1.

2 IDENTIFICATION 15

FIGURE 1-9 Which is the A fan?

(d) Some pump numbers were painted on the coupling guards. Before
long, repairs were carried out on the couplings of two adjacent
pumps. You can guess what happened. Now, the pump numbers
are painted on the pump bodies. It would be even better to paint the
numbers on the plinths.
(e) On one unit the pumps and compressors were numbered J1001
onward. When the unit’s allocation of numbers was used up, num-
bers from JA1001 onward were used. J1001 and JA1001 sound alike
(say them aloud). An operator was asked to prepare JA1001—a
small pump—for repair. He thought the foreman said J1001 and
went to it. J1001 was a 40,000 HP compressor. Fortunately, the size
of the machine made him hesitate. He asked the foreman if he really
wanted the compressor shut down.

1.2.3 The Need for Clear Instructions

(a) A permit was issued for modifications to the walls of a room. The
maintenance workers started work on the ceilings as well and cut
through live electric cables.
(b) A permit was issued for welding on the top only of a tank, which
had been removed from the plant. When the job was complete, the
welders rolled the tank over so that another part became the top.
Some residue, which had been covered by water, caught fire.
(c) Because a lead operator on a chlorine storage unit was rather busy,
he asked the second operator to issue a permit for heat treatment of a
line. The second operator misunderstood his instructions and issued
a permit for the wrong line. The lead operator’s supervisor checked
the permit and inspected the heat treatment equipment but did not