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Root Cause and Failure Analysis (RCFA) Workshop

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Root Cause and Failure Analysis (RCFA) Workshop www.tpmir.blogfa.com [email protected] RCFA : . . RCFA . : RCFA RCFA RCFA M P PDCA ) FTA ( ) FMEA ( ) MFMEA ( : www.cementechnology.ir cement technology magazine: 021-22883306, 22861343 www.cementechnology.ir
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Page 1: Root Cause and Failure Analysis (RCFA) Workshop

Root Cause and Failure Analysis (RCFA) Workshop

www.tpmir.blogfa.com [email protected]

RCFA :

. . RCFA .

:

RCFA

RCFA

RCFA � � M P PDCA

)FTA(

)FMEA( )MFMEA(

:

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cement technology magazine: 021-22883306, 22861343

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Page 2: Root Cause and Failure Analysis (RCFA) Workshop

: (Systematic Approach)

RCFA Root Cause and Failure Analysis

. RCA Root Cause Analysis .

. RCFA .

: 1- )Symptom ( 2- )Problem( 3- )Root Cause(

: .

. . . . .

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Page 3: Root Cause and Failure Analysis (RCFA) Workshop

: 1 :

.

.

. Restart . Shut Down

. CPU CPU Restart . Shut Down

. CPU .

2 3 .

The Pyramid of Causes Deeper Causes Root Causes

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Page 4: Root Cause and Failure Analysis (RCFA) Workshop

RCFA : RCFA :

1 � )Data Collection( 2 � )Assessment ( 3 � )Corrective Actions( 4 � )Inform( 5 � )Follow-up(

)Data Collection (

) Assessment (

) Corrective Actions(

)Inform (

)Follow-up (

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Page 5: Root Cause and Failure Analysis (RCFA) Workshop

1 : )Data Collection( .

. .

.

2 : )Assessment ( .

. : ) roots Physical : ( ....

)Human roots : ( .... )roots Latent : ( ....

3 : )Corrective Actions(

2 . :

1 � 2 - 3 �

4 : )Inform( .

.

5 : )Follow-up( .

.

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cement technology magazine: 021-22883306, 22861343

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Page 6: Root Cause and Failure Analysis (RCFA) Workshop

)( :

:

1- )Reactive Maintenance System (: . Breakdown Maintenance )BM ( Emergency Maintenance )EM ( .

2- )Preventive Maintenance System( PM :

)Time Based Maintenance( .

.

3- )Predictive Maintenance System ( PdM : )Condition Based Maintenance (

)Vibration Monitoring ( )Thermography ( )Oil Analysis ( )Ultrasonic Analysis ( . . .

.

4- )Proactive Maintenance System ( PoM : .

.

RCFA

. . RCFA

.

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Page 7: Root Cause and Failure Analysis (RCFA) Workshop

. 4

)RCM( .

:

)Whys(5 . )Problem ( )Why ( )Root cause(

. : )Problem : ( (Conveyor failed)

1 �

. (Burned out) 2 �

) .Overheating( 3 �

.(Unbalanced) 4 �

) .Dust( 5 �

) .Unclean(

Reliability Centered Maintenance = RCM

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Page 8: Root Cause and Failure Analysis (RCFA) Workshop

)Root cause : (

)Preventive action( :

: P-M

P-M 5 .

. .

:

P-M ) Planned Maintenance (PM Preventive Maintenance) (PM . P P-M

)Phenomena ( )Physical ( .M )Mechanism ( . 4M . M4 : )Machine ( )Man ( )Method ( )Material(

Analysis P -M

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Page 9: Root Cause and Failure Analysis (RCFA) Workshop

P-M :

1 - ) : ( )Over load (

2- : )Tension (

3 � :

4 - 4M :

·

·

·

5 � :

·

·

6 � :

:

· Over load

·

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cement technology magazine: 021-22883306, 22861343

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Page 10: Root Cause and Failure Analysis (RCFA) Workshop

: 6 PDCA . PDCA

:

Plan : SMART Do :

Check : Act :

:

P1 : Define Problem & Objective (& Do Quick Fix) P2 : Identify Likely Causes P3 : Identify Major & Root Causes P4 : Develop Solutions / Agree Action Plans D5 : Implement Action Plans C6 : Determine Effectiveness Of Plans A7 : Standardize Results / Implement In All Relevant Areas

SMART :

SMART Specific, Measurable, Achievable, Realistic,Time based

Specific : .

Measurable : . Achievable : .

Realistic : . Time based: .

:

Deming Cycle = PDCA Cycle

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Page 11: Root Cause and Failure Analysis (RCFA) Workshop

PLAN : ) (10 % MTTF . ) (5 % MTTR .

PLAN : MTTF :

Recollect

MTTR :

)Off-Line (

DO : MTTF :

Recollect

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Page 12: Root Cause and Failure Analysis (RCFA) Workshop

MTTR : )Off-Line (

Check : MTTF :

MTTR :

Act :

MTTF :

MTTR :

:

7 . 80 20 . 80 20 )80 -

20 ( . :

80 20 . 80 20 .

.

. 80 . .

.

Diagram Pareto

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Page 13: Root Cause and Failure Analysis (RCFA) Workshop

80 .

:

8 9 10 .

)Effect ( )Causes ( .

. :

Cause and Effect Diagram Fishbone Diagram

Diagram Ishikawa

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Page 14: Root Cause and Failure Analysis (RCFA) Workshop

4M ) ( 4P ) ( 4S ) - (

.

. 11 : .

) ( .

. . .

Brain storming

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Page 15: Root Cause and Failure Analysis (RCFA) Workshop

: 12 )

MTTF MTTR( :

) ( CNC :

220 240 200 340 280 160 200 180 240 300

240 220 380 160 120 240 280 240 220 400

200 180 200 240 120 240 280 300 220 240

280 320 180 280 260 300 220 140 180 300

MTTF

Histogram

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Page 16: Root Cause and Failure Analysis (RCFA) Workshop

. ) ( :

Air Tool 11 12 10 17 14 8 10 9 12 1512 11 19 8 6 12 14 12 11 20

Air Tool 10 9 10 12 6 12 14 15 11 1214 6 9 14 13 15 11 7 9 15

MTTR

2 1 . )CV ( :

CV1 = StDev1 / Mean1 = 3.573 / 12.15 = 0.294 CV2 = StDev2 / Mean2 = 2.83 / 11.7 = 0.241

: Minitab

.

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Page 17: Root Cause and Failure Analysis (RCFA) Workshop

: 13

. 14

. : :

CNG .

:

. . :

.

"6 "4 : "6 "4 .

"6 "4 .

:

Mistake Prooing

Poka Yoke

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Page 18: Root Cause and Failure Analysis (RCFA) Workshop

15 . 16

)Top down approach . ( 17 AND OR . . . . .

.

18 19 . 20 )MCS ( .

. .

.

FTA Fault Tree Analysis =

Top Event

Logic Gates

Qualitative Analysis

Quantitative Analysis

Minimal Cut Sets = MCS

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Page 19: Root Cause and Failure Analysis (RCFA) Workshop

. :

TOP = G2 +G3 + E5 = (E1 + E2) + (E3 + E4) + E5 :

{E1} , {E2} , {E3} , {E4} , {E5}

)MTTF( . . . )Top Event ( . ) (MTTR )(Probability Frequency . . . .

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Page 20: Root Cause and Failure Analysis (RCFA) Workshop

: 21 )FMEA ( " "

. FMEA . . . . FMEA

. " "

. FMEA

FMEA 5 : FMEA - 1 )Design FMEA = DFMEA(

- 2 FMEA )System FMEA = SFMEA( - 3 FMEA )Process FMEA = PFMEA( - 4 FMEA )Service FMEA( - 5 FMEA )Machinery FMEA = MFMEA(

DFMEA SFMEA PFMEA Service

FMEA . MFMEA MFMEA DFMEA .

Failure Mode and Effect Analysis = FMEA

FMEA

FMEA FMEA

Process FMEA

Service FMEA

Design FMEA

System FMEA

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Page 21: Root Cause and Failure Analysis (RCFA) Workshop

FMEA . FMEA

.

FMEA . PFMEA

. SFMEA DFMEA .

22 )S ( 23 )O ( 24 )D ( FMEA .

. 25 )RPN ( . )S ( )O (

)D ( . RPN = (S) × (O) × (D)

26 . )S ( )O ( )D ( 1 10

RPN 1 1000 . )S ( )O ( )D ( .

)S ( . 1 10 10

9 5 1 .

Severity = S

Occurrence = O

Detect ability = D

Risk Priority Number = RPN

Failure Mode

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Page 22: Root Cause and Failure Analysis (RCFA) Workshop

)O ( 1 10 10 8 5 1

. )D(

27 )SPC ( 28 )DOE ( . . . 1 10 10 5 1

.

RPN . .

Statistical Process Control = SPC

Design Of Experiments = DOE

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Page 23: Root Cause and Failure Analysis (RCFA) Workshop

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Page 24: Root Cause and Failure Analysis (RCFA) Workshop

FMEA . FMEA

. .

. .

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Page 25: Root Cause and Failure Analysis (RCFA) Workshop

: (Technical Information)

: SAE : API :

MIL:

)Viscosity: ( ) (

. .

W ) =Winter (

: SAE 0W � 20

SAE 0W � 30

)Multi Grade /Multi Viscosity: (

. :

SAE 5W � 20 SAE 10W � 30 SAE 20W � 40

SAE 5W � 20 SAE 5W SAE 10W SAE 20W SAE 20

. W W

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Page 26: Root Cause and Failure Analysis (RCFA) Workshop

SAE :

SAE : SAE 5W SAE 10W SAE 20W SAE 20 SAE 30 SAE 40 SAE 50

SAE :

SAE 70W SAE 75W SAE 80W SAE 85 W SAE 90 SAE 140 SAE 250

SAE SAE .

:

:

BEHRAN: 32 K or 68 K BABAK: 32 or 68

SHELL: 12

ESSO: 32

: .

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Page 27: Root Cause and Failure Analysis (RCFA) Workshop

API :

S Service) Station ( Commercial) C ( S C . S C

A .

API :

API )EP ( :

API GL 1 API GL 2 API GL 3 API GL 4 API GL 5

)EP =pressure Extreme: (

EP .

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Page 28: Root Cause and Failure Analysis (RCFA) Workshop

: ) (

(thickener) . ) ( . .

. .

:

NLGI : ISO :

NLGI )Consistency ( 9 .

:

)(

:

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Page 29: Root Cause and Failure Analysis (RCFA) Workshop

: 60 : 120

: 130 ) (: 140

:

SKF : LGMT 2 LGMT 2 NLGI 2 . LGMT 2 120 ) + . ( - 30 to

SKF : LGMT 3

LGMT 3 NLGI 3 . LGMT 3 120 ) + . ( - 30 to

SKF : LGWA 2

LGWA 2 NLGI 2 . LGWA 2 140 ) + . ( - 30 to

: Additives)( .

.

SUNOCO: EP 1 EP 1 NLGI 1 . EP 1 120 ) + . ( - 18 to

SUNOCO: EP 2

EP 2 NLGI 2 . EP 2 125 ) + . ( - 15 to

SUNOCO: EP 3

EP 3 NLGI 3 . EP 3 130 ) + . ( - 12 to

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Page 30: Root Cause and Failure Analysis (RCFA) Workshop

: 1. )Spur Gear( 2. )Helical Gear( 3. )Double - Crossed Helical Gear( 4. )Herringbone Gear( 5. )Internal Gear( 6. )Rack Gear( 7. )Straight Bevel Gear( 8. )Angular Bevel Gear( 9. )Crown Bevel Gear(

10. )Skew Bevel Gear( 11. )Spiral Bevel Gear( 12. )Zeorl Gear( 13. )Hypoid Gear( 14. )Worm Gear( 15. )Double-enveloping Worm Gear( 16. )Spyroid Gear(

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Page 31: Root Cause and Failure Analysis (RCFA) Workshop

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Page 32: Root Cause and Failure Analysis (RCFA) Workshop

:

1. ) Wear ( 2. )( Breakage 3. )(scoring

21 3

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Page 33: Root Cause and Failure Analysis (RCFA) Workshop

) Wear ( :

. 100 � 20 .

CuFe

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Page 34: Root Cause and Failure Analysis (RCFA) Workshop

)( Breakage : over load Breakage) ( .

)(scoring : .

. .

:

1. (Atomic Emission Spectroscopy) A.E.S 2. Viscosity 3. P.Q (Particle Quantifier) 4. Particle Counter Laser 5. (Direct Reading Ferrography) D.R.F 6. (Total Acid Number) T.A.N 7. (Analytical Ferrography) A.F

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Page 35: Root Cause and Failure Analysis (RCFA) Workshop

) : (A.E.S : PPm

(Part Per million) : 5 6

(Viscosity) :

: : 20 % + 10 - %

:

(P .Q) :

: : 1 1000

Particle Counter) (Laser : :

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Page 36: Root Cause and Failure Analysis (RCFA) Workshop

(D.R.F) : : : 5 )DL : Direct Large (

5 )DC : Direct Small ( .

DL DS : DL DL + DS .

DL - DS . DL � DS) / ( DL + DS)(IS = ) ( .

(T.A.N) : :

: 1.5 2 T.A.N .

(A.F) : :

:

.

: IRANOL: IG BEHRAN: Bordbar PARS: Nissan CASTROL: Alpha MW BP: Energol GR-XP ESSO: Spartan EP SHELL: Omala TOTAL: Carter EP

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Page 37: Root Cause and Failure Analysis (RCFA) Workshop

: ESSO: Unirex N2 (Maintenance - Free)

Unirex N2 NLGI 2 . Unirex N2 .

: 500 .

3000 5000 . 3 6 .

:

: D . B G = 0.005 )( =G )( = D )( = B

4 1 :

25.4)]. (1 x 25.4) = 12.9 gr [(4 x x G = 0.005

4.25

3 .

30 % 60 % .

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Page 38: Root Cause and Failure Analysis (RCFA) Workshop

:

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Page 39: Root Cause and Failure Analysis (RCFA) Workshop

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Page 40: Root Cause and Failure Analysis (RCFA) Workshop

) / ( :

Sleeve Bearings

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Page 41: Root Cause and Failure Analysis (RCFA) Workshop

: 1. )Ball Bearing( 2. )Bearing Roller( 3. � )Thrust Ball Bearing( 4. � )Thrust Roller Bearing( 5. - )Tapred Roller Bearing (

Antifriction Bearings

1 2

3 4

5

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Page 42: Root Cause and Failure Analysis (RCFA) Workshop

: )Bore Dimensions( .

00 01 02 03 :

10 mm =00 12 mm =01 15 mm =02 17 mm =03

04 05 . . . 5 :

20 mm =04 25 mm =05 50 mm =10 120 mm =24

:

)Radial Clearance ( C2 CN C3 C4 C5 . C2 C5 .

CN = Normal Clearance

.

C2 C3 C3 .

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Page 43: Root Cause and Failure Analysis (RCFA) Workshop

:

: )Fatigue(

)Load( )Lubricant(

)Mounting( )Clearance(

)Speed( )Temperature(

)Vibration( )Contamination(

)Corrosion( )Electrical Erosion(

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Page 44: Root Cause and Failure Analysis (RCFA) Workshop

: 2 8 10 . 2 .

°c 15 .

:

Excessive Load Overheating

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Page 45: Root Cause and Failure Analysis (RCFA) Workshop

1. ) (Flaking 2. - )Seizure( 3. )Cracking and notching( 4. )Cage damage( 5. )Meandering wear patterns( 6. )Smearing and scuffing( 7. )Rust and corrosion( 8. )Fretting( 9. )Wear(

10. )Electrolytic corrosion( 11. )Dents and scratches( 12. � )Creep( 13. )Surface matting( 14. )Peeling(

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Page 46: Root Cause and Failure Analysis (RCFA) Workshop

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Page 47: Root Cause and Failure Analysis (RCFA) Workshop

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Page 50: Root Cause and Failure Analysis (RCFA) Workshop

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