Moment
  • Published: 30 Sept 2015
  • Incident ID: 3839

Small Bore Tubing Failure - Safety Moment

Cause & Consequence

  • Release of a harmful substance
  • Uncontrolled release of a flammable gas or liquid
  • Failure of vessels or pipework

Contributing Factor

  • Competence

Description of Process

Reciprocating gas compressor with small bore tubing for instrument connections.

Description of Incident

Fatigue failure of instrument tubing following a reinstatement of an incorrect orientation using incorrect fitting practices.

Good Practice Guidance

It is important that people are aware of causes of previous failures which could re-occur.

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