Report DateMarch 24, 2021
Injury Time04:30 PM
StateWV
Injury Date03/22/2021
Longitude-80.217799
Well LeaseBunner
PadBunner
CountryUnited States
Latitude39.662899
Township/CityFairview
911 Address72 Upper Days Run Rd
WeatherClear 65 Degrees
Well NumberConstruction
Well FieldBlacksville
PositionTruck Driver
CompanyAJ Burk
Personnel/Witness NameWarren Burhammer
Days Into Hitch1
Years With Company10
Years In Oil/Gas10
Personnel/Wittness Phone(304) 695-3442
Witness NameJoe Frame
Time Lostno time lost
Task

Warren was climbing down out of his truck bed, after strapping his load down.

Summary

In the process he lost his balance and fell to the ground striking his left elbow and injuring his left shoulder. He was taken to St Josephs ER for evaluation, where x-rays determined that he had a left shoulder contusion. He was cleared to return to work 3/24 with no restrictions.

Witness Statement

Employee lost footing while stepping down from truck

Drug Testnone
Injury LocationLeft Shoulder
TreatmentRest
Proper PPEProper PPE was in use
Contributing FactorsUneven ground
Notification TimelineImmediate
Corrective ActionMaintain 3 points of contact
Supervisor Phone(304) 629-6309
Supervisor EmailEmail hidden; Javascript is required.
Supervisor NameBob Daniel
HSE NameEddie Carder
Supervisor Office Phone(304) 997-8153
HSE Phone(304) 629-6309
HSE Office Phone(304) 997-8153
Comp. Man NameJosh Frazier
Comp. Man EmailEmail hidden; Javascript is required.
HSE EmailEmail hidden; Javascript is required.
Comp. Man Office Phone(304) 517-6188
Comp. Man Phone(304) 517-6188
NNE NameJohn Landis
NNE EmailEmail hidden; Javascript is required.
NNE Phone(304) 216-6854
NNE Office Phone(304) 212-0415
NNE HSE NameAndy Travis
NNE HSE Office Phone(304) 212-0415
NNE HSE EmailEmail hidden; Javascript is required.
NNE HSE Number(304) 951-0909
Employee That Submitted ReportAndy Travis
Date UpdatedMarch 24, 2021
Approval StatusUnapproved
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