(Note: presentation handout content was reformatted to improve viewing with browser.)INVESTIGATION CATALYST COMMENT FILEComment export example
As presently saved from Investigation Catalyst (RTF text file format)
- Why didn't solvent clean out ash in extruder? Timing of fire/solvent shutoff? [Comment Type: question] - Why did workers have to position themselves in harms way to remove the head? [Comment Type: question] - Why did Maintenance Tech remove bolts in sequence he did, and would another sequence have changed the outcome? [Comment Type: question] - Need to confirm that hot oil continued flowing to heat inlet line to PCT after shutdown before and after head blew off - did that contribute to heading of contents? [Comment Type: note] - Why didnšt HAZOP recommendation successfully control hazard? (Methodological problem) [Comment Type: question] - Why wasn't unsuccessful recommendation remedied when experience showed it was unsuccessful? (system problem) [Comment Type: question] - What was the impact trauma that killed 2 workers - tank cover or plastic from inside tank? - [Comment Type: question] - Why did Operators position selves with Maintenance Technician at head of PCT (if they did) [Comment Type: note] - What ignited fire in extruder? Why did it spread [Comment Type: question] - Who told whom what and why? [Comment Type: question] - What was data and rationale for this decision? Who made it? [Comment Type: question] - Find out what procedure is to learn from incidents [Comment Type: note] - Find out why air could get into the extruder, providing oxygen for fire?? [Comment Type: question] Example of how it would be used Above file is converted to text file in Word, and columns are added by user at useršs discretion
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