Cause & Consequence
- Uncontrolled release of a flammable gas or liquid
Incident Location
Fixed Installation
Incident Activity
Production operations
Specific Incident Equipment
Variable Volume Pocket o-ring seal
Lessons Identified
• O-ring was not properly installed but the system passed a pressure test
• Installation in congested area may have caused problems
• Bolt under tensioning allowed gas to pass at discrete location on the o-ring
• Torque wrench was in certification but calibration was suspected as incorrect
Incident Recommendations
• Care needed when installing o-rings in congested areas as they may be misaligned or become damaged.
• Check calibration of torque wrenches regularly
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