| Report Date | March 19, 2018 |
|---|---|
| Injury Time | 12:35 PM |
| State | WV |
| Injury Date | 07/18/2017 |
| Longitude | -80.138083 |
| Well Lease | Jenkins |
| Pad | Jenkins |
| Country | United States |
| Latitude | 39.712611 |
| Township/City | Maidsville |
| 911 Address | 3835 Mason Dixon Hwy |
| Weather | n/a |
| Well Number | n/a |
| Well Field | Blacksville |
| Position | Supervisor |
| Company | Extreme |
| Personnel/Witness Name | Zack Anderson |
| Personnel/Wittness Phone | (000) 000-0000 |
| Witness Name | n/a n/a |
| Time Lost | No |
| Task | Containment Repairs |
| Summary | 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. He has 1 year experience and is the supervisor of the crew. |
| Witness Statement | n/a |
| Drug Test | No |
| Injury Location | Left hand, thumb, index and middle fingers |
| Treatment | Ice |
| Proper PPE | Yes/Gloves |
| Contributing Factors | Operator error |
| Notification Timeline | Immediate |
| Corrective Action | First aid |
| Supervisor Email | Email hidden; Javascript is required. |
| Supervisor Name | Andy Travis |
| HSE Name | Andy Travis |
| Supervisor Office Phone | (304) 212-0415 |
| HSE Phone | (304) 951-0909 |
| HSE Office Phone | (304) 212-0415 |
| Comp. Man Name | Andy Travis |
| Comp. Man Email | Email hidden; Javascript is required. |
| HSE Email | Email hidden; Javascript is required. |
| Comp. Man Office Phone | (304) 212-0415 |
| Comp. Man Phone | (304) 951-0909 |
| NNE Name | Andy Travis |
| NNE Email | Email hidden; Javascript is required. |
| NNE Phone | (304) 951-0909 |
| NNE Office Phone | (304) 212-0415 |
| 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 |
| Employee That Submitted Report | Andy Travis |
| Date Updated | March 18, 2021 |
| Approval Status | Unapproved |
| Employee's Other Reports |
