107: Recommendation Identification Issue

Node Recommendation Identification Issue

Definition/Typical Issues

Were actions unsuccessful in controlling risk? Should other actions have been identified? Did the actions fail to address the causes and consequences identified in the analysis?

Typical analyses addressed by this node include:

  • Process hazard analyses
  • Hazard and operability analyses
  • Reliability analyses
  • Security vulnerability analyses
  • Failure modes and effects analyses
  • Reliability-centered maintenance analyses
  • Enterprise risk management analyses
  • Project risk management analyses
  • Fault tree analyses
  • Event tree analyses
  • Probabilistic risk assessments
  • Job safety analyses

Note 1: This node addresses situations where the analysis identified the correct hazards, causes, and consequences, but incorrect or ineffective recommendations are specified. Situations where the incorrect hazards, causes, and consequences have been identified are addressed by the Analysis Issue (#106) node.

Examples

Example 1

  • As part of a process hazard analysis of a chlorine unloading system, the team recommended installation of multiple check valves to prevent back flow of liquid chlorine into the air compression system. However, the check valves were not very reliable, and a large release of chlorine occurred when a relief valve in the air compressor system lifted.

Example 2

  • During a reliability-centered maintenance analysis, the team recommended performing condition-based maintenance on a pump. This maintenance strategy was relatively ineffective because the pump was a standby pump that ran infrequently. Fault-finding maintenance would have been more effective in identifying the types of issues that caused the pump to be unreliable.

Typical Recommendations

  • Involve a multidisciplinary team in identifying actions to ensure that the issue is appropriately addressed.
  • Refer design/development of actions to specialists when teams have difficulty identifying practical solutions.
  • Develop measures to determine the effectiveness of actions.
  • Define a list of preferred risk controls.
  • Document the residual risk left after implementation of recommendations.

Cross-References

Version 10 Element(s)
Node ID Node Name
74 Review LTA or Not Performed

 

Maritime Element(s)
Node ID Node Name
88 Ineffective Review
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