RCA · RCA-01
Root Cause Analysis · Pump P-101
without OpsPilot
2–3 days
investigator + reliability lead + scribe
Fragmented evidence, scribed meetings, redrafts.
with OpsPilot
22 min
ICAM, 5-Whys, traceable causes
→ 31 pp · Word
OpsPilot turns a guided conversation into an audit-ready engineering deliverable — grounded in ISO, OSHA, API, IOGP and AIChE standards.
P-101A tripped on high vibration at 03:47, 14 Sep. Inspection found a fractured mechanical seal and bearing housing scoring. The unit survived the failure on standby (P-101B) with no production loss.
Root cause was a misaligned coupling following the 11 Sep replacement of the inboard bearing, compounded by an incomplete post-job alignment check.
| Time | Event | Source |
|---|---|---|
| 11 Sep · 14:20 | Inboard bearing replaced under WO-44218. | CMMS |
| 11 Sep · 16:05 | Coupling re-fit. Alignment checked by feel only. | Crew statement |
| 14 Sep · 03:47 | High-vib trip, 11.8 mm/s peak, seal flush lost. | DCS event log |
| 14 Sep · 04:02 | P-101B started; production continuous. | Shift log |
| # | Action | Owner | Due |
|---|---|---|---|
| CA-01 | Add laser-alignment hold-point to bearing-replacement SWI. | Reliability Eng. | 28 Sep |
| CA-02 | Re-set seal-flush low-pressure alarm to 1.2 barg. | I&E Supervisor | 21 Sep |
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