| Report Date | March 9, 2018 |
|---|---|
| Injury Time | 11:30 AM |
| State | WV |
| Injury Date | 03/08/2018 |
| Longitude | NA |
| Well Lease | Fisher |
| Pad | Fisher Pad |
| Country | United States |
| Latitude | NA |
| Township/City | Blacksville |
| 911 Address | NA |
| Weather | cold/icy |
| Well Number | Pad |
| Well Field | Blacksville |
| Position | Assistant |
| Company | Express Energy Services |
| Personnel/Witness Name | NA NA |
| Days Into Hitch | 7 |
| Years With Company | 10 |
| Years In Oil/Gas | 10 |
| Personnel/Wittness Phone | (000) 000-0000 |
| Witness Name | NA NA |
| Time Lost | No |
| Task | Flowback |
| Summary | EES employee was walking across location when the worker lost traction on a patch of ice and fell |
| Witness Statement | NA |
| Drug Test | No |
| Injury Location | Fisher Pad |
| Treatment | First Aid |
| Proper PPE | Yes |
| Contributing Factors | Ice/Slip |
| Notification Timeline | approx 2-3 hrs |
| Corrective Action | fisrt aid and safety meeting |
| Supervisor Phone | (724) 337-4530 |
| Supervisor Email | Email hidden; Javascript is required. |
| Supervisor Name | Charles Johnson |
| HSE Name | Sean Fry |
| Supervisor Office Phone | (304) 614-2609 |
| HSE Phone | (740) 370-6533 |
| HSE Office Phone | (832) 477-3843 |
| Comp. Man Name | John Landis |
| Comp. Man Email | Email hidden; Javascript is required. |
| HSE Email | Email hidden; Javascript is required. |
| Comp. Man Office Phone | (304) 212-0434 |
| Comp. Man Phone | (304) 216-6854 |
| NNE Name | John Landis |
| NNE Email | Email hidden; Javascript is required. |
| NNE Phone | (304) 213-0434 |
| NNE Office Phone | (304) 216-6854 |
| 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 | John Landis |
| Date Updated | March 18, 2021 |
| Approval Status | Unapproved |
| Employee's Other Reports |
