Submit an Incident

Have you or your organization experienced a fire, an explosion or a close call in the upstream oil and gas industry? More examples will help our industry improve its understanding of the number and nature of events taking place.

If you have an example, please fill in the form below. A representative of the University of Calgary Department of Chemical and Petroleum Engineering will contact you if further information is needed. Contact information is requested for verification purposes only and will remain confidential.

NOTE: This site does not represent any regulatory body or authority. By submitting information you or your organization are in no way fulfilling any mandatory reporting requirements. The information you provide will be used for educational and informational purposes only.

IRP-18 - Administration
 Confidential Information
GENERAL INCIDENT INFORMATION (Please provide for all incidents)
 DATE OCCURED
 FIELD:
 RESERVOIR:
 LEGAL LOCATION  (describe if unknown)
 OPERATIONS DESCRIPTION:

 Type of operation being conducted:

 Equipment Involved:
 INCIDENT DESCRIPTION:

 Number of Workers Injured:

 Severity of Injuries:
 EMERGENCY ACTIONS TAKEN TO RESPOND:

WHAT CAUSED THE FIRE AND EXPLOSION?
 DESCRIPTION OF CAUSES:
FUEL SOURCEOXYGEN SOURCEIGNITION SOURCE
 Gases  Release of Hydrocarbons into Air  Hot Work
  Natural Gas Planned Introduction of Oxygen  Electric Arcs & Sparks
  Hydrogen Sulphide  Air-based Operations  Static Electricity
  LPG Gases (propane and butane)  Air Purging  Hot Surfaces
  Other Gases (hydrogen, acetylene)   Friction & Mechanical Sparks
 Liquids Unplanned Introduction of Air  Chemical Action & Sparks
  Crude Oil  Swabbing & other operations that
         create a vacuum
  Spontanious Cumbustion
  Condensate  Chemical Reaction (Hypergols)
  NGL Liquids  Pockets of air created during the
         Installation & Servicing of Equipment
  Pyrophors (e.g. iron sulphide)
  Hydrocarbon-based Frac Fluids  Pressure / Compression (Dieseling)
  Gasoline, Diesel & other fuels  Oxidized (Weathered) Hydrocarbons  Sudden Decompression
  Methanol  Underbalanced Operations  Catalytic Reactions
 Chemicals  Oxidizing Chemicals Other (please describe)
 
  Solvents & Cleaning Agents  Chemical Reactions
  Hydraulic Fluids & Lubricants  On-Site Generated Nitrogen 
  Well-Servicing Chemicals  Tank Drawdown 
 Solids Other (please describe)
 
 
  Lubricants 
  Sealants  
  Paints & Coatings  
  Packings, "O" Rings, Diaphrams &          Valve Seats  
  
 Other (please describe)
 
  
  

WHAT WERE THE LOSSES FOR THIS INCIDENT?
 ESTIMATED COST TYPES OF LOSSES PLEASE DESCRIBE LOSSES
 Less than $1000 Employee Costs (Wages, Treatment)
 Between $1,000 - $10,000 Vehicle Repair / Replacement
 Between $10,000 - $25,000 Equipment Repair / Replacement
 Between $25,000 - $150,000 Environmental Clean-up & Disposal
 Over $150,000 Other (please describe)
 

 HOW WERE YOUR COMPANY'S DEFENSE SYSTEMS IMPROVED TO PREVENT SIMILAR INCIDENTS?
 Have the required polices, plans and programs been developed?
ORGANIZATION DEFENSES
(Check at least one and provide a brief explanation)
 Were improved company policies or programs needed?
 Did the lines of communication need to be improved?
 Did facility design or equipment layout need to be improved?
 Did better quality equipment need to be purchased?
 Did the planning or supervision of work need to be improved?
 Were improved operating or maintenance standards needed?
 Were more experienced workers needed to do this work?
 Were additional worker training or instruction programs needed?
 Were better emergency plans developed and communicated?
 Was added safety/protective equipment needed? (e.g. alarms, PPE)
 All the required poicies, plans and procedures were in place
 Other (please describe)
 

 Are policies, plans and programs being communicated and implemented at the worksite?
WORKSITE DEFENSES
(Check at least one and provide a brief explanation)
 Did supervisors need to enforce company standards better?
 Did worker responsibilities need to be more clearly defined?
 Were better tools needed to get the job done safely and efficiently?
 Did maintenance of tools or equipment need to be improved?
 Was more effort needed organizing work before getting started?
 Did instructions need to be made clearer to ensure understanding?
 Did the procedures need to be more carefully reviewed?
 Were all personnel trained to do the work requested?
 Did emergency plans need to be better understood/implemented?
 Did safety equipment and protective use need to be improved?
 Every one knew and understood what needed to be done and how
 Other (please describe)
 

 Are all workers involved aware of relevant plans and able to implement them?
HUMAN DEFENSES
(Check at least one and provide a brief explanation)
 Was the task or situation not covered by procedures or training?
 Were any necessary steps unknowingly overlooked?
 Was there a wrong decision or response to a critical situation?
 Was the training or experience not appropriate for planned task?
 Were the procedures for the task unavailable or unworkable?
 Did the intended actions not go according to plan?
 Was a worker unable to complete task due to workload?
 Was a worker unable to complete task due to personal limits?
 Were the required actions known but not recalled at the right time?
 Was there a key step that was purposely left out of action plan?
 Did a worker deliberately take a risk?
 All workers involved took every appropriate action
 Other (please describe)
 

 WHAT STEPS WERE TAKEN TO PREVENT SIMILAR ACCIDENTS IN THE FUTURE?
SUBMITTED BY (Company):
PREPARED BY (Name):
TITLE:

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