Power plant

Root Cause Analysis - Power MAT (

Problem
Statement

Power Plant Restoration A

1st Why

AT 23:49 HR. , SMS # 3 HT BRK.

TRIPPED ON E/F

AT 23:49 HR. , B/C # 2

TRIPPED ON O/C.

2nd Why

Inspection of SMS # 3 cable done

and Find out one cable Faulty .

CHECKING THE ALL HT

BRK & RACKOUT THE
SMS # 3 HT BRK.

3rd Why

Faulty cable removed from both the

End for rectification.

AT 23:59 HR., B/C # 2

BRK. MADE ON.

4th Why

AT 05:30 HR. , SMS # 3 BRK.

CHARGED , AFTER FAULTY CABLE
ISOLATED.

5th Why

6th Why

Project
7th
Why- Udaan /Maintenance/

8th Why

9th Why

Revision 0

10th Why

Actions
Identified

Proper inspection should be done at

time of shutdown maintenance

HT cable insulation test should be

carried out during Shut Down

Name and sign

of members

Members present-Suryakant Verma .

Power MAT (Operation/Mechanical/Electrical/Instrumentation)

estoration After Black Out On 31/01/2015 At 23:49 HRS

AT 23:49 HR. , TG # 4 TURBINE

TRIPPED ON "LUB. OIL PRESS.
LOW."

AT 23:51 HR , TG # 1 TURBINE
TRIPPED ON " HOTWELL LEVEL HIGH"

PARTIALLY BLACK - OUT

OCCURRED IN PP PHASE-1

PARTIALLY BLACK - OUT OCCURRED

IN PP PHASE-1

Auxillary Supply provided AFTER

B/C # 2 BRK. MADE ON.

Auxillary Supply provided AFTER B/C # 2

BRK. MADE ON.

AFTER TG ROLLONG TG # 4
SYNCH. WITH SYSTEM AT
00:33 HR.

AFTER TG ROLLONG TG # 1 SYNCH.

WITH SYSTEM AT 01:23 HR.

Revision 01

Power plant
Problem
Statement

1st Why

2nd Why

3rd Why

4th Why

5th Why

Action required

Name and sign

of members