Proceedings of the Eighth International Conference on Probabilistic Safety Assessment & Management (PSAM)
270 Use of Visualised Work Processes as an Organisational Tool to Illustrate and Discuss Roles, Responsibility, Collaboration and Risk (PSAM-0169)
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During work in well P-31A on Snorre A on the 28th of November 2004, a gas blow-out occurred on the seabed with subsequent gas on and under the facility. The gas flow was halted and the well was stabilized at 10:22 hours on the 29th of November 2004. On the 29th of November 2004, the PSA appointed an investigation group which has identified non-conformities and improvement areas. These can be categorized as follows:
• Lack of compliance with governing / controlling documents
• Inadequate understanding and implementation of risk assessments
• Inadequate management involvement and violation of...