Documente Academic
Documente Profesional
Documente Cultură
02-RIR
Document No.
( RIR )
Revision No. 05
Fertilizers Prepared on: 01.9.16
Ltd.
Unit / Section: Plant:
REF IRIR #
1 TITLE: Transmission failure of Wheel Loader TCM L-26 of NP Plant.
AREA OF INCIDENT: : NP
DATE OF INCIDENT: 29-11-2016
Plant
From: ______1500Hrs.
TOTAL DOWN TIME: Low load operation Hrs. : on 29-11-2016 to (not To: _________hrs.
determinted yet)
2 DESCRIPTION OF INCIDENT:
On 29-11-2016, TCM Wheel Loader was sent to Garage with complaint of high noise in forward gear shift. On opening
the gear oil sump, bearings balls were observed in the oil. The transmission system is still in dismantling phase. (details
will be shared later)
3 INCIDENT SEQUENCE
4 SEVERITY OF FAILURE:
Emergency
Risk Assessment
Process Safety Management of Change Preparedness
and Process
Information Technology and Contingency
Hazard Analysis
Planning
Visible
Management of Change Policies and
Mechanical Integrity Management
Facilities Principles
Commitment
Procedures and
Training and Effective Motivation and
Performance
Development Communication Awareness
Standards
Observations and
Incident Investigation
Audits
7 FACTS CONSIDERED / METHODOLOGY
8 CONCLUSION
ROOT CAUSE :
9 RECOMMENDATIONS ACTION BY COMPLETION DATE
NO
Ye
s
RCA Team member RCA Team Member RCA Team Member RCA Team Leader Approving Authority
Sign.
Name:
Design
Date