36: Implementation Issue

Node Implementation Issue

Definition/Typical Issues

Was the periodic maintenance activity incorrectly performed? Was there a failure to service all required components? Were some items included on the schedule that were never performed?

Was there a failure to perform periodic maintenance at the specified (i.e., scheduled) frequency? Were some periodic maintenance tasks being skipped?

Note 1: This node addresses how often the periodic maintenance is actually done. Frequency Specification Issue (#35) addresses how often the task was supposed to be performed.


Examples

Example 1

  • An inexperienced mechanic incorrectly installed a pump seal during periodic maintenance, which subsequently leaked. He inserted one of the rubber seals backwards. The procedure provided no guidance other than to "install the rubber seals."

Example 2

  • Periodic maintenance (a calibration) was being performed on a scale every 3 months. The required calibration frequency had been changed to once per month about 2 years ago after the company was fined for shipping overloaded trucks. However, the instrumentation technicians still performed the calibration only once every 3 months.

Example 3

  • A pump failed soon after installation, far short of the life expectancy of the pump. Investigation revealed that the pump had been stored in the warehouse for a long time. During the storage, no periodic maintenance, such as cleaning and lubrication, had been performed as specified in the manufacturer's instructions for storage.

Example 4

  • An electrician was performing a maintenance check on a pressure instrument. During performance of the check, a high pressure signal was simulated in the instrument loop. Because the loop was not properly isolated, it resulted in a pressure relief valve lifting and a release to the environment.

Typical Recommendations

  • Review maintenance procedures to ensure that they provide adequate guidance based on the experience level of personnel.
  • Provide training for personnel on periodic maintenance techniques.
  • Review the periodic maintenance schedule and completed work requests to ensure that all required activities are being performed.
  • Perform post-maintenance testing to ensure that the maintenance is properly performed.
  • Ensure that periodic maintenance tasks are being performed as specified.
  • Perform maintenance activities in accordance with the equipment reliability program.
  • Include steps in repair procedures to ensure that equipment is fit for service when it is turned over to the production team.

Cross-References 

Version 10 Element(s)
Node ID Node Name
35 Activity Implementation LTA

 

Maritime Element(s)
Node ID Node Name
44 Implementation Issue
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