A PowerPoint presentation covering the basics of Manual Handling in Ireland. It is to be followed by a written exam and a practical examination of the Five basic Manual Handling Techniques.
Manual Handling Training - Manual Handling Training DVDs are a must with over a million injuries in the UK alone reported on Musculoskeletal Disorders (MSD's). MSD’s include low back pain, joint injuries and repetitive strain injuries. Poor lifting and manual handling at work are the main causes of injury. Our range aims to fulfil you induction or refresher course requirements.
http://risk-assessment-products.co.uk/manual-handling/
What Is Hand Protection ?
“ If a workplace hazard assessment reveals that employees face potential injury to hands and work practice
controls, employers must ensure that employees wear appropriate protection Is Called Hand Protection. “
Why is Hand Safety Important?
Human hands are unique.
They have many attributes which i
grip, precision, push, hold, grasp and
Your hands are the tools that make you skilled & valued worker.
How Hand Protection are Important to us?
Accidents can and do happen here!
Hands are subjected to hazards every day.
Use the proper protection.
PAY ATTENTION!
ENGAGE THE BIG MUSCLE!
Use hand protection methods and equipment appropriate for the job.
Change Stressful work positions frequently.
Key Points for Human Hand Bones
8 in wrist, 19 in hand and fingersNow, consider this: H is the eighth letter of the alphabet, A is the first, N is the
fourteenth, and D is the fourth.8+1+14+4=27
H+A+N+D=27
Types of Hand Hazards
1.Blades which can cut or amputate fingers or hands!
2.Rough Surfaces that can scrape the skin!
3.Machines that can pinch or crush fingers!
4.Chemicals that can burn fingers!
5.HEAT!
6.Bio-hazardous materials
7.Repetitive Strain and Impact which can cause injuries over time.
Ways to Protect Hands
1.Work with respect around machinery.
2.Don’t wear gloves while working closely with moving machinery where there is a danger of becoming entangled.
3.Keep machine guards in place.
For More Info Visit : www.suresafety.com
Man and Machine Interface
Working around heavy equipment can be extremely dangerous. Too many workers are killed each year when they are run over or struck by these pieces of machinery. It’s important to know the safety precautions to take when working in the vicinity of heavy equipment such as dump trucks, front-end loaders, cranes, Excavator, Bob Cat, Forklift, Concrete Mixture Truck, other heavy trucks/Equipment's, etc.
Permit To Work
Types of Permit To Work
Hot Work Permit
Confined Space Entry Permit
Electrical Permit
Excavation Permit
Radiography Permit
Crane Critical Lifts Permit
Man Basket Operation
Permit Issuer Responsibilities
Permit Receiver Responsibilities
HSE Permit Coordinator
Responsibilities
Revalidation of the Permit
Work Permit Flow Chart
This presentation provides general information about the requirements of the Lifting Operations and Lifting Equipment Regulations 1998 (LOLER):
What employers need to do to protect your employees
Also useful to employees and their representatives
More information : http://worlifts.co.uk/
The workplace can create many hazards for your hands, whether from chemicals, cuts or burns. No single glove can provide appropriate protection for every work situation, hence we have amply types of hand protection gloves and it is important to assess the risk for each task and select a glove that provides specialized protection.
A PowerPoint presentation covering the basics of Manual Handling in Ireland. It is to be followed by a written exam and a practical examination of the Five basic Manual Handling Techniques.
Manual Handling Training - Manual Handling Training DVDs are a must with over a million injuries in the UK alone reported on Musculoskeletal Disorders (MSD's). MSD’s include low back pain, joint injuries and repetitive strain injuries. Poor lifting and manual handling at work are the main causes of injury. Our range aims to fulfil you induction or refresher course requirements.
http://risk-assessment-products.co.uk/manual-handling/
What Is Hand Protection ?
“ If a workplace hazard assessment reveals that employees face potential injury to hands and work practice
controls, employers must ensure that employees wear appropriate protection Is Called Hand Protection. “
Why is Hand Safety Important?
Human hands are unique.
They have many attributes which i
grip, precision, push, hold, grasp and
Your hands are the tools that make you skilled & valued worker.
How Hand Protection are Important to us?
Accidents can and do happen here!
Hands are subjected to hazards every day.
Use the proper protection.
PAY ATTENTION!
ENGAGE THE BIG MUSCLE!
Use hand protection methods and equipment appropriate for the job.
Change Stressful work positions frequently.
Key Points for Human Hand Bones
8 in wrist, 19 in hand and fingersNow, consider this: H is the eighth letter of the alphabet, A is the first, N is the
fourteenth, and D is the fourth.8+1+14+4=27
H+A+N+D=27
Types of Hand Hazards
1.Blades which can cut or amputate fingers or hands!
2.Rough Surfaces that can scrape the skin!
3.Machines that can pinch or crush fingers!
4.Chemicals that can burn fingers!
5.HEAT!
6.Bio-hazardous materials
7.Repetitive Strain and Impact which can cause injuries over time.
Ways to Protect Hands
1.Work with respect around machinery.
2.Don’t wear gloves while working closely with moving machinery where there is a danger of becoming entangled.
3.Keep machine guards in place.
For More Info Visit : www.suresafety.com
Man and Machine Interface
Working around heavy equipment can be extremely dangerous. Too many workers are killed each year when they are run over or struck by these pieces of machinery. It’s important to know the safety precautions to take when working in the vicinity of heavy equipment such as dump trucks, front-end loaders, cranes, Excavator, Bob Cat, Forklift, Concrete Mixture Truck, other heavy trucks/Equipment's, etc.
Permit To Work
Types of Permit To Work
Hot Work Permit
Confined Space Entry Permit
Electrical Permit
Excavation Permit
Radiography Permit
Crane Critical Lifts Permit
Man Basket Operation
Permit Issuer Responsibilities
Permit Receiver Responsibilities
HSE Permit Coordinator
Responsibilities
Revalidation of the Permit
Work Permit Flow Chart
This presentation provides general information about the requirements of the Lifting Operations and Lifting Equipment Regulations 1998 (LOLER):
What employers need to do to protect your employees
Also useful to employees and their representatives
More information : http://worlifts.co.uk/
The workplace can create many hazards for your hands, whether from chemicals, cuts or burns. No single glove can provide appropriate protection for every work situation, hence we have amply types of hand protection gloves and it is important to assess the risk for each task and select a glove that provides specialized protection.
Maybe it’s our familiarity with them or the fact that they are such a commonplace item on the construction site that hand tool and power tool safety often gets overlooked. Hand tools and power tools present a host of potential hazards such as flying objects, electrical shock, falling objects, punctures and lacerations. Here are 10 quick and easy tips for safely working with hand and power tools.
Intel® Xeon® Processor E5-2600 v3 Product Family Application Showcase - Fin...Intel IT Center
This Intel® Xeon® Processor E5-2600 v3 Product Family Application Showcase focuses on Financial Services software companies who have seen preformance increases with Intel products.
Ports-to-Plains Energy Summit
Omni Interlocken Resort
Broomfield, CO
April 7, 2011
Alberta has the world’s second largest oil reserves, but new pipelines are needed to move this resource to markets in the U.S. Find out about proposed pipeline projects in the region and what they mean for job creation.
The evolution of computer technology and Web use practices explains the development of more and more online interactive tools (“e-tools”). The occupational health and safety sector is no stranger to this trend/evolution. Many occupational health and safety actors have already shown interest in the possibilities offered by these new technologies and have over the last years developed such e-tools. These tools are mainly developed with the aim to facilitate compliance with legislation or foster a health and safety culture. This presentation is the summary of an expert workshop held in Paris on 20 October 2014 to discuss about the “e-tools” project. By end 2015 (and based on the feedback received in this workshop and others activities to be carried out throughout 2015) an implementation plan will be developed for the project, identifying the needs and the role of the Agency.
The GLOBE Awards have since 2002 recognized the commitment to sustainability of extraordinary Canadian companies.
The 2013 GLOBE Awards winners were announced on Wednesday, February 6 in conjunction with the second annual An Inspired Future event at the Sheraton Centre Toronto Hotel.
2013 GLOBE Awards Winners:
The Award for Corporate Environmental Excellence Landmark Group
The Award for Excellence in Emerging Technology Diacarbon Energy Inc.
The Award for Technology Innovation & Application Cascadia Windows
The Award for Excellence in Urban Sustainability
Société de développement Angus
The Award for Best Green Consumer Product
Prairie Pulp & Paper Inc.
This TBT is designed to remind all personnel of pinch point incidents and to ensure that any potential pinch points are recognised before work commences. It also has other points to raise in conjunction with Hand Safety.
Needle stick injury and hazards of needle stickNCRIMS, Meerut
Needlestick injuries are wounds caused by sharps that accidentally puncture the skin.
Needlestick injuries are a hazard for people who work with hypodermic syringes and other needle equipment.
These injuries can occur at any time when people use, disassemble, or dispose of needles.
Drop is any object that falls from its previous static position under its own weight. Dropped Objects are among the Top 10 causes of Fatality and Serious Injury in the Oil and Gas Industry. Our focus would be on products and systems that can be integrated into the customer’s safety management systems to identify potential dropped object hazards, prevent their occurrence, and mitigate their outcome. We would share information on a broad array of tools, products and deliverables, including inspection programmes, awareness videos and presentations, safety checklists, guidelines, procedures and best practices as a part of building up awareness on DROPS and also offer our customers to buy these special dropped object prevention products and services from one source.
Concept is simple - if we can keep our hands at a distance while doing tasks like guiding, positioning, pushing, pulling slung loads or doing anything to bring it to its final place – we avoid a “caught between” kind of situation and protect our hands.
The Marketing Services Unit of PSC Dubai in Silicon Oasis DDP is responsible for business development and trading of our key brands in the Industries worldwide. The portfolio includes oilfield equipments, bar and rod mill spares (pinch rolls, guide rollers, HSS rolls, etc) and PSC Hands-Free Safety Tools.
Description:
International sourcing company based in Dubai Free Zone.
Focus:
Specializes in equipment, spare parts, and consumables
procurement.
Backed By:
Supported by Project Sales Corp, a leading rig parts supplier in
India.
Offerings:
Supplies PPE, workplace safety gear, and oilfield lubricants.
Mission:
Importing products needed by drilling rig operators in India.
Competitive Pricing:
Quotes competitive prices for imported goods.
Location Advantage:
Located in a Free Trade Zone, exempt from VAT and Customs.
With over thousands of products in its stocking range, Project Sales Corp is undoubtedly India’s largest oilfield ropes, soaps, dopes store. We call it the Rig Essentials Line.
Take a look inside to see some of the key products that we stock in this category of MRO, Tools, Safety and Rig Essentials. Whether you are a rig operator or an oilfield supplier, you will find consolidating your purchases with us for the items we stock would be the right way to service your end-users requirement the quickest way!
How We Work
Imagine using a $200 a pail dope and using a $1 dope brush, the savings you have with the brush costs, you don’t realise the loss you incur with the dope as a faulty brush creates pilferage of materials, improper application of dopes and overall a total higher costs than the savings you made buying the cheap dope brush.
Keeping this logic in mind that a cheap substitute ultimately costs more in total costs, Project Sales Corp has built up a portfolio of proven good quality high performance products from India and worldwide used on-board drilling rigs. They improve reliability, reduce overall costs, downtime and provide user a peace of mind with daily essentials on the rig.
We don’t stock the quality that generally sells in the local markets, we bring in products that have proven themselves in being able to make a positive difference. That’s sums up our strategy to this core product category – The rig essentials line of Ropes, Soaps, Dopes that has contributed over $25 million of revenues in last 10 years.
The daily materials used on a rig are colloquially referred to as Rope, Soap, and Dope.
➢ Rope referred to chains and ropes used to hoist materials up to derricks and platforms
➢ Soap was used in reference to products and tools used to clean machinery, tools, the rig, and the workers themselves
➢ Dope meant the lubricants, grease, and fuel - the essential liquids that were employed to keep machinery and the rig up and running.
Our workplace safety range comprises of products that can mitigate various kinds of risks in workplace or improve safety facility identification to assist workers with working in a safer environment. Key products include Slips Trips and Falls protection with Anti-skid tapes, Barricading Tapes, Lane Marking Tapes, 5S Program, Utility Hooks for Cables and Hoses, Facility signages, Traffic control products, and more. We also stock scaffolding and ladder tags, small instrument tagging systems like Microtags and Nanotags, Confined Space Entry Kits, etc. PSC Whipchecks are used as hose restraints to prevent hoses from whipping. The Nightstick range of intrinsic safety flashlights range with world’s first dual light improves safety with visibility for near and far objects, at the same time. Safepads improve safety while working with scaffold and all kinds of protruding objects.
PSC Houston Oilfield Supplies LLC aims to supply OEM parts to drilling rigs worldwide. With over two decades of experience in the drilling spares business in India and Dubai, over 450 suppliers worldwide, of which over 200 are based out of Houston alone, we are the supplier that’s closest to the source for these parts in the United States.
Based out of Houston, PSC Houston Oilfield Supplies LLC can quickly ship out parts to the rigs thus reducing downtime. There is nothing in specific we stock, and there is no limit to what we can source, you just need to let us know. We can reach out to our extensive vendor base and find out the source with the quickest delivery.
With trained international sourcing teams supporting from India, Dubai and Houston, you can expect to get the fastest response to your requirements. Our India unit Project Sales Corp (PSC) stocks over a 1000 sku’s of stuff that goes out to the oilfield and services all the drilling contractors, EPC companies in offshore and oilfield services companies. PSC Gulf supplies parts to some of the leading operators in the Middle East. The PSC Houston office works closely with the OEMs to get you the most competitive pricing and the shortest lead time for critical parts.
With a team of 40 people spread across our offices, all focussed on one thing – drilling rig parts- we are just an email or call away.
With over two decades of experience in the drilling spares business in India and Dubai, over 450 suppliers worldwide, of which over 200 are based out of Houston alone, we are the supplier that’s closest to the source for these parts in the United States.
With offices in India, Dubai and US, we can deliver rig spares worldwide.
Lubrication accounts for a small part of the overall maintenance budgets and the right lubricant goes a long way to reduce downtime, improve reliability and enhance equipment life.
Leading bearing manufacturers have conducted studies to find out the reasons for premature bearing failure. More than one-third of bearing failures is due to imperfect lubrication. In many more cases, which cannot be traced directly to imperfect lubrication, it’s still the underlying cause.
Project Sales Corp is pleased to introduce its Sealing Compounds range. We represent one of the most exhaustive range of Sealing Compounds from around the world that finds application in sealing steam and gas turbines, compressors, pumps, gearboxes, flanges and more.
An ideal flanged joint would consist of two, mirror-finish, perfectly flat and parallel surfaces bolted directly together to create a leak-free seal. However, manufacturing processes do not allow for perfect sealing surfaces. Most flange faces have surface irregularities that cannot be sealed without the use of some type of compressible, resilient material or a combination of materials between them to seal the fluid being transferred. This is true even for the most finely machined surfaces as a turbine flange where the surface asperities can create a leak situation.
Slung loads are dangerous. Going close to it exposes one to various injuries, pinch, crush and foot and body injuries. There is tension in the load until it rests in the final position. There are obvious chances of injuring the fingers and hands and getting too close to the red zone where a suspended dropped object could fall on the foot or body. You also expose yourself to lacerations and abrasion when the object you are trying to guide is sharp or rough.
PSC introduces the PSC Guide-it SlingGrab, a simple to use load positioning tool to manage slung loads by using the special head designed for chains and wire rope slings, webbing slings, to grab and manoeuvre the slung loads while it moves to its final position. Concept is simple - if we can keep our hands at a distance while doing tasks like guiding, positioning, pushing, pulling slung loads or doing anything to bring it to its final place – we avoid a “caught between” kind of situation and protect our hands.
Available in 4 lengths and competitively priced, you can now make it a rule, no grabbing slings by hand, always use a PSC Guide-it SlingGrab. Please see attached for more details.
www.pschandsafety.com
www.pschandsfree.com
GasGrab - Project Report on Cylinder Lifting and Benefits with GasGrabProject Sales Corp
In 2007 Bradford University carried out a study of the GasGrab™. The 34 page report that came from this study includes a large amount of technical data that highlights the health and saftey benefits of using GasGrab™ when lifting gas cyclinders.
Click here to download and view the report.
Gasgrab™ is a property of Arrow (Newbury) Ltd and is marketed in India by Project Sales Corp www.pschandsfree.com
PSC is India’s largest manufacturer & exporter of Hands-Free and Hands-Off Safety Tools that enables you to carry out tasks in the oilfield without getting your hands close to the pinch and crush points. PSC hands-free safety tools can help to reduce hand and finger injuries by facilitating safe movement of the load by controlling the load from a distance, without physically touching the load. The product range includes Push/Pull Poles, Anti-Tangle Taglines, Hose Lifters, Lift Assist Pipe Lifting Aids, Slogging Spanner Holders, etc. In 2020-2021 it has exported products to USA, Canada, Africa, Mid-East, South East Asia.
PSC is India’s largest manufacturer & exporter of Hands-Free and Hands-Off Safety Tools that enables you to carry out tasks in the oilfield without getting your hands close to the pinch and crush points. PSC hands-free safety tools can help to reduce hand and finger injuries by facilitating safe movement of the load by controlling the load from a distance, without physically touching the load. The product range includes Push/Pull Poles, Anti-Tangle Taglines, Hose Lifters, Lift Assist Pipe Lifting Aids, Slogging Spanner Holders, etc. In 2020-2021 it has exported products to USA, Canada, Africa, Mid-East, South East Asia.
PSC has invested in stocking the consumables that are required on drilling rigs and is now building up inventory of all Ropes-Soaps-Dopes items. For more information visit us at www.pscrigessentials.com or www.rigconsumables.com or send us an email at rfq(at)projectsalescorp.com
PSC has invested in stocking the consumables that are required on drilling rigs and is now building up inventory of all Ropes-Soaps-Dopes items. For more information visit us at www.pscrigessentials.com or www.rigconsumables.com or send us an email at rfq(at)projectsalescorp.com
PSC has invested in stocking the consumables that are required on drilling rigs and is now building up inventory of all Ropes-Soaps-Dopes items. For more information visit us at www.pscrigessentials.com or www.rigconsumables.com or send us an email at rfq(at)projectsalescorp.com
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
2. Restricted
Deep Basin Core Contractor Meeting March 2011
2011 Deep Basin / Foothills Hand Injuries Prevention Campaign –
Review of Hand Injuries
March 8, 2011 2
3. Restricted
Background
YTD 2010 – 566 hand injuries in Shell worldwide, including 65 MTCs and
13 RWCs
In Wells, Hand Injuries accounted for 43% of total hand injuries for the year
(83 incidents in total)
Most, if not all of these incidents could have been prevented.
There has been 10 Recordable hand Injuries in 2011 in just over 2 months
2011 Deep Basin / Foothills Hand Injuries Prevention Campaign goals:
Educate employees on hand injury hazards and barriers to prevent
injuries – focus on hand placement and proper PPE.
Engage employees to observe Shell and Contractors requirements and
keep their minds on the task at hand.
Stimulate dialogue on better ways to prevent hand injuries.
4. Restricted
Hand Injuries Prevention Campaign Schedule
Q4 2010 Q1 2011 Q2 2011
Quarterly Focus General Awareness
Hand Safety
Campaign, Hands on
Hands off
Proper Glove
Selection, Incident
Review
Actions
Present Hand Injuries
Awareness PowerPoint to all
crews. (COMPLETED)
Display Hand Injuries posters
throughout Deep Basin /
Foothills asset.
Review hand injuries that
occurred in Deep Basin /
Foothills in 2010, discuss what
barriers failed, how injury
could have been prevented.
Present Hands-on Hands-off
Drilling and Hands-on Hands-
off Completions presentations
– adapted from Pinedale
Hands-on Hands-off program.
Develop Hands-on Hands-off
training program.
Hand safety focus for HEROS
– all HEROS awards will be
given for hand safety
observations.
Display Proper Glove
Selection posters throughout
Deep Basin / Foothills asset.
Focus on consulting MSDS to
determine hazards associated
with different chemicals and
to select proper gloves.
Trend potential hand injuries
throughout Deep Basin/
Foothills
5. Restricted 5
Hand Safety
VERSATILITY
Our hands are very versatile and so we use them in almost
everything we do.
We use them in many areas that are dangerous.
Where do you use yours?
7. Restricted 7
Hand Safety
HANDS ARE EXPOSED TO MANY FORMS OF
INJURY
• Cuts on/from sharp objects (threads, knives, edges on covers)
• Smashing (handling rig tongs, hammer spanners, elevators latching on stump)
• Pinching (NU BOP’s, stabbing pipe)
• Moving Machinery (power tools) - insufficient guarding, high speed operation
• Contact with heat or cold (hot mud, engine exhausts, tools in sun, ice)
• Contact with chemicals (caustic)
9. Restricted 9
Hand Safety
HOW DO HAND INJURIES HAPPEN?
• The analysis of how hand and finger injuries happens
shows the most common as:
- Being hit by moving objects, or
- Hitting objects with part of body
10. Restricted 10
Hand Safety
WHY DO HAND INJURIES HAPPEN?
The primary root causes identified for hand and finger injuries are:
• Inattention or lack of focus
• Inadequate assessment of risk
• Cutting corners / rushing. Mistaken priorities - safety versus
objectives.
• Lifting / applying force incorrectly
• Using the incorrect tool for the job
11. Restricted 11
Hand Safety
WHY DO HAND INJURIES HAPPEN?
Even when people seem to know of the existence of these
dangers, hand and finger injuries still happen.
??? WHY ???
“It won’t happen to me!”
“I have been doing it that way for years!!”
“There isn’t a better way.”
“It is faster this way.”
and more …
12. Restricted 12
Hand Safety
WHAT IS THE KEY TO PREVENTION?
• UNDERSTAND the task you are about to start. If you have any
doubts, ask questions.
• Be aware of all the possible hazards, assess the risk and then
control them – it will help save you a lot of potential pain.
• THINK for yourself if the procedure for the task is correct and the
best practice.
• FEEDBACK to your work mates, friends and managers your
discoveries. You might just save someone else's finger.
14. Restricted 14
TSF DTL HAZID
Hand Safety
But whatever you do,
whatever the tools,
you must Identify and Control
ALL hazards
15. Restricted 15
TSF DTL HAZID
Hand Safety
WHAT CAN WE DO?
Increase Hand Awareness During Normal Safety Activities:
• Stop Process
• Pre-tour/Pre-job Meetings
• Job Safety Analyses
• Hazard and Behaviour Identification and Reporting
• Standard Procedures
• Permit to Work
16. Restricted 16
TSF DTL HAZID
Hand Safety
STOP PROCESS
1st Level of Control
Stop and think
Observe the work area and surroundings
Step through in your mind what you are going to
do
Think about what else is happening in the area or
nearby
Identify the hazards (especially look for hand
hazards)
Ask yourself the question "How can I control the
hazards?"
Satisfy yourself that the hazard is controlled
before starting work, if you can’t, or you have
doubts,
You may need to do a JSA
17. Restricted 17
TSF DTL HAZID
Hand Safety
Ask yourself what if:
The wrench or the knife slips?
Is there anything I can hit?
Can I cut myself on anything?
There is something in this hole?
This liquid is harmful to my skin or body?
I get contacted by heat?
Ask yourself “What else can happen?”
“PAUSE”
18. Restricted 18
TSF DTL HAZID
Hand Safety
TAILGATE MEETINGS
• Raise awareness of hazards
- Discuss the days jobs
- Discuss potential hand hazards
- Ask if anyone knows of any “gotcha’s”
• Encourage investing the time to think through a job
• Ask if anyone identified any hazards during the previous days work
• Share information on plans to control hazards with others in the
group
19. Restricted 19
TSF DTL HAZID
Hand Safety
JOB SAFETY ANALYSIS
• Planning tool
• Most effective if the people doing the work, do the analysis
• Highly recommended for Higher Risk activities
• Highly recommended for jobs out of the ordinary
• Incorporate Hand Injury Potential
- Effects of Chemicals
- Crush and Pinch Points
- Cuts and Abrasions
- Thermal (Heat, Cold)
20. Restricted 20
TSF DTL HAZID
Hand Safety
HAZARD & BEHAVIOR
IDENTIFICATION AND REPORTING
• Incorporate Hand Behaviors and Potential Hand Hazards in
your observations
• For example:
- Correct use of PPE
- Damaged Tools
- Correct Use of Tools
• If you see a hazard, fix it if you can, if not report it and
arrange for it to be fixed
• If you see an unsafe behavior, stop it and discuss it, then
report it (no names, no blame)
21. Restricted 21
TSF DTL HAZID
Hand Safety
HAND PROTECTION
• Be alert to potential hand hazards before an accident can happen .
• Be alert to possible unguarded pinch points.
• Always use push-sticks, guards, shields, and other protective
devices when appropriate. Do not remove guards.
• Use brushes to wipe away debris.
• Inspect equipment and machinery before and after tasks to make
sure that it is in good operating condition.
• Disconnect power and follow established lock-out procedures
before repairing or cleaning machinery.
22. Restricted 22
TSF DTL HAZID
Hand Safety
HAND PROTECTION
• Never wear gloves, jewelry, or loose clothing when working
with moving machine parts.
• Use the appropriate personal protective equipment--gloves,
guards, forearm cuffs, barrier creams--for the specific task you
are performing.
• When wearing gloves, be sure they fit properly and are rated
for the specific task you are performing.
• Select tools designed to keep wrists straight to help avoid
repetitive motion/overuse problems.
23. Restricted 23
TSF DTL HAZID
Hand Safety
OTHERS
• Standard Operating Procedures
- Identify and include controls developed for the hazards
(including hand hazards)
- Pause should be used at all times
• Permit to Work, JSA and any other Pre-job Planning
- Identify and discuss potential hand hazards and controls
24. Restricted 24
OTHERS
TSF DTL HAZID
Hand Safety
• Make more use of Alerts, Bulletins, Signs, Stickers, Color
Coding to highlight hazards
• During orientations emphasise the issues relating to potential
hand injury, and reinforce this with:
- The Buddy System
- Any training
• Effectively communicate any lessons learned from other
locations / incidents / hazards
25. Restricted 25
TSF DTL HAZID
Hand Safety
CAN I MAKE A DIFFERENCE?
Yes – This is just one thing
that you can do to make a
possibly hazardous piece of
equipment less of a hazard
by making pinch points
more visible and fitting soft
grips to cushion any
impact.
26. Restricted 26
TSF DTL HAZID
Hand Safety
YOUR GIFT FROM BIRTH
At birth you are only given two hands
made up of :
• 2 Thumbs
• 8 Fingers
Which can you
afford to loose?
27. Restricted
MTC-FINGER LACERATED WHILE WORKING WITH DRILL PIPE
Preliminary Information Points:
Prior to starting work, the workers
reviewed the JSA for laying down drill
collars.
The JSA does not address the associated
hazards of manually rolling pipe on pipe
racks, such as incorrect body position and
specific pinch points.
The manifold building is close to the pipe
rack and interferes with pipe movement if
pipe is not aligned correctly on the rack.
The worker did not recognise the hazard
of body position and pinch points.
Emergency Response Procedures were
effective in getting the IP proper and
timely medical treatment.
What happened: Two experienced workers were rolling a 6 1/4 drill” collar on pipe racks. Each worker was standing at opposite
ends of the collar. They were attempting to align the collar on the pipe rack so that the collar would pass by an adjacent manifold building.
The injured person (IP) was rolling the pipe toward the catwalk using his shoulder to gain momentum with his hand on the pipe rack. The
collar unexpectedly shifted back toward the IP, pinching his finger between the pipe rack and collar. This caused a laceration to his finger.
The IP received 14 stitches to the left pinky finger and returned to work.
This Early Information Bulletin provides preliminary information; a detailed investigation is pending. For internal use only.
This document is provided for information purposes only and is not and must not be construed as providing technical advice. If such advice or assistance is necessary, the services of an appropriate qualified professional should be retained.
You must not rely on this document to address any general or specific questions that may apply to your operations or to a particular set of facts. Shell Exploration and Production Co. and its affiliates make no claim, representation or warranty,
express or implied, as to the completeness, correctness or usefulness of this document to produce any particular results with regard to the subject matter contained herein or that this document will satisfy the requirements of any applicable
federal, state or local laws and regulations. Shell Exploration and Production Co. and its affiliates make no representation or express or implied warranty and assumes no liability of any kind, resulting from the use or reliance on this
document. EIB Template 27 Aug 2010
UA Onshore Gas Wells Early Information Bulletin
Fountain #: 608460 Location: Canada – Groundbirch - Drilling Date: 5 Jan 2011
Injured
Person
Catwalk
Manifold
building
28. Restricted
MTC-FINGER LACERATED WHILE WORKING WITH DRILL PIPE
Preliminary Information Points:
Prior to starting work, the workers
reviewed the JSA for laying down drill
collars.
The JSA does not address the associated
hazards of manually rolling pipe on pipe
racks, such as incorrect body position and
specific pinch points.
The manifold building is close to the pipe
rack and interferes with pipe movement if
pipe is not aligned correctly on the rack.
The worker did not recognise the hazard
of body position and pinch points.
Emergency Response Procedures were
effective in getting the IP proper and
timely medical treatment.
What happened: Two experienced workers were rolling a 6 1/4 drill” collar on pipe racks. Each worker was standing at opposite
ends of the collar. They were attempting to align the collar on the pipe rack so that the collar would pass by an adjacent manifold building.
The injured person (IP) was rolling the pipe toward the catwalk using his shoulder to gain momentum with his hand on the pipe rack. The
collar unexpectedly shifted back toward the IP, pinching his finger between the pipe rack and collar. This caused a laceration to his finger.
The IP received 14 stitches to the left pinky finger and returned to work.
This Early Information Bulletin provides preliminary information; a detailed investigation is pending. For internal use only.
This document is provided for information purposes only and is not and must not be construed as providing technical advice. If such advice or assistance is necessary, the services of an appropriate qualified professional should be retained.
You must not rely on this document to address any general or specific questions that may apply to your operations or to a particular set of facts. Shell Exploration and Production Co. and its affiliates make no claim, representation or warranty,
express or implied, as to the completeness, correctness or usefulness of this document to produce any particular results with regard to the subject matter contained herein or that this document will satisfy the requirements of any applicable
federal, state or local laws and regulations. Shell Exploration and Production Co. and its affiliates make no representation or express or implied warranty and assumes no liability of any kind, resulting from the use or reliance on this
document. EIB Template 27 Aug 2010
UA Onshore Gas Wells Early Information Bulletin
Fountain #: 608460 Location: Canada – Groundbirch - Drilling Date: 5 Jan 2011
Injured
Person
Catwalk
Manifold
building
29. Restricted
MTC – LACERATED FINGER – DRILL BIT FELL ON WORKER’S HAND
Fountain # 608972 Location: Canada - GroundBirch - Drilling Date: 08 Jan 2011
Preliminary Information Points:
• Due to winter weather, snow had been tracked
into doghouse creating a slippery floor. More
frequent floor mopping is required during these
weather conditions.
• The standard procedure was for drill bit
inspection and gauging to be done with the bit
resting on the doghouse workbench. This could
also be done with the bit resting on the floor.
• The IP attempted to lift a 200mm bit that
weighs over 60 kg (130 lbs). This weight is too
heavy for one person to manage safely.
• The worker was wearing Green King gloves.
The use of Impact gloves may have minimised
injury to finger (impact reduction gloves are on
back order).
What happened: An experienced worker was attempting to lift 200mm (7 7/8”) drill bit from doghouse floor onto a tool bench for
inspection of jets and for gauging. When the injured party (IP) began to lift the drill bit, his feet slipped, causing him to fall. The drill bit fell
with the IP to the floor, landing on the IP’s hand causing a laceration to his left ring finger. The worker was treated by the onsite medic
and transported to the local medical treatment facility by his supervisor, where he received 4 stitches to his finger.
This Early Information Bulletin provides preliminary information; a detailed investigation is pending. For internal use only.
This document is provided for information purposes only and is not and must not be construed as providing technical advice. If such advice or assistance is necessary, the services of an appropriate qualified professional should be retained.
You must not rely on this document to address any general or specific questions that may apply to your operations or to a particular set of facts. Shell Exploration and Production Co. and its affiliates make no claim, representation or warranty,
express or implied, as to the completeness, correctness or usefulness of this document to produce any particular results with regard to the subject matter contained herein or that this document will satisfy the requirements of any applicable
federal, state or local laws and regulations. Shell Exploration and Production Co. and its affiliates make no representation or express or implied warranty and assumes no liability of any kind, resulting from the use or reliance on this
document. EIB Template 27 Aug 2010
UA Onshore Gas Wells - Early Information Bulletin
Insert photo or diagram in this box. Take photos on “low”
resolution. Use contrasting Arial bold font for any text descriptions.
GENERAL PROCEDURE FOR EIB HANDLING
Step 1 – Be sure that you have deleted any other templates
previously used. This template is the only one currently valid to use in
Onshore Gas.
Step 2 - When the EIB is completed, send it to your HSE Supervisor
for second level review. He/she will review it and forward it to the
HSE Operations Manager for third level review.
Step 3 - The HSE Operations Manager will review the EIB and submit
it to the EIB focal point for final review and quality checks, addition to
FIM & Livelink, and distribution.
30. Restricted
MTC – EMPLOYEE’S HAND CAUGHT BETWEEN ESCAPE POD AND MONKEY BOARD
Fountain #: 612264 Location: US-PA Date: 18 Jan 2011
Preliminary Information Points:
• The pinch point hazard was not identified in the JSA.
• Lack of hazard awareness – Employee was not
aware of the “stored energy” when lifting the pod.
• The job was being performed by one employee. This
should have been a two-person job.
• Employee was wearing regular cotton gloves, not
impact resistant gloves.
What happened: An employee was in the process of lifting the pins to set the monkey board escape pod in place
when the right hand became caught between the escape pod and monkey board. The employee was transported
to a local medical facility for examination. X-rays confirmed that the employee’s right index finger had sustained a
hair line fracture.
This Early Information Bulletin provides preliminary information; a detailed investigation is pending. For internal use only.
This document is provided for information purposes only and is not and must not be construed as providing technical advice. If such advice or assistance is necessary, the services of an appropriate qualified professional should be retained.
You must not rely on this document to address any general or specific questions that may apply to your operations or to a particular set of facts. Shell Exploration and Production Co. and its affiliates make no claim, representation or warranty,
express or implied, as to the completeness, correctness or usefulness of this document to produce any particular results with regard to the subject matter contained herein or that this document will satisfy the requirements of any applicable
federal, state or local laws and regulations. Shell Exploration and Production Co. and its affiliates make no representation or express or implied warranty and assumes no liability of any kind, resulting from the use or reliance on this
document. EIB Template 27 Aug 2010
UA Onshore Gas Wells - Early Information Bulletin
31. Restricted
MTC - FINGERS INJURED WHILE INSTALLING 6” LINE
Preliminary Information Points:
Prior to starting work, the
workers reviewed the JSA for
the specific task; however, the
risk of rigging cable’s slipping
was not identified.
Crew was working short
handed.
The workers did not recognize
the pinch point hazard of the
rigging cable.
This Early Information Bulletin provides preliminary information; a detailed investigation is pending. For internal use only.
This document is provided for information purposes only and is not and must not be construed as providing technical advice. If such advice or assistance is necessary, the services of an appropriate qualified professional should be retained.
You must not rely on this document to address any general or specific questions that may apply to your operations or to a particular set of facts. Shell Exploration and Production Co. and its affiliates make no claim, representation or warranty,
express or implied, as to the completeness, correctness or usefulness of this document to produce any particular results with regard to the subject matter contained herein or that this document will satisfy the requirements of any applicable
federal, state or local laws and regulations. Shell Exploration and Production Co. and its affiliates make no representation or express or implied warranty and assumes no liability of any kind, resulting from the use or reliance on this
document. EIB Template 27 Aug 2010
UA Onshore Gas Wells Early Information Bulletin
Fountain #: 615692 Location: US – S. Texas Date: 28 Jan 2011
What Happened: While in the process of nippling up the BOPE’s orbit valve 6” x 8’ steel line, rig crew was attempting to re-position the line due to its
not being aligned properly (two-holed) with the flange. The Injured Person (IP) removed the last bolt and nut holding the steel line flange and pulled the
steel line back. In the attempt to line up the steel line flange, the wire rope cable utilized in rigging slid towards the IP’s left hand, which was positioned
under the steel line, and pinched the left ring finger and middle finger. IP was wearing impact resistant gloves, but the wire rope cable penetrated the
glove. First aid was immediately administered at the location. Contractor management then made the decision to transport the IP to a medical facility for
further treatment. Injury resulted in sutures to the IP’s left hand ring and middle fingers.
IP-Point of Contact
With Cable
32. Restricted
Fountain #: 618755 Location: US Rockies Date: 2 Feb 2011
MTC-WORKER PINCHED THUMB WHILE STACKING CRIBBING UNDER PIPE
Preliminary Information Points:
JSA was not completed for task, even though this
was a change in job scope.
Task was discussed by workers prior to starting, yet
no hazard recognition was involved.
Workers felt that with the empty line there was no real
issue or hazard with short task, as they perform task
often to level or drain lines.
Cribbing shifted when the line’s full weight was set
down due to unstable ground and ice.
Worker jerked thumb when pinched, pulling glove off
and causing majority of injury to thumb.
Temperatures were below zero.
Crew was 1 hour from crew change.
What happened: Worker was stacking cribbing under 6 in. aluminum pipe. When worker advised crew members to
lower the pipe onto the cribbing, worker’s right thumb was pinched in between the blocks. As the pipe was set
down, the cribbing blocks shifted. Worker pulled thumb out of pinch area. Result was broken bone at tip of thumb
and stitches were required.
This Early Information Bulletin provides preliminary information; a detailed investigation is pending. For internal use only.
This document is provided for information purposes only and is not and must not be construed as providing technical advice. If such advice or assistance is necessary, the services of an appropriate qualified professional should be retained.
You must not rely on this document to address any general or specific questions that may apply to your operations or to a particular set of facts. Shell Exploration and Production Co. and its affiliates make no claim, representation or warranty,
express or implied, as to the completeness, correctness or usefulness of this document to produce any particular results with regard to the subject matter contained herein or that this document will satisfy the requirements of any applicable
federal, state or local laws and regulations. Shell Exploration and Production Co. and its affiliates make no representation or express or implied warranty and assumes no liability of any kind, resulting from the use or reliance on this
document. EIB Template 27 Aug 2010
UA Onshore Gas Wells Early Information Bulletin
Insert photo or diagram in this box. Take photos on “low”
resolution. Use contrasting Arial bold font for any text descriptions.
GENERAL PROCEDURE FOR EIB HANDLING
Step 1 – Be sure that you have deleted any other templates
previously used. This template is the only one currently valid to use in
Onshore Gas
Step 2 - When the EIB is completed, send it to your HSE Supervisor
for second level review. He/she will review it and forward it to the
HSE Operations Manager for third level review.
Step 3 - The HSE Operations Manager will review the EIB and submit
it to the EIB focal point for final review and quality checks, addition to
FIM & Livelink, and distribution.
Pinch Area
33. Restricted
RWC – LACERATED HAND WHILE WASHING OUT DRILL PIPE
Preliminary Information Points:
• No specific or adequate JSA or TRIC card
was developed for this specific task.
• Impact resistant gloves were not worn.
• All workers to be clear of pinch points,
prior to operate top drive.
• Ensure JSA or TRIC card are in place,
including a discussion to address Hands
On - Hands Off and specific pinch points
potential areas.
• Ensure proper maintenance of critical
component.
• Verify/inspecting equipment.
• Investigate new design to protect the
driller’s console from surrounding
elements.
RWC - LACERATED HAND – After finishing a cement job, the crew was tripping out of the hole. Between joints, a worker
was washing out drill pipe when the driller had lowered the top drive to prepare the next joint. When he released the top drive
control lever, ice that had built up on the lever mechanism caused the lever to not auto-retract into the neutral position. This
resulted in the top drive’s continuing to lower toward the table, where it made contact with the water wand. The injured worker
was holding the wash wand when his hand was pinched between the handle of the wand and the drill pipe. The worker suffered
a laceration and a hairline fracture to the top of the hand.
This Early Information Bulletin provides preliminary information; a detailed investigation is pending. For internal use only.
This document is provided for information purposes only and is not and must not be construed as providing technical advice. If such advice or assistance is necessary, the services of an appropriate qualified professional should be retained.
You must not rely on this document to address any general or specific questions that may apply to your operations or to a particular set of facts. Shell Exploration and Production Co. and its affiliates make no claim, representation or warranty,
express or implied, as to the completeness, correctness or usefulness of this document to produce any particular results with regard to the subject matter contained herein or that this document will satisfy the requirements of any applicable
federal, state or local laws and regulations. Shell Exploration and Production Co. and its affiliates make no representation or express or implied warranty and assumes no liability of any kind, resulting from the use or reliance on this
document. EIB Template 27 Aug 2010
UA Onshore Gas Wells - Early Information Bulletin
Insert photo or diagram in this box. Take photos on “low”
resolution. Use contrasting Arial bold font for any text descriptions.
GENERAL PROCEDURE FOR EIB HANDLING
Step 1 – Be sure that you have deleted any other templates
previously used. This template is the only one currently valid to use in
Onshore Gas.
Step 2 - When the EIB is completed, send it to your HSE Supervisor
for second level review. He/she will review it and forward it to the
HSE Operations Manager for third level review.
Step 3 - The HSE Operations Manager will review the EIB and submit
it to the EIB focal point for final review and quality checks, addition to
FIM & Livelink, and distribution.
Pinch point
Contact points
Fountain #: 620117 Location: CAN UO: Insitu : Development: Albian Date: 5 Feb 2011
34. Restricted
Fountain #623483 Location: US GOM Date: 15 February 2011
Preliminary Informatoin Points:
• JSA was general and did not review
areas for safe and unsafe hand
placement.
• The JSA did not detail specific pinch
point hazards.
• Crews had not pulled tubing in
several months, which led to
improper planning.
RWC-FINGER PINCHED USING HYDRAULIC TONGS
This Early Information Bulletin provides preliminary information; a detailed investigation is pending. For internal use only.
This document is provided for information purposes only and is not and must not be construed as providing technical advice. If such advice or assistance is necessary, the services of an appropriate qualified professional should be retained. You must not rely on
this document to address any general or specific questions that may apply to your operations or to a particular set of facts. Shell Exploration and Production Co. and its affiliates make no claim, representation or warranty, express or implied, as to the
completeness, correctness or usefulness of this document to produce any particular results with regard to the subject matter contained herein or that this document will satisfy the requirements of any applicable federal, state or local laws and regulations. Shell
Exploration and Production Co. and its affiliates make no representation or express or implied warranty and assumes no liability of any kind, resulting from the use or reliance on this document.
UA Onshore Gas Wells Early Information Bulletin
WHAT HAPPENED: RWC-PINCHED FINGER While backing out a joint of tubing using hydraulic tongs, worker
was using the right “dominant hand” to operate tongs. The left “non-dominant hand” was placed on the base section
where the left thumb was pinched between the jaws and maintenance support bar. The job was stopped and the IP
reported to the rig medic for evaluation. The IP was found to have a laceration on the upper portion of the left thumb.
Worker was transported to a shore-based physician for further evaluation.
Pinch
Point
35. Restricted
Fountain #: 624474 Location: US-GOM Date: 18 Feb 2011
MTC-FINGER LACERATION WHILE LIFTING CRIBBING
Preliminary Information Points:
• The JSA was reviewed before lift was made;
however, the pinch point area of the cribbing was not
identified on the JSA .
• The weight of the cribbing was not identified before
lifting it manually. Contractor procedure is 50lbs per
man for manual lifting (cribbing weighed140lbs).
• Crew did not recognize alternative method of lifting
cribbing material.
What happened: The crane crew was in the process of re-arranging equipment associated with the coil
tubing operation and workers decided to relocate a 6"x8"x8' piece of cribbing (weighing 140lbs.) to another
location. Co-worker lifted one end of the cribbing to allow for the injured worker to place hands under the
other end. As the injured worker grasped the cribbing and started lifting the end, the co-worker’s end came
out of his hands. The cribbing fell to the deck and caught the injured worker's left middle finger in a pinch
point between the cribbing and the solid steel deck of the pipe rack area. The injured worker reported the
incident to supervisor and medic for treatment of laceration to end of finger.
This Early Information Bulletin provides preliminary information; a detailed investigation is pending. For internal use only.
This document is provided for information purposes only and is not and must not be construed as providing technical advice. If such advice or assistance is necessary, the services of an appropriate qualified professional should be retained.
You must not rely on this document to address any general or specific questions that may apply to your operations or to a particular set of facts. Shell Exploration and Production Co. and its affiliates make no claim, representation or warranty,
express or implied, as to the completeness, correctness or usefulness of this document to produce any particular results with regard to the subject matter contained herein or that this document will satisfy the requirements of any applicable
federal, state or local laws and regulations. Shell Exploration and Production Co. and its affiliates make no representation or express or implied warranty and assumes no liability of any kind, resulting from the use or reliance on this
document. EIB Template 27 Aug 2010
UA Onshore Gas Wells - Early Information Bulletin
36. Restricted
Learning Points
Hazard Recognition – failure to identify the hazard
JSAs – failure of JSAs in identifying the hazard
Hands on/Hands off requirements – proper hand placement
(discussion and in JSAs) – where are the pinch points?
Dropped Objects, Temporary Pipe Work awareness
SSEs – mentoring