Corrective Actions and Recommendations:
Finding: Failure to honour the requirements in the well plan contributed to using incorrect test pressure requirements to verify surface integrity and a lack of proper mitigations for exposure to hydrates.
Recommendations:
- Establish a formal process or method to review the well plan as appropriate during well operations when circumstances change.
- Ensure the assumptions, limitations and risk mitigations in these documents are still being honoured.
Finding: Procedures do not specify when a deviation from the original well plan requires a risk assessment.
Recommendation: Establish a means to incorporate the proper level of risk assessment associated with the change.
Finding: Incorrect kick tolerance calculations allowed drilling to move forward with the shallowest kick-off point without requesting a deviation from well control management requirements.
Recommendation: Implement a process where critical calculations are cross checked prior to issuance.
Finding: Exposing a Hydrate Zone during intermediate drilling and pumping out of the hole prior to running casing lead to increased gas in the wellbore above the window.
Recommendations:
- Ensure a formal process or method is in place to review the subsurface risks during well operations when circumstances change.
- Create a short training course to refresh knowledge on the occurrence, behaviour and risk of hydrates, incorporating lessons learned from this incident.
Finding: Lack of Total Gas Detection capabilities contributed to the rig crew believing the sensor was faulty rather than being able to verify gas was present and led to the inability to identify the gas source.
Recommendation: Explore options for adding gas detection capability to the rig.
Finding: Loss of Primary Well Control due to gas dissociation with the hydrates resulted in underbalance to the free gas zone.
Recommendation: Initial gas influx not detected due to reverting back to normal well monitoring limits.
Finding: Delay in shutting-in the well led to the gain of an additional 25 bbls of influx.
Recommendation: Develop well control complexity drills for dealing with kicks generated while running casing with floats and low MASP scenarios.
|