| Report Date | March 12, 2018 |
|---|---|
| Injury Time | 10:50 PM |
| State | WV |
| Injury Date | 02/14/2018 |
| Longitude | -80.1523901 |
| Well Lease | Coastal |
| Pad | Coastal |
| Country | United States |
| Latitude | 39.6629083 |
| Township/City | Fairview |
| 911 Address | 1001 Daybrook Rd, Fairview WV 26570 |
| Weather | 48° and Rainy |
| Well Number | 4H/6H |
| Well Field | Blacksville |
| Position | Frac Hand |
| Company | Producers |
| Personnel/Witness Name | Cory Wilson |
| Days Into Hitch | 11 |
| Years With Company | 1 |
| Years In Oil/Gas | 1 |
| Personnel/Wittness Phone | (740) 586-8729 |
| Witness Name | N/A N/A |
| Time Lost | None |
| Task | Frac pump maintenance |
| Summary | "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." |
| Witness Statement | N/A |
| Drug Test | No |
| Injury Location | Back/Ribs |
| Treatment | First Aid |
| Proper PPE | Yes |
| Contributing Factors | Housekeeping, body positioning |
| Notification Timeline | 30 minutes |
| Corrective Action | n/a |
| Supervisor Phone | (740) 586-8729 |
| Supervisor Email | Email hidden; Javascript is required. |
| Supervisor Name | Shane Stephenson |
| HSE Name | Shane Stephenson |
| Supervisor Office Phone | (740) 454-6253 |
| HSE Phone | (740) 586-8729 |
| HSE Office Phone | (740) 454-6253 |
| Comp. Man Name | Mike Inman |
| Comp. Man Email | Email hidden; Javascript is required. |
| HSE Email | Email hidden; Javascript is required. |
| Comp. Man Office Phone | (989) 858-6112 |
| Comp. Man Phone | (989) 858-6112 |
| NNE Name | Criss VanGuilder |
| NNE Email | Email hidden; Javascript is required. |
| NNE Phone | (405) 757-8725 |
| NNE Office Phone | (304) 212-0423 |
| 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 |
