Near miss with high pressure gas due to incorrect procedures

  • Safety Flash
  • Published on 3 August 2023
  • Generated on 8 May 2025
  • IMCA SF 19/23
  • 2 minute read

A crew narrowly avoided potentially serious problems with a high pressure gas supply by stopping and thinking things through.

What happened?

The near miss occurred whilst a crew was setting up for pigging of high-pressure gas mains lines. A change to the flow configuration on two high-pressure gas mains to test flow rate was required; on the second to last step of the procedure, they closed a valve at the valve set.

Since one employee was unfamiliar with the location because it was not in their work area, they questioned the operator at the location to clarify what closing the valve actually did to the system flow. After a brief conversation they realised that closing the valve would actually isolate the pipeline and prevent the flow of gas to a downstream valve set that they were intending to flow to.

Work was stopped immediately and the valve returned to its normal position

What went right?

After returning the valve to normal position, all parties involved at the location reviewed the procedure and figured out what went wrong. They discovered that the procedure was written using an old drawing of the valve set and did not represent the current valve configuration.

At that point all work was stopped, and valve sets were returned to normal until the procedure was updated using the correct drawings for the site.

Had they continued with following the incorrect and outdated procedure, they would have caused a compressor station to trip on low suction and possibly created other downstream supply issues.

Latest Safety Flashes:

BSEE: Nitrogen Cylinder Rupture Causing Worker Injuries and Equipment Damage

The United States Bureau of Safety and Environmental Enforcement (BSEE) has published Safety Alert 494 relating to a Nitrogen Cylinder rupture which caused injuries and equipment damage.

Read more
Person fractured foot during elevator inspection
Read more
Detergent chemical burn

Leaked detergent resulted in slight chemical burns onboard a vessel.

Read more
Positive findings and good practices

A member highlights some examples of positive findings and good practices on board some of their vessels.

Read more
Hydrogen Sulphide (H2S) detected onboard vessel

Several persons reported to bridge about a smell of septic or rotten eggs that was present all over the vessel. Hydrogen Sulphide (H2S) was suspected.

Read more

IMCA Safety Flashes summarise key safety matters and incidents, allowing lessons to be more easily learnt for the benefit of the entire offshore industry.

The effectiveness of the IMCA Safety Flash system depends on the industry sharing information and so avoiding repeat incidents. Incidents are classified according to IOGP's Life Saving Rules.

All information is anonymised or sanitised, as appropriate, and warnings for graphic content included where possible.

IMCA makes every effort to ensure both the accuracy and reliability of the information shared, but is not be liable for any guidance and/or recommendation and/or statement herein contained.

The information contained in this document does not fulfil or replace any individual's or Member's legal, regulatory or other duties or obligations in respect of their operations. Individuals and Members remain solely responsible for the safe, lawful and proper conduct of their operations.

Share your safety incidents with IMCA online. Sign-up to receive Safety Flashes straight to your email.