Cause & Consequence
- Uncontrolled release of a flammable gas or liquid
Specific Incident Equipment
It is important to take the time to ensure that commissioning activities are appropriately and adequately planned and completed. Some quick and simple checks prior to brining the equipment into service could have prevented this small leak.
- Ensure well handover documents are robust
- Include in internal `lessons learned’ database for forthcoming drilling programmes for an item highlighting the importance of closing the autoclave fitting on the vent port. Also to include the installation of a pressure gauge to allow monitoring of the pressure.
- Investigate the option to design a `pull down ‘tool for installation of xmas trees to ensure alignment.