on Maintenance Reliability

The graphic of the Swiss Cheese Model (attached is an expression from AHRQ) is a good one and one that many will remember and relate to.

However, I would like to expand on that model and express that more commonly, there is a not a singular or linear path to failure. There are typically multiple paths of failure that converge together at some point in time to cause an undesirable outcome. [Read more…]

I think that 5-year olds had a lock on 5Y’s well before it became a ‘named problem solving tool’. How many times have our kids at that age asked ‘Why’ about everything?

How many ‘Why’s’ do we answer before we say, ‘I don’t know, go ask your mother or father!’

Again (to me), the traditional 5-Y tool is technically incapable of expressing multiple paths of logic that occurred simultaneously. It treats failure like it always happens in a linear pattern (never multiple, simultaneous paths). [Read more…]

We all can relate to hearing our leaders refer to their workforces as ‘their greatest asset’. We can even go to the annual 10K reports and read about it in the CEO blurbs on the front pages. Are these statements genuine, is the human being an ‘asset’?

In that same 10K report we can flip a few pages down to review our income statements and balances sheets to quickly confirm that the human being is listed as a ‘liability’ and that our equipment is our defined ‘assets’. This is consistent with our Generally Accepted Accounting Principles (GAAP). [Read more…]

Author’s Note: I want to reiterate that this Series about reading the basic fracture surfaces, is for novices who often first come into contact with such failed components. This Series is about the basics (101), and is intended to give readers an appreciation for the value of such ‘broken’ parts to an effective investigation/RCA. While this information will be rudimentary to seasoned materials engineers, I know they will all appreciate heightening awareness to the need to retain such failed parts for analysis, versus throwing them away and just replacing the part. Throwing away failed parts is a recipe for a repeat failure, when one does not understand why the part failed in the first place.

In Part I of this series we focused on Erosion and Corrosion as the the first two (2) failure mechanisms of component failure. When Erosion and Corrosion are apparent, there is generally a loss of metal in some form or fashion. [Read more…]