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ROOT
CAUSE
FAILURE ANALYSIS
I
ROOT
CAUSE FAILURE
ANALYSIS
PLANT ENGINEERINGMAINTENANCE SERIES
Vibration Fundamentals
R.
Keith
Mobley
Root CauseFailureAnalysis
R.
Keith
Mobley
Maintenance Fundamentals
R.
Keith
Mobley
ROOT
CAUSE FAILURE
ANALYSIS
R.
Keith
Mobley
Newnes
Boston Oxford Auckland Johannesburg Melbourne New
Delhi
Newnes is
an
imprint of Butterworth-Heinemann.
Copyright
0
1999 by Butterworth-Heinemann
a
A member
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the Reed Elsevier group
All rights reserved.
No part of
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Recognizing the importance of preserving what has been written, Butterworth-Heinemann
prints its books on acid-free paper whenever possible.
Library
of
Congress Cataloging-in-Publication Data
Mobley, R. Keith, 1943-
Root causefailureanalysis
/
by
R.
Keith Mobley.
Includes index.
ISBN 0-7506-7 158-0 (alk. paper)
1. Plant maintenance.
p. cm.
-
(Plant engineeringmaintenance series)
2. System failures (Engineering)
I.
Title.
11.
Series.
TS192.M625 1999
658.2’024~2 1 98-32097
CIP
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IO9
8
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6
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4 3
Printed in the United States of America
CONTENTS
Part
I
Introduction to RootCauseFailureAnalysis
Chapter
1
Introduction
Chapter 2 General Analysis Techniques
Chapter
3
Chapter
4
Safety-Related Issues
Chapter
5
Regulatory Compliance Issues
Chapter
6
Process Performance
Root CauseFailureAnalysis Methodology
Part
I1
Equipment Design Evaluation Guide
Chapter
7
Chapter
8
Chapter
9
Chapter 10
Chapter
I
I
Chapter 12
Chapter
13
Chapter 14
Chapter
15
Chapter
16
Chapter
17
Chapter
18
Pumps
Fans. Blowers, and Fluidizers
Conveyors
Compressors
Mixers
and
Agitators
Dust Collectors
Process Rolls
GearboxesReducers
Steam Traps
Inverters
Control Valves
Seals and Packing
i
3
6
13
58
67
73
75
77
07
112
173
137
153
164
171
187
1
93
302
‘20
vi
Contents
Part
III
Equipment Troubleshooting Guide
Chapter
19
Chapter
20
Chapter
21
Chapter
22
Chapter
23
Chapter
24
Chapter
25
Chapter
26
Chapter
27
Chapter
28
Chapter
29
Chapter
30
Chapter
3
1
Pumps
Fans,
Blowers,
and
Fluidizers
Conveyors
Compressors
Mixers and Agitators
Dust Collectors
Process
Rolls
Gearboxes or Reducers
Steam
Traps
Inverters
Control Valves
Seals and Packing
Others
List of Abbreviations
Glossary
References
Index
237
239
246
25
1
254
264
266
269
27
1
276
278
280
282
285
288
29
1
305
306
Part
I
INTRODUCTION TO ROOT
CAUSE FAILUREANALYSIS
[...]... step-by-step guide for evaluating most recurring and serious incidents that may occur in a chemical plant Part One, Introduction to Root Cause Failure Analysis, presents analysis techniques used to investigate and resolve reliability-related problems It provides the basic methodology for conducting a rootcausefailureanalysis (RCFA) The procedures defined in this section should be followed for all investigations... particular system failure 8 RootCauseFailureAnalysis rn Define top event Establish boundaries - m Understand system 7 Construct fault tree 1 I Analyze tree Take corrective action Figure 2-2 ljpical fault-tree process called the top event, and basic failures or causes, called primary events Top events can be broad, all-encompassingsystem failures or specific component failures Fault-tree analysis provides... of the machine types found in a chemical plant This part includes quick-reference tables that define the common failure or 3 4 RootCauseFailureAnalysis deviation modes These tables list the common symptoms of machine and processrelated problems and identify the probable cause( s) PURPOSE OF THE ANALYSIS The purpose of RCFA is to resolve problems that affect plant performance It should not be an attempt... fault events by event statements and logic gates General Analysis Techniques + i/, ' ~~ ,/ Pnmry Fuse Failure )t ~ + L 7 Pnmary W h g Fadwe (Shorhd) / 9 (Closed) \ A ' \ Figure 2-3 Example of a fault-tree logic tree CAUSE- AND-EFFECT ANALYSIS Cause- and-effect analysis is a graphical approach to failureanalysis This also is referred to as jshbone analysis, a name derived from the fish-shaped pattern used... sequence of logical steps, starting with the analysis of lower-level subsystems or components Figure 2-1 illustrates a typical logic tree that results with a FMEA The analysis assumes a failure point of view and identifies potential modes of failure along with their failure mechanism The effect of each failure mode then is traced up to the system level Each failure mode and resulting effect is assigned... General Analysis Techniques q + disciplines 7 I ; i Acceptfailureeffed L Figure 2-1 Failure mode and effects analysis (FMEA)flow diagram Two major limitations restrict the use of FMEA: (1) logic trees used for this type of analysis are based on probability of failure at the component level and (2) full application is very expensive Basing logic trees on the probability of failure is a problem because... fish-shaped graph to plot the cause- effect relationship between specific actions, or changes, and the end result or event This approach has one serious limitation The jshbone graph provides no clear sequence of events that leads to failure Instead, it displays all the possible causes that 10 Root Cause Failure Analysis Figure 2-4 ljpicalfishbone diagram plots four categories o causes f may have contributed... P 6 Evaluate rnair&naIXd P 1 Devebp potential mot aua(s) 1 Verify c m by tednp a Figure 3-5 Flow diagram for equipment failure investigation Tart to verify mrmotlon Root Cause Failure Analysis Methodology 27 Analyze Sequence of Events Performing a sequence-of-events analysis and graphically plotting the actions leading up to and following an event, accident, or failure helps visualize what happened... replace them with known facts 3 ROOT CAUSE FAILURE ANALYSIS METHODOLOGY RCFA is a logical sequence of steps that leads the investigator through the process of isolating the facts surrounding an event or failure Once the problem has been fully defined, the analysis systematicallydetermines the best course of action that will resolve the event and assure that it is not repeated Because of the cost associated... with the person who first observed the problem Perceived Causes of Problem At this point, each person interviewed will have a definite opinion about the incident, and will have his or her description of the event and an absolute reason for the occurrence In 14 Root Cause Failure AnaIysis Methodology 15 I YOS _ Figure 3-I Initial mot causefailure analysis logic tree many cases these perceptions are totally . ROOT
CAUSE
FAILURE ANALYSIS
I
ROOT
CAUSE FAILURE
ANALYSIS
PLANT ENGINEERING MAINTENANCE SERIES
Vibration Fundamentals
R.
Keith
Mobley
Root.
Keith
Mobley
Root Cause Failure Analysis
R.
Keith
Mobley
Maintenance Fundamentals
R.
Keith
Mobley
ROOT
CAUSE FAILURE
ANALYSIS
R.
Keith
Mobley