Contributing Factor
- Communication
Description of Incident
A mechanical connector installed as part of an 8” cooling medium line failed resulting in approx. 20m3 of cooling medium (water / glycol mix) being released to sea in 15 seconds. There were no visible warning of failure before the line failed. No personnel were injured.
Findings:
- Incorrect tool had been used to set the flange.
- Incorrect tooling alignment created stress raisers in the pipe and within the weld-neck area, outwith the supported area of the flange.
- Incorrect pressure was applied during the installation, causing partial severing of the pipe - 700 bar pressure used for the tool, correct for tool but well above the pressure for the flange type (460 bar).
- Large dilation of the flange and pipe, plasticity deformed due to over pressurisation of the joint.
Good Practice Guidance
- Ensure the correct tool is selected for the job.
- Understand the operating limits of plant and equipment and stay within them.
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