hand got stuck between cap and lock down bar. He had bruising and skin abrasion. First aid was administered. He was taken to DR and it was reported as just bruising and sore. No work was missed.

Robert Herron

While working to assist Nick form NNE and learning to change filters on the Kassay Pad, I was injured in the process of threading the end cap back on. I was pushing from the bottom with my right hand and as I pushed off one of the ears that hold the ratcheting mechanism into place my hand slipped off shooting past the hook on the ear which caught the meat of my palm pushing my hand into get crushed. Nick and I backed off the cap where Nick proceeded to check on me and provide me with a cold pack to try to mitigate the swelling and figure out what to do after.

Cold compressKassay PadYesNo0Hand slippedImmediatelyRandall Leggtaken to dr but just bruising and skin abrasionEmail hidden; Javascript is required.(304) 276-4293(304) 669-3474(304) 669-3474Andrew GrublerEmail hidden; Javascript is required.(304) 276-4293John LandisEmail hidden; Javascript is required.(304) 212-0434(304) 216-6854(304) 216-6854(304) 212-0434Email hidden; Javascript is required.John LandisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909John Landis
02/25/201908:24 AMWVMorgantownMIP39.602203-79.976624NAsunny/ColdMIPDehyBlacksvilleDavid BecknerWell TenderNNE122(304) 380-7133

Well Tender

Jeff Krakau had called me at 7:50 stating that something may have happened to Dave Beckner (he had stopped talking on phone after hearing him say "oh"). Jeff tried calling back but no answer. Jeff called me and asked if I had talked to him. I called and texted Dave, but no answer. I decided to drive out to the dehy location to check on Dave to see if he was ok. When I arrived on location Dave was reclined in his seat in his truck and holding his left hand. His arms were folded across his belly/chest. I then tried to get Dave to respond to me and after a couple of minutes he was responsive. Dave could not talk and did not know who I was. I could see a large bump on his forehead, a scratch under his left eye. I then called 911. 911 came and took Dave to Ruby Hospital. While at Ruby they did a CT scan and saw no bleeding on the brain. As a preliminary finding they were saying they thought it to be a concussion, but more testing would take place. They were going to do an MRI and an EEG on Dave. Dave does have loss of memory and cannot speak at this time.

David Beckner

We have no statement from Dave at this time. Jeff Krakau was talking with him on the phone when he heard Dave say "Oh" and then nothing more from Dave.

Unknown/at HospitalMIP Dehyyesnounknownpossible tripwithin 30 minutesJohn LandisunknownEmail hidden; Javascript is required.(304) 216-6854(304) 212-0434(304) 212-0415Andy TravisEmail hidden; Javascript is required.(304) 951-0909John LandisEmail hidden; Javascript is required.(304) 212-0434(304) 216-6854(304) 216-6854(304) 212-0434Email hidden; Javascript is required.John LandisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909John Landis
03/08/201811:30 AMWVBlacksvilleFisher PadNANANAcold/icyFisherPadBlacksvilleNA NAAssistantExpress Energy Services71010(000) 000-0000

Flowback

EES employee was walking across location when the worker lost traction on a patch of ice and fell
from the same height striking the frozen ground with the left knee. The individual notified the
supervisor on location regarding the fall and minor discomfort in the knee. The supervisor contacted
the company representative, EES DM, and EES HSE. ExtremeMD was notified and recommended first
aid measures. This is a report only.

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First AidFisher PadYesNoNoIce/Slipapprox 2-3 hrsCharles Johnsonfisrt aid and safety meetingEmail hidden; Javascript is required.(724) 337-4530(304) 614-2609(832) 477-3843Sean FryEmail hidden; Javascript is required.(740) 370-6533John LandisEmail hidden; Javascript is required.(304) 216-6854(304) 216-6854(304) 213-0434(304) 212-0434Email hidden; Javascript is required.John LandisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909John Landis
12/17/202010:00 AMPABlacksvilleCoastalnanana25 degreesCoastalCompressorBlacksvilleMark DuleyWell TenderNNE428(304) 552-9023

Making rounds on compressor. Taking readings and shooting valve and discharge temps.

Climbing up compressor to close off louvers to adjust discharge temps. Felt a pinch in left hip and thigh but continued working. I woke up Friday morning with pain in left thigh and hip. I worked Friday until 3:00. The pain persisted so I went home.

Mark called and said that on Tuesday he had hit is left hip on a valve at Boggess. Then on Thursday while climbing up onto Coastal compressor to open the louvers he felt a pull in his left hip. We are not sure if both instances correlate. On Thursday Mark's hip was sore and then on Friday, the hip was painful and Mark was limping around on it. He called me (John Landis) on Friday to tell me about everything that had happened. I told Mark to go home and rest up his hip.

Na Na

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Rest, Ice, Compression, ElevateLeft Hip and thighYes. Hardhat, Safety Glasses and Impact Resistant GlovesNoYesClimbing on CompressorTexted John Landis and Steve Collins on Friday morningJohn LandisTall LadderEmail hidden; Javascript is required.(304) 216-6854(304) 212-0434(304) 212-0415Andy TravisEmail hidden; Javascript is required.(304) 951-0809na naEmail hidden; Javascript is required.(304) 212-0434(000) 000-0000(304) 216-6854(000) 000-0000Email hidden; Javascript is required.John LandisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909John Landis
12/17/202010:00 AMWVBlacksvilleCoastalNANANA25 degreesCoastalCompressorBlacksvilleMark DuleyWell TenderNNE428(304) 552-9023

Making rounds on compressor. Taking readings and shooting valve and discharge temps.

Mark called me (John Landis) on Friday morning and stated that his left hip was hurting and he was limping around on it. I asked Mark what had happened and he told me that he was climbing up onto the compressor to close the Louvers. He stated that he felt a pinch in his left hip and thigh but continued working. When he woke up on Friday morning he had pain in his left hip and thigh. I told Mark to go home to rest up his leg, he worked until 3:00 PM and went home. He tried working the rest of the day, but the pain persisted on Friday. Mark also told me that earlier in the week (Tuesday) he hit his left hip on a valve at the Boggess Pad. We are unsure if this has anything to do with the injury, but wanted to make note of it. Mark is currently off resting his hip/thigh.

NA NA

NA

Rest, Ice, and Elevation if possibleLeft Hip/ThighYes. Hardhat, Safety Glasses and impact resistant gloves were being worn.NOYesNATexted John Landis and Steve Collins on Friday MorningJohn LandisCompression Rental company will be contacted to see if a ladder can be added near louvers to help adjust temperature. If ladder cannot be added to unit, a longer ladder will be purchased so that personnel does not have to climb up on top of unit to close or open louvers.Email hidden; Javascript is required.(304) 216-6854(304) 212-0434(304) 212-0415Andy TravisEmail hidden; Javascript is required.(304) 951-0809NA NAEmail hidden; Javascript is required.(304) 212-0434(000) 000-0000(304) 216-6854(000) 000-0000Email hidden; Javascript is required.John LandisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909John Landis
01/28/201902:00 PMWVBlacksvillecoastal39.705160-80.2044091001 daybrook rd. fairview wv 26570cold and clearcoastal7hBlacksvillenone nonenonenone(304) 380-7133

replacing choke into GPU

while lifting the choke I felt a sharp pain in my lower back. I have had back pain in the past and thought it would pass. through the rest of the evening and the next morning the pain became unbearable. I left work early afternoon the next day.

n/a n/a

n/a

rest and medicationcoastal padyesno3 dayslifting heavy object having to reach and lift because of the position of the choke in relative to other lines.18 hoursjohn landisbetter design for choke placement in GPUEmail hidden; Javascript is required.(304) 216-6854(304) 212-0434(304) 212-0415andy travisEmail hidden; Javascript is required.(304) 951-0909John LandisEmail hidden; Javascript is required.(304) 212-0434(304) 216-6854(304) 216-6854(304) 212-0434Email hidden; Javascript is required.John LandisAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909
08/09/202109:15 AMWVBlacksvilleERP Well PadN 39-40-25W 80-16-2531 Happy Lane Fairview, WV 26570unknownERP Well Pad Water LineERP water lineBattelleShane MatthewLaborerForquer Contracting1044(304) 810-2155

Unloading a loaded ice cooler from vehicle.
Incident occurred to Zachary Keener. Time with Forquer; 4 years. Cell Number 304-276-6196

He and Shane were lifting cooler from back of truck. Zachary's knee gave out causing him to fall. Right knee popped and swollen.

Shane Matthew

"He picked up cooler his knee gave out and he fell down with cooler landing on top of him"

unknownERP Water LineYesunknownunknownunlevel groundWithin 30 minutes of incidentknee-incident.pdfRod VarnerTrain employee on proper lifting techniquesEmail hidden; Javascript is required.(304) 276-2905(304) 879-5251(304) 879-5251Jordy ForquerEmail hidden; Javascript is required.(304) 216-5172Mike ShreveEmail hidden; Javascript is required.(304) 212-0419(304) 918-3050(304) 941-5033(304) 212-0432Email hidden; Javascript is required.David McDougalAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Dave McDougal
04/15/202003:00 PMWVFairviewMcClellan39° 36' 54.21"N80° 16' 19.02"W321 Harvey Run Rd. Fairview, WV 26570Cooler, windy, sunny.McClellanN/ABattelleCornelius JohnsonLaborerApex10.91(304) 551-6708

Attaching camlock hose fitting together to lengthen suction hose.

While putting together two hoses a burr went through Cornelius's glove and cut his left ring finger. General first aid requiring antiseptic cream and a band aid was administered. No further action was required.

Cornelius Johnson

Was putting together two hoses and felt something scrape his finger through his glove. Took gloves off to see what had happened and saw his finger was cut. Immediately notified supervision.

First Aid, band aidHandYes, glovesNoNoInitial inspection of equipmentImmediatelyBryan HallBurr was removed with wire cuttersEmail hidden; Javascript is required.(724) 809-6025(724) 809-6025(724) 809-6025Bryan HallEmail hidden; Javascript is required.(724) 809-6025Josh GrimEmail hidden; Javascript is required.(724) 825-6859(304) 276-3899(724) 825-6859(304) 276-3899Email hidden; Javascript is required.Josh DaltonAndy TravisEmail hidden; Javascript is required.(304) 212-0415(304) 951-0909Josh Dalton
 Date Time State Township/City Pad Latitude Longitude 911 Address Weather Well Lease Well # Well Field Personnel/Witness Name Position Company Hitch Days Years w/Company Years Oil/Gas Persnl./Wit. Phone Task Summary SUMMARY UPDATES Witness Name Witness Statement Treatment Injury Location Proper PPE Drug Test Time Lost Contributing Factors Notification Timeline Photos & Videos Supervisor Name Corrective Action Supervisor Email Supervisor Phone Supervisor Office Phone HSE Office Phone HSE Name HSE Email HSE Phone Comp. Man Name Comp. Man Email NNE Office Phone Comp. Man Phone NNE Phone Comp. Man Office Phone NNE Email NNE Name NNE HSE Name NNE HSE Email NNE HSE Office Phone NNE HSE Number SUBMITTEE