Translate
Inspection Detail
Inspection: 114614274 - Champion Well Service Inc
Inspection Information - Office: Wyoming Department Of Workforce Services - Osha Division
Site Address:
Champion Well Service Inc
1/4 Mi S Of Hwy 50 On Bell Rd
Gillette, WY 82716
Mailing Address:
P.O. Box 4222, Gillette, WY 82717
Union Status: NonUnion
SIC:1389
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/19/1993
Planning Guide: Safety-Manufacturing
Emphasis: L:Oilserv
Case Closed: 05/18/1994
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362317943 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $275 | $0 | $0 | $0 | $0 | $275 |
| Current Penalty | $100 | $0 | $0 | $0 | $0 | $100 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 27110105 B06A | 04/22/1994 | 05/20/1994 | $0 | $175 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 2. | 01002 | Serious | OS040005 K | 04/22/1994 | 05/20/1994 | $100 | $100 | $0 | I - Informal Settlement |
Investigation Summary
While a crew was down rigging a service rig with the derrick telescoped down, the guy lines disconnected and the derrick broke loose from the carrier vehicle in the vicinity of the hinge pins. It rotated 180 degrees before landing on the ground parallel to the carrier vehicle. Employee #1 was pinned under the derrick superstructure. He sustained severe trauma to the upper body and head, and died.
Keywords: CHEST, DERRICK, HEAD, UNSECURED, PINNED, EQUIPMENT FAILURE, GUY, OIL WELL SERVICING, STRUCK BY, FALLING OBJECT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 114614274 | Fatality | Other | Occupation not reported |