Root Cause Analysis Guidance Document
US Department of Energy – DOE Guideline
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Metal Fatigue Failure
Metal fatigue is the common name used to describe the unexpected failure of metal parts by progressive fracturing while in service. The article is a basic introduction to the mechanism of metal fatigue failure. An introduction into accepted theories is provided and relevant design practices to reduce metal fatigue are presented and explained.
Metal fatigue is the common name used to describe the unexpected failure of metal parts by progressive fracturing while in service. The article is a basic introduction to the mechanism of metal fatigue failure. An introduction into accepted theories is provided and relevant design practices to reduce metal fatigue are presented and explained.

Root Cause Failure Analysis of Bearings According to ISO 15243
ISO 15243:2017 is a standard that classifies different modes of failure occurring in service for rolling bearings made of standard bearing steels. For each failure mode, it defines and describes the characteristics, appearance, and possible root causes of failure. The standard aims to assist in the identification of failure modes based on features that are visible on the rolling elements, raceways, and other functional surfaces.
ISO 15243:2017 is a standard that classifies different modes of failure occurring in service for rolling bearings made of standard bearing steels. For each failure mode, it defines and describes the characteristics, appearance, and possible root causes of failure. The standard aims to assist in the identification of failure modes based on features that are visible on the rolling elements, raceways, and other functional surfaces.

Anatomy of a Boiler Failure—A Different Perspective
The power industry’s operating and maintenance practices were held up to intense regulator and public scrutiny when on November 6, 2007, a Massachusetts power plant’s steam-generating boiler exploded and three men died. The Department of Public Safety’s Incident Report investigation determined that the primary cause of the Dominion Energy New England’s Salem Harbor Generating Station Unit 3 explosion was extensive corrosion of boiler tubes
The power industry’s operating and maintenance practices were held up to intense regulator and public scrutiny when on November 6, 2007, a Massachusetts power plant’s steam-generating boiler exploded and three men died. The Department of Public Safety’s Incident Report investigation determined that the primary cause of the Dominion Energy New England’s Salem Harbor Generating Station Unit 3 explosion was extensive corrosion of boiler tubes

Root Cause Analysis Chronic Events: Panning For Gold
What we need to do today is make management aware through education and awareness that our cultures live with these chronic events that typically end up costing 100 times more than the occasional sporadic event. Unfortunately, the sporadic events get all the attention. When our cultures are enlightened, we will begin to enjoy the fruits of our efforts in the form of return on investment (ROI) figures as high as 7000-8000 percent. Then the believers will come.
What we need to do today is make management aware through education and awareness that our cultures live with these chronic events that typically end up costing 100 times more than the occasional sporadic event. Unfortunately, the sporadic events get all the attention. When our cultures are enlightened, we will begin to enjoy the fruits of our efforts in the form of return on investment (ROI) figures as high as 7000-8000 percent. Then the believers will come.

Getting Root Cause Analysis to Work for You
Root Cause Analysis (RCA) is rapidly becoming another one of those “flavour of the month” TLAs (Three Letter Acronyms). Like all TLAs, it is easy to get carried away with the hype surrounding the approach. Inevitably, then, the reality doesn’t live up to the expectations created by the hype. But nevertheless, the appropriate application of Root Cause Analysis techniques can yield significant organisational and individual benefits. This paper discusses some of the practical issues surrounding the implementation of Root Cause Analysis processes within organisations, and in doing so, attempts to give some guidance to those wishing to obtain success from their Root Cause Analysis program.
Root Cause Analysis (RCA) is rapidly becoming another one of those “flavour of the month” TLAs (Three Letter Acronyms). Like all TLAs, it is easy to get carried away with the hype surrounding the approach. Inevitably, then, the reality doesn’t live up to the expectations created by the hype. But nevertheless, the appropriate application of Root Cause Analysis techniques can yield significant organisational and individual benefits. This paper discusses some of the practical issues surrounding the implementation of Root Cause Analysis processes within organisations, and in doing so, attempts to give some guidance to those wishing to obtain success from their Root Cause Analysis program.

Case Study: Root Cause on Seal Failure in Refinery
Many different factors contribute towards the failure of a pump. Some factors that did not seem to have contributed to earlier failures were not examined or considered and may become the cause of failure under other situations. Failures do not occur suddenly. Usually there are many symptoms, which signal a failure situation and are generally termed as potential failure modes. The ignorance of such symptoms almost always leads to failure. Below are two case studies pertaining to mechanical seal systems, a vital component of pumps operating in running process plant.
Many different factors contribute towards the failure of a pump. Some factors that did not seem to have contributed to earlier failures were not examined or considered and may become the cause of failure under other situations. Failures do not occur suddenly. Usually there are many symptoms, which signal a failure situation and are generally termed as potential failure modes. The ignorance of such symptoms almost always leads to failure. Below are two case studies pertaining to mechanical seal systems, a vital component of pumps operating in running process plant.

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