Environmental Engineering Reference
In-Depth Information
AccIdent dAtA, exPlodIng vessels under Pressure
.(1). What.failed?.._____________________________________________________________________
. . ________________________________________________________________________________
.(2). Manufacturer:.______________________________________.Model:.______________________________________
. . Serial.number:.________________________________________.Age:._________.Years
. . Failed.pressure:._____________.PSI
.(3). Rated.capacity:._____________.PSI
. . How.determined?.._________________________________________________________________
.(4). Working.luid/gas:._________.Water.
_________.Air.
_________.Oil.
_________.Inert.Gas
. . _________.Combustible.gas. _________.Other
. . (Specify.. ________________________________________________________________________
. . If.luid,.obtain.sample.for.analysis..Check._________.when.completed.
.(5). Date.failed.element.last.tested:._________/_________/_________
. . Certiied.by:.____________________________.Approval.number:.._______________________________
.(6). Modiications.made.to.manufactured.form:.._____________________________________________
. . __________________________________.Original.part._________________________________.Replacement.part
.(7). Did.design.of.part.on.equipment.contribute.to.accident?.
□
.Yes.
□
.No
. . How?.. __________________________________________________________________________
. . ________________________________________________________________________________
. . ________________________________________________________________________________
.(8). Pinches.involved?.
□
.Yes.
□
.No. If.so,.describe:.._____________________________________
. . ________________________________________________________________________________
.(9). Prior.damage:.
□
.Yes.
□
.No. Describe:.. ____________________________________________
(10). Did.a.maintenance.problem.contribute.to.accident?.
□
.Yes.
□
.No
. . How?.. __________________________________________________________________________
. . ________________________________________________________________________________
(11). Fire.present?.
□
.Yes.
□
.No. Temperature.in.working.area._________.ºF
(12). How.did.injury.occur?.._____________________________________________________________
.
.
________________________________________________________________________________
