| Report Date | April 1, 2019 |
|---|---|
| Injury Time | 02:30 AM |
| State | WV |
| Injury Date | 03/29/2019 |
| Longitude | -80.2149 |
| Well Lease | Yost |
| Pad | Yost |
| Country | United States |
| Latitude | 39.6296 |
| Township/City | Blacksville |
| 911 Address | Yost Pad |
| Weather | Cold |
| Well Number | 11H |
| Well Field | Blacksville |
| Position | Cementer |
| Company | C&J |
| Personnel/Witness Name | 000 000 |
| Days Into Hitch | 3 |
| Years With Company | 0.5 |
| Years In Oil/Gas | 10 |
| Personnel/Wittness Phone | (304) 951-0909 |
| Witness Name | 0000 0000 |
| Time Lost | no |
| Task | Removing cap from chemical bucket |
| Summary | Cement hand got a minor cut on his right pinky finger while attempting to remove a cap from a chemical bucket without gloves on. |
| Witness Statement | 0000 |
| Drug Test | no |
| Injury Location | Right pinky finger |
| Treatment | First aid on location |
| Proper PPE | No |
| Contributing Factors | No PPE |
| Notification Timeline | notified immediately |
| Corrective Action | Learn to open a container with PPE |
| Supervisor Phone | (304) 951-0909 |
| Supervisor Email | Email hidden; Javascript is required. |
| Supervisor Name | 000 000 |
| HSE Name | 000 000 |
| Supervisor Office Phone | (304) 951-0909 |
| HSE Phone | (724) 972-5226 |
| HSE Office Phone | (304) 951-0909 |
| Comp. Man Name | Troy Hamidi |
| Comp. Man Email | Email hidden; Javascript is required. |
| HSE Email | Email hidden; Javascript is required. |
| Comp. Man Office Phone | (304) 951-0909 |
| Comp. Man Phone | (719) 459-2067 |
| NNE Name | Jay Hewitt II |
| NNE Email | Email hidden; Javascript is required. |
| NNE Phone | (304) 382-1825 |
| NNE Office Phone | (304) 951-0909 |
| 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 |
