IdentificationOfEquipmentForMaintenance.ppt
Transcript of 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.