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  • 2003 05 MOC Gear Box

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    Harshad Solanki
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    A mechanic was draining oil from a gear box when he connected an air hose. The gear box fractured, blowing a large piece off and onto the floor. Many pieces of equipment in a chemical plant are not designed for pressure. Before implementing a good idea, be alert to subtle changes that might not be safe.

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    A mechanic was draining oil from a gear box when he connected an air hose. The gear box fractured, blowing a large piece off and onto the floor. Many pieces of equipment in a chemical plant are not designed for pressure. Before implementing a good idea, be alert to subtle changes that might not be safe.

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    Attribution Non-Commercial (BY-NC)
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    12 views1 page

    2003 05 MOC Gear Box

    Uploaded by

    Harshad Solanki
    A mechanic was draining oil from a gear box when he connected an air hose. The gear box fractured, blowing a large piece off and onto the floor. Many pieces of equipment in a chemical plant are not designed for pressure. Before implementing a good idea, be alert to subtle changes that might not be safe.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    CENTER FOR CHEMICAL PROCESS SAFETY

    CCPS

    An AIChE Industry Technology Alliance

    PROCESS SAFETY BEACON


    Messages for Manufacturing Personnel
    May 2003
    Heres What Happened:
    A mechanic was draining oil from this large gear box. The oil was draining out very slowly, so he decided to speed the job up by connecting an air hose to push the oil out faster. It didnt take long for the results shown to happen. The cast iron gear box fractured, blowing a large piece off and onto the floor. Fortunately, no one was hurt.

    A GOOD IDEA CAN TURN BAD . . .

    Why Did This Happen?


    The gear box was not a pressure vessel More air was added than could be vented, so the pressure built up MOC was not used to review the change

    WHEN YOU IGNORE MANAGEMENT OF CHANGE!


    What Can You Do?
    Many pieces of equipment in a chemical plant are NOT designed for pressure. Check the equipment folder, but if there is no ASME code stamp, assume that it is not pressure rated. Adding air to the gear box was a change and should have been checked through the sites MOC process. Be alert to subtle changes that might not be safe.

    Heres What Should Happen:


    Good ideas improve operations and reduce risk every day. However, before implementing a good idea, it is essential to review the change to ensure that it doesnt introduce any new hazards or risks to the workplace. In this incident, the mechanic should have recognized what he was about to do as not like-in-kind and reviewed the change through the MOC process. This would have identified that the gear box was not designed for pressure.

    Not everything works better under pressure. Connect utility hoses with care !
    AIChE 2003. All rights reserved. Reproduction for non-commercial, educational purposes is encouraged. However, reproduction for the purpose of resale by anyone other than CCPS is strictly prohibited. Contact us at ccps@aiche.org or 212-591-7319. http://www.aiche.org/ccps/safetybeacon.htm

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