June 2011
Intermediate to advanced
279 pages
8h 59m
English
Content preview from Root Cause Analysis, 4th Edition
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240 Root Cause Analysis: Improving Performance for Bottom-Line Results
Near Miss Involving
#25 Pulverizer at Unit 2
Hudson Station
Explosive Evidence in
Pulverizer and
Associated Equipment
Actual Explosion
Non-Explosive
Evidence
Equipment
Related
Fuel Related
Operationally
Induced
Physical Pulverizer
Operations
Process Media
Induced
Fuel Quality Related
(cont. at Coal Issues)
Fuel Quantity
Related
Go to Page 2
Go to
Page 4
Go to Page 5
FIGURE 14.10 Pulverizer explosion Logic Tree.
Case Histories 241
Physical Pulverizer
Operations
Upset Operations Less
an Adequate ...
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