Scribd Logo
Upload

Welcome to Scribd!

  • Root Cause Analysis Practice Case Study

    Uploaded by

    adrian
    33 views5 pages
    The document summarizes a root cause analysis of a motor driven fire pump failure conducted by a group of students. The analysis identified three potential parts failures: a motor outboard bearing failure, pump packing seal failure, or impeller failure. Using a 5P's paradigm and logic tree analysis, the group determined the root causes were likely improper installation due to an unleveled foundation and lack of training, resulting in vibration and misalignment that led to bearing failure. The risk level for this problem was deemed a Category C2 or urgent issue requiring immediate attention.

    Original Description:

    Original Title

    Root-Cause-Analysis-final

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document summarizes a root cause analysis of a motor driven fire pump failure conducted by a group of students. The analysis identified three potential parts failures: a motor outboard bearing failure, pump packing seal failure, or impeller failure. Using a 5P's paradigm and logic tree analysis, the group determined the root causes were likely improper installation due to an unleveled foundation and lack of training, resulting in vibration and misalignment that led to bearing failure. The risk level for this problem was deemed a Category C2 or urgent issue requiring immediate attention.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    33 views5 pages

    Root Cause Analysis Practice Case Study

    Uploaded by

    adrian
    The document summarizes a root cause analysis of a motor driven fire pump failure conducted by a group of students. The analysis identified three potential parts failures: a motor outboard bearing failure, pump packing seal failure, or impeller failure. Using a 5P's paradigm and logic tree analysis, the group determined the root causes were likely improper installation due to an unleveled foundation and lack of training, resulting in vibration and misalignment that led to bearing failure. The risk level for this problem was deemed a Category C2 or urgent issue requiring immediate attention.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 5

    Root Cause

    Analysis CABRERA,JAMES MATTHEW C.

    Practice Case CERVANTES, MARVIN C.

    Study GARCIA, ADRIAN I.

    NAVARRO, JERWIN B.

    TALLARA, KEVIN WAYNE C.

    TOLENTINO, BRYLLE DOMINIQUE V

    MEMBERS
    SUMBMITTED TO:
    ENGR. REYNALDO FRANCISCO
    5P’S
    Parts Paradigm
    • Motor Outboard bearing • Experience-based only
    • Pump packing seal • “Relies on what the eyes
    • Impeller can see” ex. Looking but
    not measuring/examining
    Position coupling bolts
    • Machine on uneven
    grounding Paper
    • Drawing and Design of
    People machine foundation
    • Contractor • QC inspection
    • Safety Officer • CMMS
    • Maintenance
    RISK RANK
    Based on the given, our risk
    rank for this problem is C2 or
    urgent because of the
    following:
    • Incurring repair cost of
    more than 10M (sum).
    Category C.
    • Failed many times in the
    past years. Probability of 2.
    Conclusion
    This problem needs URGENT
    attention and immediate RCA
    LOGIC TREE ANALYSIS
    MOTOR DRIVEN FIRE PUMP FAILURE
    or

    PUMP PACKING SEAL MOTOR OUTBOARD BEARING FAILURE IMPELLER FAILURE


    FAILURE
    or

    LUBRICATION VIBRATION WEAR AND TEAR


    or
    IMBALANCE MISALIGNMENT OF BENT SHAFT
    SHAFT
    and
    INSTALLATION ERROR COUPLING BOLTS
    HR and HR PR and PR
    UNLEVELED GROUNDING OLD COUPLING BOLTS SUB-STANDARD COUPLING
    LACK OF KNOWLEDGE
    BOLTS
    LR AND TRAINING
    INSTALLATION
    PROCEDURE INADEQUATE

    You might also like