BSEE: Lack of training with hydraulic torque wrench contributes to fatality

While unlatching the lower Marine Riser Package from the Blowout Preventer in preparation for ship relocation, a crew member was lifted into the air after being struck by a hydraulic torque wrench (HTW), hitting a riser clamp approximately six feet above the elevated work deck before falling to the rig floor.

The crew member was given first aid and transported to the drillship’s hospital, where he was later pronounced deceased.

The incident investigation found that the rig crew was using a hydraulic torque wrench to extract the bolts from a telescopic riser joint (TJ) flange.

During the operation, the HTW T socket became stuck between the bolt head and the tapered edge of the TJ. After failing to manually dislodge the HTW using physical exertion, the rig crew utilised a hydraulic utility wrench (HUW) to supply upward force and applied tension to free the tool.

After applying the upward force, the torque wrench became unstuck under tension and shot upwards leading to the crew member being struck. 

• The risk that the hydraulic torque wrench would get stuck on the TJ bevelled edge, was not recognised.
  
  
• There was no comprehensive understanding of the Task Risk Assessments associated with the riser pull.
  
  
• There was a failure to effectively communicate all learnings from the previous riser pulls.
  
  
• There was a lack of formalised training for the use of these hydraulic tools.
  
  
• The design of both tools was not optimal and may have contributed to the incident.
  
  
• Contributing causes:
  
  
  • Failure to initiate Stop Work Authority.
    
    
  • Discrepancies in roles and responsibilities for the Drill Floor Observer (a supervisor).