• Published: 16 Jun 2011
  • Incident ID: 3194

Retaining bolts to Methanol filter not fitted to pressurised vessel

Cause & Consequence

  • Other
Incident Consequence

Incident Location

Onshore terminal

Incident Activity

Onshore fabrication, repair

Incident Info Source

Specific Incident Equipment

Methanol Filter

Lessons Identified

Management of change and project handover not adequate.Training requirements not identified.

Incident Recommendations

Install or confirm that correct specification retaining bolts have been fitted. Generate an operating instruction that contains all relevant information. Perform a risk assessment to cover removal and replacement of filters. Provide instruction, information and training to all maintenance and operations personnel in the correct isolation, depressurisation and closing tecniques for these filter. Obtain a PECO closure name plate and inatall on door to contain valuable correct information to aid understanding. Present incident findings to workforce at next safety meeting. All assets to check similar filters for retaining bolts if relevant to their area of operations.

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