Tap any failure mode → flip to its on-site guidance (pure-CSS, no JS needed on mobile)
Screw CompressorScrew Compressor
⚠ ⚠ Top risk: 转子型线磨损 · RPN 96 (High) — watch this one first at the equipment
Risk Board (all 14 · by RPN · top 6 highlighted urgent)
Shield: Safety = people/environment　Production = production only
Technical mechanism/mitigation body in Chinese (red line: no fabricated MT; EN UI labels translated)
14Failure Modes
8High/Critical
9Standards
5Real Accidents
Tap any failure mode to flip to its on-site guidance
Device-level standard/accident index (9 standards / 5 accidents)
Standards (9 de-duplicated)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Accident Lessons (5 de-duplicated)
ARR-2023-01-KMScsb2023 ↗
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
CN-MEM-2018-11-28CN-MEM2018 ↗
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019 ↗
Enterprise Pascagoula 气体处理厂爆炸火灾
CN-MEM-2014-07-08CN-MEM2014 ↗
Qingdao Qichao Cold-storage Plant Refrigeration Compressor Liquid-ammonia Leak Accident (Jul 8)
CSB-CUISINE-AMMONIA-2024csb2024 ↗
Cuisine Solutions 氨制冷系统泄漏
FM Traceability Cards (14)
Generated by Reliability AI
转子型线磨损RPN 96 · High
Failure Mechanism
润滑油膜失效致金属接触
How to Detect
Online monitoring · Detection rate 88% ；Re-inspect ≤every24months
Mitigation (What to Do)
  • 间隙监测
  • 油液分析
RCM Strategy
PMScheduled (Proactive) Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
滑动轴承缺陷RPN 72 · High
Failure Mechanism
油膜失稳/疲劳
How to Detect
Online monitoring · Detection rate 88% ；Re-inspect ≤every24months
Mitigation (What to Do)
  • 油膜涡动监测
  • 轴振/瓦振
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
中间冷却器结垢RPN 64 · Medium
Failure Mechanism
冷却水结垢/污堵
How to Detect
Online monitoring · Detection rate 80% ；Interval by RBI
Mitigation (What to Do)
  • 端差监测
  • 化学清洗
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
吸气过滤器堵塞RPN 64 · Medium
Failure Mechanism
环境粉尘/杂质积聚
How to Detect
Online monitoring · Detection rate 80% ；Interval by RBI
Mitigation (What to Do)
  • 过滤器压差报警
  • 定期更换
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
轴封泄漏（工艺气）RPN 63 · High
Failure Mechanism
干气密封失效
How to Detect
Online monitoring · Detection rate 80% ；Interval by RBI
Mitigation (What to Do)
  • 密封气流量监测
  • 泄漏检测
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
CN-MEM-2014-07-08CN-MEM2014Injuries 1 · Toxic
Qingdao Qichao Cold-storage Plant Refrigeration Compressor Liquid-ammonia Leak Accident (Jul 8)
Root cause: Compressor components not maintained in time (gasket aging); operator error in refrigeration operation (intercooler overpressure, liquid ammonia slugs back to cylinder); non-compliant emergency response; deficient safety management and training, shutdown order not enforced.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-CUISINE-AMMONIA-2024csb2024Safety
Cuisine Solutions 氨制冷系统泄漏
Root cause: 氨制冷系统（PSM 高危化学品）机械密封与泄漏监测缺陷；应急通风与撤离预案不足
Official source ↗
油系统污染RPN 60 · Medium
Failure Mechanism
过滤器失效或加注污染
How to Detect
Online monitoring · Detection rate 88% ；Interval by RBI
Mitigation (What to Do)
  • 油液颗粒度分析
  • 过滤器压差
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
振动高（不平衡）RPN 60 · Medium
Failure Mechanism
积垢/转子磨损
How to Detect
Online monitoring · Detection rate 90% ；Interval by RBI
Mitigation (What to Do)
  • 动平衡
  • 振动 1× 趋势
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
排气温度过高RPN 54 · High
Failure Mechanism
冷却不足/压比过高
How to Detect
Online monitoring · Detection rate 82% ；Interval by RBI
Mitigation (What to Do)
  • 排气温度联锁
  • 压比核算
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
联轴器不对中RPN 45 · Medium
Failure Mechanism
安装/热膨胀偏差
How to Detect
Online monitoring · Detection rate 90% ；Interval by RBI
Mitigation (What to Do)
  • 激光对中
  • 振动谐波
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
气量调节失灵RPN 45 · Medium
Failure Mechanism
滑阀/旁通阀故障
How to Detect
Online monitoring · Detection rate 80% ；Interval by RBI
Mitigation (What to Do)
  • 调节阀校准
  • 负荷响应测试
RCM Strategy
PMScheduled (Proactive) Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
转子接触擦伤RPN 42 · High
Failure Mechanism
同步齿轮失效致转子碰摩
How to Detect
Online monitoring · Detection rate 82% ；Interval by RBI
Mitigation (What to Do)
  • 同步齿轮检查
  • Vibration monitoring
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
止推轴承失效RPN 42 · High
Failure Mechanism
轴向力失衡/润滑不良
How to Detect
Online monitoring · Detection rate 82% ；Interval by RBI
Mitigation (What to Do)
  • 轴向位移监测
  • 推力瓦温
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
内部增速齿轮失效RPN 42 · High
Failure Mechanism
齿轮疲劳/润滑不良
How to Detect
Online monitoring · Detection rate 82% ；Interval by RBI
Mitigation (What to Do)
  • 齿轮啮合监测
  • 油液铁谱
RCM Strategy
CBMOn-Condition Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗
油泵失效RPN 36 · High
Failure Mechanism
泵磨损或驱动故障
How to Detect
Online monitoring · Detection rate 80% ；Interval by RBI
Mitigation (What to Do)
  • 油泵状态监测
  • 双泵冗余
RCM Strategy
PMScheduled (Proactive) Maintenance
Interval: High risk 1-3 mo / Medium 6-12 mo / Low risk at turnaround (by API 581 RBI risk ranking)
Engineering-inferred (not measured history); confirm with equipment owner before execution
Standards (9)
  • API 619
  • API 617
  • ISO 14224:2016 — Petroleum, petrochemical and natural gas industries — Collection and exchange of reliability and maintenance data for equipment
  • GB/T 6075
  • ISO 13372 — Condition monitoring and diagnostics of machines — Vocabulary
  • API 580 — Risk-Based Inspection
  • API 571 — Damage Mechanisms Affecting Fixed Equipment in the Refining Industry
  • GB/T 7826-2012
  • SAE JA1011_202411 — Evaluation Criteria for Reliability-Centered Maintenance Processes
Lessons Learned (3)
ARR-2023-01-KMScsb2023Safety/Environmental
Kinder Morgan Snyder CO2 Compressor Station Closed-drain System Vessel Overpressure Rupture (CSB ARR compilation)
Root cause: Wash-tower level dump valve stuck open (common in winter) + Joule-Thomson cooling froze/ hydrated off the relief path + closed-drain vessel design and overpressure protection inadequate + lack of pressure/temperature/level instrumentation; PHA did not identify the ice-plug scenario.
Official source ↗
CN-MEM-2018-11-28CN-MEM2018Fatalities 24 · Injuries 21 · Fire/Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故（2018，24 死）
Root cause: 氯乙烯气柜长期未检修卡顿倾斜；操作人员未发现异常仍按常规调大回流；风险管控/应急能力差；瞒报事故误导调查
Official source ↗
CSB-ENTERPRISE-PASCAGOULA-2019CSB2019Explosion/Fire
Enterprise Pascagoula 气体处理厂爆炸火灾
Root cause: 换热器等静设备完整性不足导致烃泄漏爆炸
Official source ↗