Report DateOctober 12, 2020
Injury Date10/08/2020
Injury Time11:45 AM
CountryUnited States
911 AddressMarginal Lane
WeatherSunny/ Clear
Well Numbern/a
Well Leasen/a
Well FieldBlacksville
Personnel/Witness NameMichael Shreve
PositionContruction Foreman
Years With Company6
Days Into Hitch4
Personnel/Wittness Phone(304) 918-3050
Years In Oil/Gas8

Mike went to future Radiotower location to review what timber had been cut.

Witness Namen/a n/a

Walked location, came back to vehicle and ate lunch. Turned on vehicle to leave location and back up into wellhead. Got out of the vehicle to see if there was any damage. The truck tailgate and bumper were damaged, but the well head did not appear to have any damage. Notified Andy Travis of incident and called Daybrook Development, the owner of the well. Day brook inspected the well and said that everything looks to be fine. There were no injuries

Witness Statement

No witnesses were present.

Contributing FactorsShould have backed into parking spot
Notification TimelineImmediate Notification
Corrective ActionBack into parking spot, utilize back up camera and mirrors
Supervisor NameDave McDougal
Supervisor Phone(304) 212-0419
Supervisor EmailEmail hidden; Javascript is required.
Supervisor Office Phone(304) 941-5033
HSE NameAndrew Travis
HSE EmailEmail hidden; Javascript is required.
HSE Phone(304) 951-0909
HSE Office Phone(304) 212-0415
Comp. Man Phone(304) 212-0419
Comp. Man EmailEmail hidden; Javascript is required.
Comp. Man Office Phone(304) 941-5033
Comp. Man NameDave McDougal
NNE NameDave McDougal
NNE EmailEmail hidden; Javascript is required.
NNE Office Phone(304) 941-5033
NNE Phone(304) 212-0419
NNE HSE NameAndy Travis
NNE HSE Office Phone(304) 212-0415
NNE HSE Number(304) 951-0909
NNE HSE EmailEmail hidden; Javascript is required.
Employee That Submitted ReportAndy Travis
Date UpdatedMarch 18, 2021
Approval StatusUnapproved
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