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Use after a significant or recurring equipment failure when the underlying mechanism is uncertain. Begin while logs, damaged components and witness accounts can still be preserved for competent examination.
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Evaluate a specific equipment failure using preserved evidence, competing hypotheses and verified corrective actions.
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Learning
Use after a significant or recurring equipment failure when the underlying mechanism is uncertain. Begin while logs, damaged components and witness accounts can still be preserved for competent examination.
The review tests alternative explanations against evidence instead of stopping at symptoms. It connects corrective action to supported causes and defines how effectiveness will be checked after the repair is complete.
A competent investigation lead coordinates operations, maintenance and discipline specialists. Evidence custodians support traceability; an independent reviewer challenges hypotheses, and the asset owner authorizes corrective actions and closure under the actual process.
Naming operator error as the root cause without testing equipment, procedure and organizational evidence can produce an ineffective action and leave the failure mechanism intact.
Illustrative example: a pump bearing fails repeatedly after replacement. The investigation compares alignment records, operating logs and preserved components against alternative explanations. Evidence may justify a targeted corrective action, but the review remains open until subsequent operating evidence demonstrates that the relevant mechanism has been addressed.
Confirm the adopted edition, local amendments, National Annex where relevant, and contract requirements.
Prepare project brief