Report DateDecember 4, 2020
Injury Time12:00 PM
StateWV
Injury Date12/03/2020
Longitude-80.143021
Well LeaseLemley
PadLemley
CountryUnited States
Latitude39.666620
Township/CityFairview
911 AddressLemley Well Site
WeatherSunny
Well Number7H
Well FieldBlacksville
PositionTraffic Control
CompanyGMS
Personnel/Witness NameJames Grant
Days Into Hitch4
Years With Company4
Years In Oil/Gas4
Personnel/Wittness Phone(941) 771-5390
Witness Namen/a n/a
Time Lostno time lost
Task

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.

Summary

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.

Witness Statement

n/a

Drug TestDrug test was taken by GMS
Injury LocationRight Hip Bruise
Treatmentself administered first aid
Proper PPEProper PPE was in use at time of incident
Contributing FactorsProper cribbing and support for stairs and shack.
Notification TimelineImmediate Notification
Corrective ActionPlaced additional support under stairs with jacks
Supervisor Phone(304) 216-7707
Supervisor EmailEmail hidden; Javascript is required.
Supervisor Namejeff weimer
HSE NameJeff Weimer
Supervisor Office Phone(304) 216-7707
HSE Phone(304) 216-7707
HSE Office Phone(304) 216-7707
Comp. Man NameAndy Travis
Comp. Man EmailEmail hidden; Javascript is required.
HSE EmailEmail hidden; Javascript is required.
Comp. Man Office Phone(304) 212-0415
Comp. Man Phone(304) 212-0415
NNE NameAndy Travis
NNE EmailEmail hidden; Javascript is required.
NNE Phone(304) 212-0415
NNE Office Phone(304) 212-0415
NNE HSE NameAndy Travis
NNE HSE Office Phone(304) 212-0415
NNE HSE EmailEmail hidden; Javascript is required.
NNE HSE Number(304) 951-0909
Employee That Submitted ReportAndy Travis
Date UpdatedMarch 18, 2021
Approval StatusUnapproved
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