68: Documentation Content Inaccurate or Incomplete

Node Documentation Content Inaccurate or Incomplete

Definition/Typical Issues

Were there errors or omissions in the content of the documents?

Do documents fail to contain all of the required information? Do documents used by personnel have markups to make them useful?

Did the risk assessment documents contain confusing or contradictory information?

Examples of documents that are addressed by this node include:

  • HAZOP (hazard and operability) analysis
  • PHA (process hazard analysis)
  • RCA (root cause analysis)
  • FMEA (failure modes and effects analysis)
  • Reliability program analysis
  • Inspection analysis
  • Management of change
  • Readiness reviews

Examples

Example 1

  • When performing an FMEA, a number of components were left off the equipment list. As a result, some equipment that was not analyzed had low availability.

Example 2

  • The RCA documentation contained a number of factual errors. As a result, the recommendations that were implemented did not solve the problems and wasted resources.

Example 3

  • An FMEA of a conveyor had been performed. However, the only documentation produced by the analysis was the recommendations. The facility had difficulty prioritizing implementation of the recommendations because it did not have any of the backup information.

Example 4

  • A HAZOP analysis included cross-references between causes and consequences of different deviations. However, when additional deviations were added, the cross-references were not updated.

Example 5

  • An investigation team was attempting to determine whether a previous incident investigation team had performed tests on a level sensor. The documentation of the previous incident investigation did not indicate whether testing was performed, and no backup data could be located.

Typical Recommendations

  • Provide a review process to ensure that risk assessment records are accurate and complete.
  • Establish a plan for maintenance of risk assessment records.
  • Use software to update and maintain risk assessment records.
  • Develop criteria for the thoroughness of change assessment documentation.
  • Provide examples of appropriate change assessment documentation for different types of changes.
  • Develop methods for controlling access and changes to documents.
  • Develop methods for approving changes to documents.
  • Compile hazard information, process technology information, and process equipment information.
  • Keep a running summary log of all management of change (MOC) reviews to aid in day-to-day management of the MOC process.
  • MOC review packages should be prepared and retained, and they should contain materials and information used by reviewers and authorizers to perform the review.
  • Prepare readiness review documentation that contains the review completion form and the readiness rationale.

Cross-References

Maritime Element(s)
Node ID Node Name
101 Documentation Content Inaccurate or Incomplete
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