| Report Date | October 22, 2019 |
|---|---|
| Injury Time | 05:00 PM |
| State | WV |
| Injury Date | 10/21/2019 |
| Longitude | E 1776776.64 |
| Well Lease | Cummins |
| Pad | Cummins |
| Country | United States |
| Latitude | N 423926.23 |
| Township/City | Fairview, WV |
| 911 Address | Yank Hollow Road Fairview, WV 26570 |
| Weather | Clear/70°F |
| Well Number | 8H |
| Well Field | Blacksville |
| Position | Backyard Tech |
| Company | NOV |
| Personnel/Witness Name | Michael Reed |
| Days Into Hitch | 20 |
| Years With Company | 3 |
| Years In Oil/Gas | 3 |
| Personnel/Wittness Phone | (337) 344-4939 |
| Witness Name | Michael Reed |
| Time Lost | N/A |
| Task | Get into the track hoe to mix off cuttings in half round. |
| Summary | While stepping up into the track hoe to mix off cuttings in the backyard, Michael felt a pop in his left knee and could not put his weight on that leg. Notifications were made and he was taken to the ER in Morgantown for X-rays. |
| Witness Statement | While stepping up into the machine, my left knee popped and it felt like I reinjured my torn Meniscus or dislocated my knee. |
| Drug Test | Not onsite |
| Injury Location | Possible dislocated/torn ligament in Left knee |
| Treatment | Taken to medical facility for check up and X-rays |
| Proper PPE | Wearing proper PPE |
| Contributing Factors | Nothing out of the ordinary |
| Notification Timeline | Immediatley |
| Corrective Action | Nothing out of the ordinary to correct |
| Supervisor Phone | (412) 452-1785 |
| Supervisor Email | Email hidden; Javascript is required. |
| Supervisor Name | Kent Williams |
| HSE Name | Chad Simoneaux |
| Supervisor Office Phone | (412) 452-1785 |
| HSE Phone | (985) 677-6039 |
| HSE Office Phone | (985) 693-3351 |
| Comp. Man Name | Joshua Grim |
| Comp. Man Email | Email hidden; Javascript is required. |
| HSE Email | Email hidden; Javascript is required. |
| Comp. Man Office Phone | (304) 276-3899 |
| Comp. Man Phone | (304) 276-3899 |
| NNE Name | Josh Dalton |
| NNE Email | Email hidden; Javascript is required. |
| NNE Phone | (724) 825-6859 |
| NNE Office Phone | (724) 825-6859 |
| NNE HSE Name | Andy Travis |
| NNE HSE Office Phone | (304) 212-0415 |
| NNE HSE Email | Email hidden; Javascript is required. |
| NNE HSE Number | (304) 951-0909 |
| Date Updated | March 18, 2021 |
| Approval Status | Unapproved |
| Employee's Other Reports |
