Learning Moment 5 Apr 2016 Evacuation - Safety Moment Smoke entered the cabin when one exit was opened. This exit was declared unsafe and immediately closed, resulting in one less emergency exit.Passengers ignored safety protocols and grabbed their bags before exiting.Wheeled cases could have ripped the escape slides, rendering them unusable and preven… View Learning Moment
Alert 5 Apr 2016 Stabbing Board Maintenance Failure The IP first tested the upward function of the board by hoisting the carriage up a couple of feet. When attempting to move the carriage back down, the Sky Locks engaged (still under investigation). Inadvertently the IP looked up at the hoist and operated the throttle down thinking the hoist was the… View Alert
Alert 29 Feb 2016 Use of barrier glands in potentially explosive atmospheres There is a difference between the current IEC 60079-14: 2013 Standard and previous versions of BS EN 60079-14:2018 and IEC 60079-14:2007 for using electrical equipment in potentially explosive atmospheres. The IEC Standard allows the Duty Holder to use a 'standard' Ex certified flameproof gland, as … View Alert
Alert 19 Feb 2016 Cracks in watercraft OEM maintenance pennants During routine 5-yearly NDT inspection, cracks were found in the bottom fork of the FPDs fitted to the Mills release gear on Watercraft lifeboats. Further investigation revealed similar failures on other boats fitted with this combination of equipment. Why it happened It is not currently known what… View Alert
Learning Moment 9 Feb 2016 Pipework clamp failure - Safety Moment The failure occurred due to incorrect manufacturing and the final material properties did not meet requirements; causing the clamp to fail. View Learning Moment
Learning Moment 8 Feb 2016 Pressure release when breaking containment - Safety Moment There was a sudden, uncontrolled release of pressure when the last retaining bolt was removed. The technician sustained injuries. View Learning Moment
Learning Moment 4 Jan 2016 Scaffolders detect leak - Safety Moment The leak was confirmed and the plant was safely shutdown. The leak came from a failed O-ring seal. View Learning Moment
Learning Moment 13 Nov 2015 Discharge flange connection from high pressure gas compressor - Safety Moment An inspection crew was conducting a proactive inspection of a gas export system using an infrared camera which looks for very small leaks (fugitive emissions). A small leak was observed around the flange using an infra red camera. A gas meter was applied and readings confirmed >20% LEL (Lower Exp… View Learning Moment
Learning Moment 26 Oct 2015 Choke manifold pressure test - Safety Moment Severe corrosion caused a thermowell to be ejected. View Learning Moment
Alert 26 Oct 2015 Catastrophic failure of pipework clamp connector (from HSE) The primary cause of failure of the clamp was due to hydrogen cracking. Evidence from this clamp and others checked later indicates that high hardness, with values in excess of 48-50HRC (Rockwell hardness value), being the underlying cause. High hardness increases the material's susceptibility to cr… View Alert
Learning Moment 30 Sept 2015 Dropped Object - Safety Moment A hinged roller unit dropped 40ft onto the drill floor, missing the nearest person by 4ft. View Learning Moment
Learning Moment 30 Sept 2015 Small Bore Tubing Failure - Safety Moment Fatigue failure of instrument tubing following a reinstatement of an incorrect orientation using incorrect fitting practices. View Learning Moment