| Report Date | February 28, 2018 |
|---|---|
| Injury Time | 03:45 PM |
| State | WV |
| Injury Date | 02/27/2018 |
| Longitude | 80 13 22.4 |
| Well Lease | Coastal |
| Pad | Coastal |
| Country | United States |
| Latitude | 39 41 42.2 |
| Township/City | Blacksville |
| 911 Address | 1003 Daybrook Rd |
| Weather | Cloudy 50 degrees |
| Well Number | 2H |
| Well Field | Blacksville |
| Position | Frac Hand |
| Company | Producers |
| Personnel/Witness Name | Mark Anderson |
| Days Into Hitch | 2 |
| Years With Company | 1 |
| Years In Oil/Gas | 2 |
| Personnel/Wittness Phone | (740) 605-4457 |
| Witness Name | Josh Patty |
| Task | Walking between the frac pumps when he slipped on containment and fell to the ground. Mark had some swelling in his knee. |
| Summary | Walking between the frac pumps when he slipped on containment and fell to the ground. Mark had some swelling in his knee. Axiom was contacted and Mark was instructed to elevate and ice his knee. Mark did not seek medical attention at this time |
| Witness Statement | Josh walked around the corner and saw Mark slip and fall. Josh contacted the Producers frac supervisor. |
| Drug Test | none |
| Injury Location | knee |
| Treatment | ice/elevation |
| Proper PPE | yes |
| Contributing Factors | mud on containment |
| Notification Timeline | immediately |
| Photos & Videos | Mark-Anderson-Accident.pdf |
| Corrective Action | Called Axiom, iced and elevated his knee |
| Supervisor Phone | (740) 605-4457 |
| Supervisor Email | Email hidden; Javascript is required. |
| Supervisor Name | Ralph Boley Boley |
| HSE Name | Ralph Boley Boley |
| Supervisor Office Phone | (740) 605-4457 |
| HSE Phone | (740) 605-4457 |
| HSE Office Phone | (740) 605-4457 |
| Comp. Man Name | Max Oliver |
| Comp. Man Email | Email hidden; Javascript is required. |
| HSE Email | Email hidden; Javascript is required. |
| Comp. Man Office Phone | (405) 757-8725 |
| Comp. Man Phone | (405) 757-8725 |
| 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 | Criss VanGilder |
| Date Updated | March 18, 2021 |
| Approval Status | Unapproved |
| Employee's Other Reports | This user has no other entries. |
