INQ177

Recommendations for this Inquiry

INQ-ref REC-UID CODE SubCode SrcNUM Recommendation
INQ177 REC144-3387 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 9 (8.29)

In order that the ACT public can be reassured about the project management and financial planning in relation to the Fairbairn site as a proposed centralised accommodation facility for emergency services, the Auditor-General undertake a review of the project from a financial probity and project m

INQ177 REC177-3274 A - Responsibility 21 - Role of Commonwealth Government Recommendation 1

The Minister should appoint a senior policy adviser to investigate and report on the best means to implement the recommendations contained in this Chapter 3 of this report.

INQ177 REC177-3275 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 2

Well Operations Management Plan (WOMPs) submitted by licensees to the regulator(s) should continue to be the primary framework document for achieving well integrity.

INQ177 REC177-3276 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 3

WOMPs should be comprehensive and freestanding, rather than an overarching document cross‐referencing many other documents (although the Inquiry also recommends a freestanding well control manual; this should be a guide to rig and onshore personnel on good oilfield practice).

INQ177 REC177-3277 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 4

The concept of ‘good oilfield practice’ should be supplemented by the requirement to incorporate into WOMPs non‐exhaustive minimum compliance standards in relation to well control: for example, stipulations as to when BOPs and/or well control systems must be in place and when they can be removed

INQ177 REC177-3278 E - Agency Organisation 29 - Operational Health and Safety Recommendation 5

Well construction and management plans should include provision(s) for reviewing the integrity of barriers at safety‐critical times or milestones, such as (i) prior to suspension involving departure of the rig from the platform; (ii) prior to re‐entry of a well after suspension; (iii) prior to re

INQ177 REC177-3279 E - Agency Organisation 29 - Operational Health and Safety Recommendation 6

Well construction and management plans, and drilling programs, should include provision for testing and verifying the integrity of all barriers as soon as practicable after installation.

INQ177 REC177-3280 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 7

Well construction and management plans should include provision for an independent compliance review of well integrity (i) in the event of stipulated triggers; and (ii) at least once in the period between perceived achievement of well integrity and production.

INQ177 REC177-3281 E - Agency Organisation 29 - Operational Health and Safety Recommendation 8

Wellbore gas bubbling should be regarded as a trigger for independent review of well integrity. Industry and regulators should identify and document other triggers.

INQ177 REC177-3282 E - Agency Organisation 29 - Operational Health and Safety Recommendation 9

If a risk assessment or compliance review is triggered by the happening of a predetermined event, specific consideration should be given to whether a ‘hold point’ should be introduced such that work must cease until the problem is resolved (and the subject of appropriate certification).

INQ177 REC177-3283 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 10

A separate, identifiable barrier manual should be agreed upon and used by licensees, rig operators, and cementing contractors. These manuals should set out best industry practice in relation to achieving and maintaining well integrity.

INQ177 REC177-3284 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 11

Memoranda of Agreement should be entered into between operators in relation to provision of emergency assistance in the event of blowouts.

INQ177 REC177-3285 B - Preparedness 39 - Disaster Risk Management Recommendation 12

Pre‐drilling assessments should include a risk assessment of the worst‐case blowout scenario.

INQ177 REC177-3286 B - Preparedness 39 - Disaster Risk Management Recommendation 13

Problems which arise in the course of installing barriers must be the subject of consultation between licensees, rig operators, and contractors (if used).

INQ177 REC177-3287 A - Responsibility 38 - Agency/Department Reporting Recommendation 14

Licensees should be subject to an express obligation to inform regulators of problems which arise in the course of installing barriers, even if they consider that well integrity is not thereby compromised.

INQ177 REC177-3288 E - Agency Organisation 29 - Operational Health and Safety Recommendation 15

As soon as a risk of barrier failure arises, no other activities should take place in the well other than those directed to removal of the risk.

INQ177 REC177-3289 B - Preparedness 39 - Disaster Risk Management Recommendation 16

The use/type of barriers (including any change requests relating thereto) must be the subject of consultation between licensees and rig operators prior to installation. A proper risk assessment should be carried out, agreed upon, and documented in writing before installation.

INQ177 REC177-3290 A - Responsibility 38 - Agency/Department Reporting Recommendation 17

The successful installation of every barrier should be the subject of written verification within and between licensees and rig operators; and should be the subject of explicit reporting to the relevant regulator(s).

INQ177 REC177-3291 B - Preparedness 39 - Disaster Risk Management Recommendation 18

Removal of a barrier must be the subject of consultation between licensees and rig operators prior to removal. A proper risk assessment should be carried out and agreed upon, and documented in writing before removal.

INQ177 REC177-3292 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 19

Licensees should be subject to an express obligation to inform regulators of the proposed removal of a barrier, even if they consider that well integrity is not thereby compromised.

INQ177 REC177-3293 E - Agency Organisation 29 - Operational Health and Safety Recommendation 20

If a dispute arises between a licensee and a rig operator in relation to a well control issue, and is not resolved between them, the matter must be raised with the relevant regulator before discretionary operations proceed.

INQ177 REC177-3294 E - Agency Organisation 29 - Operational Health and Safety Recommendation 21

Perceived time and cost savings relating to any matters impacting upon well control should be subjected to rigorous safety assessment.

INQ177 REC177-3295 E - Agency Organisation 29 - Operational Health and Safety Recommendation 22

Wells drilled into hydrocarbon zones should be treated as live wells, with the potential to blowout unless a documented risk assessment establishes otherwise.

INQ177 REC177-3296 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 23

Use of single strings of intermediate casing to penetrate hydrocarbon bearing zones should be carefully risk assessed. Multiple strings of intermediate casing have the advantage of isolating lost circulation zones and sealing off anomalous pressure zones.

INQ177 REC177-3297 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 24

A minimum of two barriers should be in place at all times (including during batched operations) whenever it is reasonably practicable to do so.

INQ177 REC177-3298 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 25

Reliance upon one barrier against a blowout must not take place except with the prior written approval of the relevant regulator and then only in a true emergency situation (see below).

INQ177 REC177-3299 E - Agency Organisation 29 - Operational Health and Safety Recommendation 26

Regulatory approval to rely on only one barrier should not be given unless (i) a proper risk assessment is carried out; (ii) exceptional circumstances exist; and (iii) risks involved are reduced to ‘as low as reasonably practicable’.

INQ177 REC177-3300 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 27

Licensees and rig operators should install an additional barrier whenever (i) there is any real doubt as to the integrity of any barrier; (ii) whenever the risk of flow from a reservoir increases materially in the course of operations; and (iii) where the consequences of a blowout are grave (for

INQ177 REC177-3301 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 28

The industry standard of two barriers should be replaced with the concept of ‘two or more barriers’ as a minimum standard. A minimum standard when operations proceed normally should never be regarded as a sufficient standard in other circumstances.

INQ177 REC177-3302 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 29

Industry, regulators, and training/research institutions should develop standards that address best practices for cementing operations (including liaising, as appropriate, with overseas regulators) with a view to overcoming problems which can effect the integrity of cemented casing shoes, annulus

INQ177 REC177-3303 E - Agency Organisation 29 - Operational Health and Safety Recommendation 30

Tracking and analysis of cementing problems/failures should occur to assess industry trends, principal causes, remedial techniques and so on.

INQ177 REC177-3304 F - Research and technology 26 - Research Recommendation 31

It is recommended that industry, regulators, and training/research institutions liaise with one another with a view to developing better techniques for testing and verifying the integrity of cemented casing shoes as barriers (particularly in atypical situations such as where the casing shoe is lo

INQ177 REC177-3305 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 32

Cement integrity should be evaluated wherever practicable by way of cement evaluation tests, rather than relying on pre‐operational calculations of cement and displacement fluid volumes.

INQ177 REC177-3306 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 33

It should be standard industry practice to re‐test a cemented casing shoe (that is, after WOC) whenever the plugs do not bump or the float valves apparently fail. Standard industry practice should require consideration of other tests in addition to a repeat pressure test.

INQ177 REC177-3307 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 34

Any indication of a compromised cemented shoe which cannot be resolved with a high measure of confidence should result in the installation of additional well control barrier(s).

INQ177 REC177-3308 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 35

Volumes of cement used in connection with barrier installation should be calculated with the assistance of a pro‐forma which records all relevant baseline data, which should be verified by onshore personnel.

INQ177 REC177-3309 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 36

If performance of barrier installation is outsourced by a licensee, the contractor (for example, the cementing company) should be engaged on terms which clearly require the provision of expert advisory services by the contractor with respect to barrier integrity.

INQ177 REC177-3310 D - Recovery 6 - Insurance and legal liability Recommendation 37

Consideration should be given to ways to ensure that contractors who are involved in barrier installation (such as cementing companies) have a direct interest in the performance of works to a proper standard.

INQ177 REC177-3311 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 38

Horizontal or high angle penetration of a reservoir should be avoided wherever practicable until such time as the apparent problems associated with the cementing of a casing shoe in these situations are satisfactorily overcome.

INQ177 REC177-3312 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 39

The BOP and rig should not move from a well until barrier integrity has been verified.

INQ177 REC177-3313 32 - Doctrine, standards, and reform Recommendation 40

Barriers should not be installed or removed off‐line. The derrick should be located over a well at the time of removal and installation of any barrier. This will enable more decisive action to be taken in the event a problem arises.

INQ177 REC177-3314 32 - Doctrine, standards, and reform Recommendation 41

Secondary barriers (including PCCCs) should only be installed, tested, and removed with a BOP in place unless a documented risk assessment indicates that well control can be maintained at all times.

INQ177 REC177-3315 32 - Doctrine, standards, and reform Recommendation 42

PCCCs should be installed in a timely manner (for example, to prevent corrosion in the MLS apparatus). Non‐installation in order to park a BOP is not acceptable.

INQ177 REC177-3316 32 - Doctrine, standards, and reform Recommendation 43

Wells should be re‐entered with a BOP in place unless a documented risk assessment indicates that well control can be maintained at all times.

INQ177 REC177-3317 32 - Doctrine, standards, and reform Recommendation 44

Any equipment (including PCCCs) used as, or to install, a barrier should be manufactured for that purpose and be generally recognised as fit for purpose.

INQ177 REC177-3318 32 - Doctrine, standards, and reform Recommendation 45

Manufacturers should be consulted about how to address non‐routine operational problems affecting their well control equipment.

INQ177 REC177-3319 32 - Doctrine, standards, and reform Recommendation 46

Drilling programs dealing with barrier installation should incorporate relevant aspects of manufacturer’s instructions.

INQ177 REC177-3320 32 - Doctrine, standards, and reform Recommendation 47

Any pro‐formas used by licensees, rig operators and contractors for recording information about installation of barriers should explicitly provide for ‘exception reporting’, that is, the form should include provision for recording any unforseen or untoward events which occur in the course of inst

INQ177 REC177-3321 E - Agency Organisation 29 - Operational Health and Safety Recommendation 48

Careful consideration must be given to equipment compatibility as part of well construction design.

INQ177 REC177-3322 32 - Doctrine, standards, and reform Recommendation 49

Batched drilling operations should only be undertaken after careful assessment of the special risks which such operations give rise to; well control must be maintained during the course of batched drilling operations.