IdentificationOfEquipmentForMaintenance.ppt

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    Identification of equipment

    for maintenance

    An lpb toolbox talk

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    Identification of equipment

    for maintenance

    There are numerous cases of incidents occurring because

    equipment given to maintenance has not been properly identified.

    Yet these could have easily been avoided.

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    Case 1: Mistaken identity

    There were three crystallisers on a plant and a fourth was under

    construction.

    Two of them were labelled B and C, but the label on the third wasmissing and the label on the fourth had not yet been fitted.

    A maintenance fitter was asked to remove an instrument from

    item A.

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    Case 1: Mistaken identity

    The crystallisers were

    arranged as shown:

    Which would you say is A?

    ? (Old) B (Old)

    C (Old) ? (New)

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    Case 1: Mistaken identity

    The fitter went out onto the plant and saw the labels on B and C.

    He logically assumed that the other old crystalliser was A and that

    the new one, which still had scaffolding round it, would be D.

    He therefore removed the level controller from the old unlabelled

    crystalliser.

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    Case 1: Mistaken identity

    In fact the old, original items were labelled B, C and D and the

    new one was to be labelled A. When the plant was built, space

    was left for a possible future crystalliser and the letter A was left

    for it.

    Fortunately, the mistake was discovered before anyone was

    injured or any equipment damaged.

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    Case 2: Wrong joint broken

    A process supervisor phoned a shift fitter and asked him to come

    over and remake a joint. He expected the fitter to report to him

    but did not actually tell him to do so.

    The fitter went to the control room and reported to a process

    worker.

    The process worker assumed the fitter had seen the supervisorand that he had come to break a joint another job that had to be

    done. He showed the joint to the fitter.

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    The fitter broke the joint and a jet of liquid came out.

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    Case 2: Wrong joint broken

    No permit to work had been issued and the joint was not tagged.

    Issuing a permit-to-work would not have prevented liquid coming

    out of the joint when it was broken but the supervisor knew thatliquid might be trapped under pressure; he would have put this on

    the permit and would have asked for protective clothing to be

    worn.

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    Case 3: Flying saucers

    have landed!

    A welder was given a permit to modify a pipeline; however he

    started to weld on the wrong line.

    The line he was actually welding was a common vent line from

    three storage tanks containing a flammable liquid.

    The tanks were not blanketed with nitrogen so there was an

    explosive mixture in the vent pipe.

    The mixture ignited, the explosion travelled back along the ventpipe to the three tanks and their roofs were blown off.

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    An old lady living half a mile away telephoned the police to tell

    them, Martians have landed a few fields away from my cottage.

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    Things to remember

    Equipment which is given to maintenance should be clearly

    identified. If there is no permanent label it must be identified by

    fitting a numbered tag to the equipment and putting the tag on the

    clearance certificate.

    If a pipeline is to be modified the numbered tag should be fitted tothe pipeline at the point where it is to be cut or welded.

    Showing the equipment to the maintenance people or pointing it

    out is not sufficient.

    However busy we are, do not take short cuts when preparing

    equipment for maintenance. Stick to the rules.

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    Further information

    BP Process Safety Series: Control of Work (available from

    www.icheme.org/shop)

    ICI Safety Newsletters (downloaded from www.icheme.org/shop )

    http://www.icheme.org/shophttp://www.icheme.org/shophttp://www.icheme.org/shophttp://www.icheme.org/shop
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    Disclaimer

    Whilst the Institution of Chemical Engineers has made every

    effort to ensure the accuracy of the information contained in this

    training presentation, it remains the responsibility of those

    responsible for the operations to ensure that the regulations andguidance issued by the authorities are consulted, that an

    appropriate risk assessment is carried out and that appropriate

    procedures are stipulated and followed.