102: Change Assessment Timing/Implementation Issue

Node Change Assessment Timing/Implementation Issue

Definition/Typical Issues

Was there a failure to perform the change assessment in a timely manner? Was there a failure to implement corrective actions identified in the change review?

Examples

Example 1

  • A management of change assessment of a flare modification was performed, but not until after the modification had been performed and used. This violated company policy, but did not result in a failure.

    Note: This incident is a near miss.

Example 2

  • During a turnaround (or outage), some of the change assessments could not be processed before the plant was ready for startup. As a result, the plant startup was performed without completing all of the change assessments. Plant startup had to be delayed because some of the modifications were not properly implemented.

Typical Recommendations

  • Enforce requirements to have change assessments completed prior to performing the modification.
  • Ensure that personnel are notified of upcoming changes in a timely manner.

Cross-References

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

 

Maritime Element(s)
Node ID Node Name
97 Change Review Issue
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