70: Out-of-date Documents Used
Definition/Typical Issues
Was the system for controlling documents inadequate or inappropriate? Did the system fail to provide methods for keeping documents up to date? Was there a failure to keep all official copies of each document updated? Were unofficial copies or outdated copies used in the field?
Were documents updated when changes were made?
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
- The PHA for a reactor was supposed to be updated every 5 years. However, it had not been updated as required. As a result, a significant hazard had not been identified.
Example 2
- Recently, a number of changes had been made in the facility. However, the reliability analyses had not been updated to reflect the new equipment.
Example 3
- A modification was performed to install a fired heater to replace one that was damaged during an incident. The change assessment indicated "No issues," even though the modification involved significant changes to the control system and alarm setpoints.
Typical Recommendations
- Establish a plan for maintenance of risk assessment records.
- Use software to update and maintain risk assessment records.
- Update risk assessment documents as part of modifications to the facility.
- Include the task of updating of risk assessment records in the document change tracking system.
- Solicit input from document users on required changes.
- Involve the document users in periodic reviews and updates of the documents.
- Search for and destroy unofficial copies of documents.
- Periodically conduct an audit to ensure that all official copies are updated.
Cross-References
| Version 10 Element(s) | |
|---|---|
| Node ID | Node Name |
| 104 | Documentation Content LTA or Not Kept Up-to-date |
| 105 | Control of Official Documents LTA |
| Maritime Element(s) | |
|---|---|
| Node ID | Node Name |
| 103 | Obsolete Documents Being Used |