This case presentation is an experience transfer triggered by the high criticality of the incident. Due to the nature of
the incident, it is not suitable for step-by-step discussions with questions, as per standard “Sharing to be better” format.
The key message is to focus on what can be learnt from these events. It is hoped that sharing lessons will be helpful in our efforts to avoid or reduce the likelihood and severity of well incidents. Any feedback will be greatly appreciated by the task force.