Laserfiche WebLink
::., • <br /> Lineage <br /> II Form <br /> Root Cause Analysis(DO NOT USE TM NAME): Worn gland packing nut. <br /> Recommendations: <br /> 1. Replace of the gland packing nut parts, as per OEM specifications. <br /> 2. Review OEM recommendations for gland packing maintenance and regular replacement intervals. <br /> 3. Review the applicable procedures (i.e. operating/maintenance procedures) for alternating ammonia <br /> pumps. <br /> Root Cause <br /> Policies/Programs: Not applicable Communication: Not applicable <br /> Workplace Hazards: Not applicable Training: Not applicable <br /> Productivity Factors Not applicable Work Behaviors: Not applicable <br /> Facilities/Equipment:Yes. Environment: Not applicable <br /> Major cause or causes of the incident from the categories identified above: Facilities/Equipment <br /> 5 Why's Analysis/Notes: Refer to Facility 5 Why Analysis <br /> Corrective Action Addendum <br /> Incident Information: <br /> Unsafe workplace conditions: Not applicable <br /> Describe unsafe condition: Not applicable <br /> Unsafe acts by people: Not applicable <br /> Describe unsafe act: Not applicable <br /> Were the unsafe act or condition reported prior to the incident?: Not applicable <br /> Have there been similar incident or near misses prior to this one?: Not applicable <br /> Corrective Actions: <br /> Describe immediate action taken to eliminate unsafe condition: <br /> • The FMM re-tightened the valve (PR-2,33) and the gland packing nut and was able to stop leak. <br /> Page 3 of 5 <br />