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by Bob Latino
Updated: January 5, 2022Name That Failure Pattern | 2nd Edition
Reading Time: 3 minutes
This failure occurred on a turbine driven boiler feedwater pump (TDBFP) at a fossil fuel power plant. The pump in question is an outboard boiler feed pump. Plant is operating normally when unexpectedly pump shuts down and causes a forced outage. Here is a basic process flow diagram for this process…
by Bob Latino
Updated: January 5, 2022‘De-Flate Gate’ & RCA
Reading Time: 2 minutes
‘De-Flate Gate’ & RCA Originally published on January 23, 2015
by Bob Latino
Updated: January 5, 2022What is the Correlation Between Root Cause Analysis and Swiss Cheese?
Reading Time: < 1 minute
What is the Correlation Between Root Cause Analysis and Swiss Cheese? As long as humans are involved in running our organizations, there will be holes (vulnerabilities) in our cheese. This is why I state that we will never have American cheese (no holes) representing our safety systems, because this would imply they would be failsafe and not impenetrable. The Swiss cheese