Page 9 - Flip IOCL Book.cdr
P. 9

Case 5                               Date: 23.12.2018                      Time: 09:30 hrs.



             Incident

            TF#4 MOUND at South west corner and east side of 68-TB-4B got caved in due to over flow of water from
            68-TB-4B during hydro-testing.


             Root Cause

            Due to unavailability of water draining system on
            Mound, Water overflowed and got ingress inside
            the mound, thereby resulted in settlement of
            mound.





















             Recommendations

           1. System/procedure defining roles and responsibilities as per statutory standard and guidelines to be
              prepared  afresh  in  Sop  and  circulated  among  all  concerned  including  production,  maintenance,
              inspection and civil. Also the same to be made available at PR and PNC intranet portal.

            2.  Provide peripheral drain on top of mounded bullet.


            3.  To prevent ingress of water on the sloped sides, water proofing by feasible means to be taken up.

            4.  East and south side of the Bullet 68-TB-4B, which had caved  in, is to be filled with sand & covered with
              PCC.

            5.  Separate work permits involving various tabulated steps of hydro test to be given to individual
              departments by production dept.

            6.  Provision of a temporary vent line up to grade level during hydro test to be made.


            7.  JSA to be followed and JSA observation to be included in critical task.














                                                            7
   4   5   6   7   8   9   10   11   12   13   14