MEC&F Expert Engineers

Sunday, November 23, 2014

DAMAGE INCIDENT INVESTIGATION IN THE GULF - HYDRAULIC WORKOVER UNIT TOPPLED BY WATERSPOUT



DAMAGE INCIDENT INVESTIGATION IN THE GULF  - Hydraulic Workover Unit Toppled by Waterspout








Hydraulic Workover is a well intervention technique which can be used to install or remove tubular in- or out of dead wells.  "Dead" well means that the well has zero surface pressure and has a heavy fluid or mud in the wellbore, or is not capable of sustaining natural flow.












Advantages of Hydraulic Workover






A HWO unit can cover the same working envelope as a workover rig but has advantages over conventional rigs or hoists for certain applications, such as:






•  Small and flexible footprint



•  Small environmental impact



•  It is quickly and easily mobilized to offshore platforms



•  It is quickly and easily mobilized to remote land wells



•  Costs efficient



•  Perfect control over the workstring (tubular) 



•  Custom Rig-up configuration / Modular approach













Hydraulic Power



 The HWO unit (Hydraulic Workover Unit) utilizes hydraulic cylinders to lift the tubular in- or out of the well.  The use of hydraulic cylinders allows control over tubular movements and eliminates the use of a large mast construction which is present on conventional drilling rigs.



Hydraulic cylinders can generate large pull and push forces and give the HWO unit a small footprint and layout. These properties are especially beneficial for offshore operations where space is limited and where weather conditions can be harsh. In general is the running speed of a HWO unit lower than that of conventional workover rig.






Incident Investigation



While conducting workover operations, a Hydraulic Workover (HWO) unit was toppled by strong winds caused by a waterspout that touched down near the platform.  The result was the entire HWO unit collapsing onto the facility, as well as into offshore waters.  The collapse resulted in damage to the lower riser portion of the HWO unit as well as to several other pieces of well servicing equipment located on the platform.  The upper riser portion and the BOP stack of the HWO unit fell into the water resulting in total loss of the BOP stack.  All personnel had been moved from the platform to the supporting lift boat prior to the collapse, and no fatalities or injuries resulted from the incident.



An investigation concluded the following factors contributed to the accident:



       High wind loading was exerted on the unit as a result of the waterspout being so near to the facility. The large surface area presented by the HWO unit, against which the wind could act, and the close proximity of the waterspout resulted in a high wind loading being exerted on the unit.



       The small deck area of the platform caused an increase in the angle(s) of the guy lines used to support the HWO unit.  This increase in angle(s) resulted in diminished stability of the HWO unit during the high wind conditions caused by the waterspout.



       Installation of additional guy lines would have helped to compensate for the increased angle(s) in the guy lines, thus increasing stability and support for the HWO unit in the event of increased wind loading due to the storm, or swaying due to high sea state and possible sway in the platform.


We recommend the following when installing guy lines to support HWO or related well servicing equipment:



       Engineering calculations be performed to determine the correct angle(s) for the guy lines when installing HWO, or related well service equipment.



       Installation of additional guy lines when deck space on the host platform is limited and guy line angle(s) increases.



       Seasonal weather patterns be taken into consideration when installing guy lines and other means of support.



       Guidelines for construction, safety factor, and storm load for wire rope guy lines found in API Spec 4F, Section 8.1.2 and 8.1.3 be followed when selecting wire rope used for the purpose of guy lines.

DISCHARGE OF DRILLING MUD INTO THE GULF OF MEXICO FROM DEFECTIVE EQUIPMENT. LOWER MARINE RISER PACKAGE (LMRP) CONNECTOR FAILURE



discharge of drilling mud into the gulf of mexico from defective equipment.  Lower Marine Riser Package (LMRP) Connector Failure




There have been quite a few incidents where drilling mud has been discharged to the Gulf of Mexico from defective drilling equipment.  On January 24, 2013, BSEE personnel met with industry to discuss initial findings associated with a pollution incident involving the discharge of synthetic base mud (SBM) into the Gulf of Mexico (GOM) due to a loss of integrity of a LMRP H-4 connector.  During this meeting, a qualified third-party presented preliminary evidence that the stress corrosion cracking caused by hydrogen embrittlement was a contributor to the incident.  It was introduced that zinc electroplating without proper baking, as per ASTM B633, was a possible cause of hydrogen embrittlement.  During this meeting, BSEE was informed of two other rigs as having H-4 connector bolt failures.

On January 25, 2013, BSEE received information from the connector vendor which identified rigs as having blowout preventer (BOP) stack connectors that may contain bolts that may no longer be fit for purpose.  BSEE issued emails to the associated operators of the subset of rigs with current well operations in the Gulf of Mexico.  The content of the emails notified these operators of the initial findings and gave specific instructions on securing the current well operations in order to retrieve the LMRP and/or BOP to the surface, if not already on the surface.  These operators were directed to then suspend operations until the existing bolts on the LMRP connector/wellhead connector could be changed out with bolts that have been certified by an independent third-party to be in compliance with recommended heat treatment practices or the existing bolts have been examined and certified by an independent third-party that they are fit for purpose. 




In order to ensure all of these affected bolts are identified and proper corrective action is taken, BSEE recommends the following:

Operators are hereby urged to make an inventory of your contracted rigs [currently involved in well operations in the Gulf of Mexico Outer Continental Shelf (GOM) or planned to conduct well operations in the GOM] and investigate the bolts of the LMRP and Wellhead connectors.  For detailed instructions on identifying affected bolts please refer to the Safety Notice issued by GE Oil and Gas on January 25, 2013, titled, “H4 Connector Bolt Inspection Required(P/N H10004-2)” at the following: http://www.ge-energy.com/connector-update.jsp

If you have H-4 connectors, as identified in GE’s safety notice, and have verified through documentation that the connector contains any affected bolts, you should immediately notify BSEE. You should also consult with your contractors and subcontractors to determine the appropriate inspection, disposition and/or corrective actions. BSEE will require an independent third-party certification that confirms proper inspection and refurbishment processes were completed prior to reinstallation of any affected bolts.

Operators should review the QA/QC programs for all equipment vendors (contracted and sub-contracted) to ensure that all equipment is being manufactured to the required specifications. Special attention should be given to ensure proper heat treating has taken place in accordance with the specifications.







AUGUST 2014 – SUMMARY OF FINDINGS

On December 18, 2012, while the Transocean Discoverer India was performing drilling operations at the Keathley Canyon (KC) KC-736 lease block in the Gulf of Mexico, the rig’s lower marine riser package (LMRP) separated from the blowout preventer (BOP) stack resulting in the release of approximately 432 barrels of synthetic-based drilling fluids into the Gulf of Mexico. Chevron, the designated operator, reported to the Bureau of Safety and Environmental Enforcement (BSEE) that the incident was the result of the failure of H4 connector bolts manufactured by GE Oil and Gas (formerly Vetco-Gray), on the LMRP.

Based on the initial analysis of the failure performed by Transocean, Chevron, and GE, GE sent replacement bolts for all known H4 connectors to customers worldwide. After learning of the December 18th incident, BSEE worked with GE to ensure that the company replaced any faulty bolts that were in use in equipment deployed on the Outer Continental Shelf (OCS), in a timely manner. This process resulted in the replacement of more than 10,000 bolts over a relatively short time frame and short-term disruption of related deepwater activities.

Verification of the structural integrity of a critical component like H4 connector bolts, which are currently deployed on the OCS and globally, is essential for both worker safety and the protection of the environment. Accordingly, in January 2013, BSEE tasked the Quality Control-Failure Incident Team (QC-FIT) to evaluate the possibility of additional bolt failures and make recommendations to mitigate potential risks of future failures, either domestically or internationally. BSEE charged the team, comprised of BSEE engineers and other technical personnel, with evaluating the currently available information including: (1) the Chevron/Transocean/GE root-cause analysis, (2) GE ’s connection design, manufacturing, and quality control processes, and (3) other information related to the performance of this equipment. During its inquiry, the QC-FIT was made aware of other offshore oil and gas failures related to bolts, studs, inserts and connectors, appearing to share similar contributing factors. BSEE management requested the QC-FIT to evaluate whether the causes of these other failures were related and whether evidence existed of an industry-wide issue.

The QC-FIT conducted visits with drilling contractors, equipment manufacturers, and a classification society; contacted BSEE’s counterparts in the International Regulators’ Forum (IRF); met with three operators- BP, Shell, and Chevron in the Gulf of Mexico; reviewed reports of similar incidents of bolt and connector failures in subsea environments; and researched technical documents and standards. These activities provided significant information on the material properties used in subsea applications, corrosion behaviors, manufacturing processes and protective coatings of bolts in environments similar to those of this application.

This report is based on the review of available data and input from various sources and was reviewed by an independent technical consultant.



KEY FINDINGS

The failure of the GE H4 connector bolts was primarily caused by hydrogen induced stress corrosion cracking (SCC) due to hydrogen embrittlement, which led to the fracturing of the installed bolts. This finding is consistent with the conclusions of the Transocean/Chevron/GE root cause analysis.

A GE subcontractor relied on an older 1998 version of the American Society for Testing and Materials (ASTM) B633 standard and therefore, the bolts did not receive the required post electroplating treatment. This finding is consistent with the Transocean/Chevron/GE submitted root cause analysis report.

The GE quality management system (QMS) in place at the time, which met the industry standards and certification programs, qualified and audited only first-tier level suppliers (GE’s contractors) and not others in the supply chain. In this incident, since a third-tier level supplier (subcontractor) performed the electroplating coating of the bolts, GE’s QMS was unable to detect the issue. Neither Transocean nor Chevron in their management system assessment of contractor qualification, nor the programs that ensure the mechanical integrity of critical equipment detected this sub-tier supplier issue.

An inadequate coat of paint on the portion of the bolt heads was determined to be a potential contributory factor. The GE inspection procedures, in place at the time, did not adequately address this potential issue.

In 2003, a drilling riser bolt insert failure occurred in which the hardness of the inserts and cathodic protection systems were identified as areas of concern. Although the OEM and the Minerals Management Service (MMS) issued general cathodic protection guidelines in 2005 and several operators changed their internal specifications for the maximum hardness of bolts, there is no evidence of a successfully coordinated effort by industry to address the potential safety concerns associated with the issue. A more comprehensive incident and data sharing effort by industry over the past 10 years could possibly have flagged this issue earlier and resulted in the setting of consistent standards on the hardness of bolts/inserts or on the optimal applied voltage for cathodic protection on drillships.1

Existing industry standards do not adequately address bolting/connector performance in subsea marine applications. For example, although API Specification 16A provides requirements for BOP connectors, it does not contain material property requirements for the connection bolting used for subsea applications. Furthermore, other industry standards that apply to subsea equipment have different maximum hardness limit requirements for bolts.

OPEN ISSUES

Areas of inquiry where the QC-FIT was unable to make conclusive findings:

The QC-FIT noted that a number of incidents appeared to have occurred on Transocean owned rigs. The data set is too small to determine if this percentage is a statistical significant result that supports a conclusion that Transocean’s operating or maintenance practices may be increasing the likelihood of a failure. However, there are some potential factors that could have played a role in these failures. The QC-FIT noted that either the lack of adequate cathode protection or the use of dissimilar metals near the H4 bolts could have caused accelerated corrosion of the bolts. QC-FIT also concluded that the information and issues regarding cathodic protection, operation, and maintenance need to be explored further.



 It remains unclear whether the material selection plating requirements for service class (SC) SC2 bolts are appropriate for the marine environment when these bolts are used per ASTM B633. GE maintains that this material selection is appropriate. GE also contends that API thickness restrictions would make a coating thickness beyond a SC2 specified thickness untenable. Further assessment of the appropriateness of this plating material needs to be performed and clarified in future editions of ASTM B633 as needed. BSEE suggests developing a joint industry technical forum to evaluate these issues.



KEY RECOMMENDATIONS

The QC-FIT formulated recommendations that BSEE should take (detailed in the body of this report) to mitigate the likelihood of future failures that could impact safety and/or the environment. These are:

1. Improve industry standards.

 BSEE should encourage industry to develop a consistent set of standards for connections and connection fasteners used in all offshore subsea systems, including a requirement that allows tracking connection components during their service life. This should include clear and consistent guidance on material hardness, yield strength and ultimate tensile strength requirements. (The release of API Spec 20E; First Edition, August 2012 "Alloy and Carbon Steel Bolting for use in the Petroleum and Natural Gas Industries" should address some of the concerns regarding manufacture of bolts, studs, etc.)

BSEE should request that ASTM further revise its relevant standards to provide additional clarity related to the design and use of coatings for marine service.

BSEE should request that industry develop an improved quality management standard that addresses the use of subcontractors by manufacturers through multiple tiers in the manufacturing chain. The industry and BSEE should also review API RP75 (SEMS) and the BSEE SEMS regulation (Subpart S) to ensure that the sections on mechanical integrity and contractor qualification are sufficiently robust.

BSEE should request that industry issue guidance or a standard on the optimal applied voltage limits for cathodic protection systems for use on drillships/modus.



2. Initiate joint industry research initiatives. BSEE should facilitate, support, and encourage specific studies that compare and contrast the connection and connection fastener design, material, maintenance, and quality specifications to identify potential requirement gaps and inconsistencies across the industry. The impact of cathodic protection systems on the performance of connectors should also be evaluated.



3. Promote Failure Reporting. BSEE should encourage industry to adopt a failure reporting system that allows data on failures and potential failures involving critical equipment to be collected, analyzed, and reported to the industry and BSEE. This information will better allow the industry and BSEE to identify trends and take corrective action before any injuries or impact to the environment occurs.



4. Develop regulations that ensure specific design standards are met. If necessary, BSEE should develop proposed regulations and/or notices to lessees to implement improved standards for connections and connection fasteners and cathodic protection systems.

BSEE remains interested in GE’s and any others ongoing tests and may take further steps to address potential safety risks as indicated.

SAFETY ALERT - SNAKE GRIP FAILURE ON OIL DRILL LINE AT A PLATFORM RIG IN THE GULF OF MEXICO



Safety Alert - Snake Grip Failure on OIL Drill Line AT A PLATFORM RIG IN THE GULF OF MEXICO
While conducting stringing down block operations on a platform rig in the Gulf of Mexico, a member of a four man work crew was struck with the 1 3/8” drill line when it failed to remain in the snake grip.  The Injured Person (IP) was manning the hydraulic drill line spool winch control at the time of the incident.  As the drill line cable attached to the snake grip was going through the last deadman sheave in the crown block, an “all stop” was given by another member of the work crew when he noticed the drill line cable coming out of the snake grip. Approximately ten to thirty seconds after the “all stop” was given, the drill line cable came free from the snake grip and fell toward the hydraulic drill line spool winch striking the IP on the left shoulder and right hip.  The IP was put into a litter and lowered to the main deck, where he was treated by the Rig Medic.  He was then transported to the closest hospital for treatment.
An investigation of the accident concluded the following factors contributed to the incident:
• It was determined that the drill line cable was not properly degreased before being inserted into snake grip.
• The proper clamping method recommended by the manufacturer’s specifications was not utilized for the snake grip.  Instead, manila rope and duct tape were used to secure the snake grip which may have prevented the drill line cable and snake grip from going through the block smoothly and contributing to the injury incident.

We recommend the following when installing snake grips on to the drill line cable:
       Assure the manufacturer’s specifications and instructions for use of a snake grip are followed completely.
       Verify the correct sized snake grip is utilized for actual drill line diameter during operations.
       Drill line cables must be thoroughly degreased before insertion into snake grip.
       Use the proper manufacturer recommended clamps and tools to secure the snake grip to the cable.
       Maintain a safe operating speed on the drill line winch to ensure safety observers have adequate time to relay any and all safety concerns during operation.
       Be assertive in personnel placement while conducting this type operation. When possible, keep personnel clear of drop zones of all the overhead equipment and work.

NOTE:
• The International Association of Drilling Contractors (IADC) issued Safety Alert #11-20 titled, “DRILL LINE PULLS THROUGH WIRE ROPE SNAKE WHILE STRINGING BLOCKS.” Safety Alert #11-20 was issued August 2011. This Safety Alert addressed the importance of properly degreasing the wire cable prior to utilizing the snake grip equipment.
• Snake Grips are also known as: ‘Chinese Finger Locks’ or ‘Socks’.
• Below are examples of the proper banding and taping applications. 






Drill Line Pulls Through Wire Rope
Incident date
01 August 2011
Summary
While in the process of stringing the travelling blocks with brand new drill line, the 1-3/8 inch drill line came free from the Wire Rope Wire Mesh Snake Grip and dropped to the rig floor from approximately 20 meters.  The line and snake grip had been reeved through all three sheaves on the off driller’s side and had passed through the first two sheaves on the driller’s side of the travelling block. There was one last sheave on the travelling block to spool.
Incident consequence
HIPO
Cause of accident or incident
Moving, flying or falling object
Location
Onshore construction/rig repair yard
Activity
Catering / hotel services
Description
While in the process of stringing the travelling blocks with brand new drill line, the 1-3/8 inch drill line came free from the Wire Rope Wire Mesh Snake Grip and dropped to the rig floor from approximately 20 meters.
The line and snake grip had been reeved through all three sheaves on the off driller’s side and had passed through the first two sheaves on the driller’s side of the travelling block. There was one last sheave on the travelling block to spool.
The snake grip was in good condition and was the correct type for the line. The drill line had been fully inserted into the 1 inch - 1-1/2 inch snake grip right to the rubber boot and then 3 x hose clamps were used to secure the snake grip. The clamps were then covered with tape for about 6 inches on each. The snake grip was then attached to a 3/8 inch wire rope line by back splicing the line’s dead end through the snake grip's soft eye. The 3/8 inch wire rope is used to pull the drill line through the crown and travelling block sheaves.
There were four essential people involved in the job on the rig floor but none were near the drop zone. The pre job held emphasized the need for the rig floor to be clear. There was no potential for injury.
 Specific Equipment
Wire Rope Snake and drilling line
 Lessons Learnt
  
Not following procedure:
  
A procedure is in place for the "Installation and use of a Lewis Snake".
One step in the procedure is to "make sure the cable is clean and free of grease and oil in the areas that will be loaded into the snake grip”. The manufacture procedure says: “The grips cannot grip an oily line no matter how hard they are compressing or squeezed. A high grade degreaser and heavy duty disposable towels are recommended for this task."
Hazard not identified:
This task has been performed by the crew many times before but the change was the line was new and coated with an oily type preservative. No one who was spoken to during the investigation was aware that cleaning the line was critical.
Hose clamp failure:
When the tape covering the hose clamps was removed after the incident two
Recommendations
Rig personnel were instructed to follow the snake grip manufacture’s recommended “Band It® Clamp” so that the preferred method of securing the snake is used.
Distributed an internal safety alert to all rigs so that everyone is aware of the hazards of using a snake with oily or grease coated drill line.
Reinforced to all rigs to follow standard operating procedures so that all of the agreed and necessary


GUIDELINES FOR PROPER INSTALLATION AND USE OF LEWIS TYPE "LSG SNAKE" ROPE & CABLE CONNECTOR GRIP

 

1.   Safety is always No. 1.  Make sure no one is under the line as it is being pulled through the blocks and crown. DO NOT stand below or near the drilling line under tension, severe injury or death could occur. KEEP BACK
2.   Be sure that the right size range grips are being used for the line or rope being pulled. For example, for 13/8” drilling line, use the LSG 1 - 11/2” snake. When pulling a larger line with a smaller line (replacing the  smaller with the larger), make sure the smaller line has the correct size grip and that the new larger diameter line has the correct size grip as well. LSG snakes are available with any required size range on either side.
3.   Make sure the cable is clean and free of grease and oil in the area that will be loaded into the LSG snake. A high grade degreaser and heavy duty disposable towels are recommended for this purpose.
4.   When loading the cable into the grip, be certain the cable is inserted all the way into the grip until the grip is fully loaded (into the plastic boot area below the pulling eye of the grip). Also examine both grips for cable abrasion or broken cables. An LSG snake showing any signs of cable fraying, broken cables or distorted hardware should be immediately discarded and replaced. Inspect the LSG Snake Grip prior to each use.
5.   Once the snake is loaded properly, Band AND Tape (use electrical tape) over the tail end of each grip using a BAND-IT® brand banding tool. Apply a Second Band AND Tape 4 to 6 inches apart from the first.