140: Appropriate Procedure Incorrect/Incomplete
Definition/Typical Issues
Was the procedure incorrect? Did the procedure fail to address a situation that occurred during performance of the task? Is the procedure inconsistent with the installed equipment?
Examples
Example 1
- A mechanic made a mistake calibrating a level alarm because the procedure specified the wrong limits. As a result, the alarm failed to annunciate during an emergency.
Example 2
- An operator ruined a batch of product when he incorrectly operated the computer control system. New software had been installed, but the procedure had not been updated to be consistent with the new software.
Typical Recommendations
- Ensure that procedures are technically reviewed.
- Perform a walkthrough of procedures.
- Instill a practice of identifying errors in procedures; correct errors in a timely manner.
Cross-References
| Version 10 Element(s) | |
|---|---|
| Node ID | Node Name |
| 130 | Wrong/Incomplete |
| Maritime Element(s) | |
|---|---|
| Node ID | Node Name |
| 135 | Wrong/Incomplete |