| Report Date | January 30, 2019 |
|---|---|
| Injury Date | 01/30/2019 |
| Injury Time | 07:00 AM |
| Country | United States |
| Township/City | Fairmont |
| Pad | NA |
| Latitude | 00 |
| Longitude | 00 |
| 911 Address | 000 |
| Weather | Ice |
| Well Number | 00 |
| Well Lease | 00 |
| Well Field | Blacksville |
| Personnel/Witness Name | Jay Hewitt |
| Position | Drilling Manager |
| Years With Company | 8 |
| Days Into Hitch | 2900 |
| Company | NNE |
| Personnel/Wittness Phone | (304) 382-1825 |
| Years In Oil/Gas | 13 |
| Task | Driving to work |
| Witness Name | 00 00 |
| Summary | Came to and intersection and went to stop and slide on ice. Tried to turn the wheel but did not respond. Went through a barb wire fence at 5 mph. |
| Witness Statement | 00 |
| Contributing Factors | Ice |
| Notification Timeline | 15 min |
| Corrective Action | Take a more traveled road |
| Supervisor Name | John Adams |
| Supervisor Phone | (304) 541-5113 |
| Supervisor Email | Email hidden; Javascript is required. |
| Supervisor Office Phone | (000) 000-0000 |
| HSE Name | Andy Travis |
| HSE Email | Email hidden; Javascript is required. |
| HSE Phone | (304) 951-0909 |
| HSE Office Phone | (000) 000-0000 |
| Comp. Man Phone | (000) 000-0000 |
| Comp. Man Email | Email hidden; Javascript is required. |
| Comp. Man Office Phone | (000) 000-0000 |
| Comp. Man Name | 00 00 |
| NNE Name | Jay Hewitt II |
| NNE Email | Email hidden; Javascript is required. |
| NNE Office Phone | (000) 000-0000 |
| NNE Phone | (304) 382-1825 |
| NNE HSE Name | Andy Travis |
| NNE HSE Office Phone | (304) 212-0415 |
| NNE HSE Number | (304) 951-0909 |
| NNE HSE Email | Email hidden; Javascript is required. |
| Date Updated | March 18, 2021 |
| Approval Status | Unapproved |
| Employee's Other Entries | This user has no other entries. |
