From: Phil Newsum [pnewsum@adc-int.org]
Sent: Tuesday, March 24, 2009 1:29 PM
To: Rebecca Roberts
Subject: News from Association of Diving Contractors International
ADCI Industry Updates
In This Issue
IMCA SAFETY FLASH 03/09
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ADCI Industry Safety Update #2009-05 March/2009
TO:  ADCI General Membership and Industry Stakeholders

The following is an IMCA safety flash summarizing key safety matters and incidents.

Diver Entrapment

A IMCA member reported an incident wherein a diver became trapped by a water jet weight Coat removal (WCR) tool, which he was attempting to secure to a twenty inch subsea pipeline.
 
The WCR tool had been landed directly onto the pipeline, rather than the seabed as had been originally planned.  During operations to secure the WCR tool, the tool moved on the pipeline, trapping the diver.
 
An Airbag was attached to the WCR tool and inflated to allow the WCR tool to rotate on the pipeline and free the diver.
 
The diver was freed without sustaining injury.
 
The resulting investigation identified the immediate cause of the incident being the failure to adhere to the prescribed task plan/operational risk assessment, with underlying causes identified as follows:
  • The management of change procedure was not followed;
  • There was a lack of understanding of possible hazards related to positioning of the WCR tool;
  • The task plan was not followed;
  • The risk was not fully assessed.

The report further reminded field personnel of the importance of following procedures; taking time out for safety and following management of change procedures. 

  
 
Dive Bell Gas Loss During Internal Bell Checks
An IMCA Member reported that the aft dive bell onboard a dive support vessel suffered a gas loss while pre-dive bell internal checks were being carried out.
 
One diver (the bellman) was carrying out the bell checks while two of his colleagues remained in the compression chamber.  During the internal checks, a bell flooding valve was accidently opened as the diver's umbilical made contact with it, allowing dive gas to escape from the dive bell.  The dive bell pressure dropped from 75 msw to 52 msw.  The diver (bellman) managed to locate and close the open flood valve.
 
The dive bell was re-pressurized and the bellman transferred to the compression chamber and, together with the rest of the diving team, underwent re-pressurization to 95 msw as per the company's diving emergency tables.
 
After investigation by the company involved, the immediate cause was attributed to a sudden gas loss and decompression of aft dive bell caused by the flood valve being accidently opened allowing gas to release.  Underlying causes were identified as follows:
  • Confined and restricted space when carrying out dive bell internal checks;
  • Valves, valve panels, gauge panels in dive bells difficult to access;
  • Bell ergonomics unsatisfactory;
  • Secondary hull penetration valve left open;
  • Flooding valve sensitive to touch;
  • Dive bell interior cramped and short of space;
  • Dive umbilical heavy and difficult to move;
  • heavy Condensation and high noise when gas escaping making finding of the open valve difficult and dive bell interior hazardous;
  • Diver's familiarization should be more structured and vessel specific;
  • Bad practice of leaving bell internal penetration valve open.

The company has put procedures in place to ensure that the flood line is fitted with two valves, that both are closed and that the hull stop has a securing mechanism to avoid accidental opening (the securing mechanism also goes to the bilge drain in the bell).

 The report also reminds personnel of the importance of correct checklist being carried out in line with company procedures.

 

 
Crushed Finger

 An IMCA Member reported an incident during a dive support vessel transit from port to an offshore location, a diver sustained an injury to two fingers of his left hand.

The diver was in the aft transfer lock and was holding a chamber door open to allow a colleague to transit between the chamber and transfer lock.  When holding the door open, another door in the aft transfer lock swung open, trapping the diver's fingers between the two doors.
 
At the time of the incident, weather conditions winds were between force 7 and 8.  The vessel was pitching and rolling heavily.
 
The diver received first aid inside the chamber from his colleagues.
 
The diver was subsequently decompressed and the vessel returned to port.
 
On arrival in port the injured person was taken out of the dive chambers and transferred to a hyperbaric facility for further treatment and "bend" watch.
 
The diver sustained crush injuries to his fingers, as well as the removal of both finger nails.
 
After investigation, the immediate cause of the injury was attributed to uncontrolled opening of chamber door, trapping and crushing diver's fingers between the two doors, with underlying causes as follows:
  • Door spring tension was not enough to hold against uncontrolled door movement;
  • No hooks were used; no door dampers were in place;
  • No risk assessment had been carried out for the chamber with regard to rough weather transit;
  • The chamber door design and securing arrangement for chamber doors were poor;
  • Chamber doors are heavy and cumbersome;
  • Safety observation should have heightened diver awareness of hazards in chambers.

Personnel are reminded that they should consider the following:

  • Carry out a risk assessment on all chamber door systems for potential uncontrolled movements;
  • Test and set latching devices, particularly spring loaded latching devices, to an optimal tension for safety and ease of use;
  • Adhere to diving chamber transit procedures. 

 

This Information was sent to further the communication of all industry stakeholders. Safety is the primary concern of the ADCI. Remember:  a real time Job Safety Analysis is important, but nothing can replace good common sense.
 
Sincerely,
 
Phil Newsum
Association of Diving Contractors International
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