M00044262
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API RP 585 Pressure Equipment Integrity Incident Investigation, Second Edition
standard by American Petroleum Institute, 04/01/2021
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Availability date: 01/06/2022
API RECOMMENDED PRACTICE 585 SECOND EDITION, MARCH 2021
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Copyright © 2021 American Petroleum Institute
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Page
Scope 1
General 1
Industry Scope 1
Flexibility in Application 1
Pressure Equipment Integrity (PEI) Focused 1
Types of Pressure Equipment Covered 2
Types of Equipment Excluded 3
Target Audience 3
Organizational Responsibilities 4
Normative References 4
Terms, Definitions, Acronyms, and Abbreviations 4
Terms and Definitions 4
Acronyms and Abbreviations 6
PEI Incidents 7
PEI Incident Types 7
Other Determinates for Failures 8
Documenting PEI Incidents 9
Relationship of PEI Incident Types to API 754 Process Safety Performance Indicators 9
PEI Incident Causes 10
Types of Causes 10
Determining Causes 10
Probable Causes 11
Example PEI Investigation Layout 11
PEI Incident Investigations 12
General 12
PEI Incident Investigation Levels 12
PEI Incident Investigation Guidelines 15
Initial Response to a PEI Incident 15
Types of Evidence 16
Conducting PEI Incident Investigations 17
General 17
Performing Level 1 PEI Incident Investigations 17
Performing Level 2 PEI Incident Investigations 19
Level 3 PEI Incident Investigations 27
Component Failure Analysis 28
Training and Qualifications 30
General 30
Incident Investigation Team Leaders 30
Incident Investigation Team Members 30
Site Management Personnel 31
Continuous Improvement for PEI Incident Investigations 31
Information Sharing 31
Monitoring of the PEI Incident Investigation Program 32
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Page
Updating Site PEI Documents/Procedures as a Result of Investigations 32
Annex A (informative) Example Reporting Form for PEI Incidents 33
Annex B (informative) Example Application of the “5-Whys” Investigation Methodology 34
Annex C (informative) Example: Level 1 PEI Incident Investigation Results Form 36
Annex D (informative) Example Lists of Generic Evidence to be Gathered 37
Annex E (informative) Examples of Questions to Ask Eyewitnesses 39
Annex F (informative) Request for Failure Analysis Form 40
Annex G (informative) Example Template for Level 2 or Level 3 PEI Incident Investigation Report 42
Bibliography 43
Types of Equipment and Components Within the Scope of RP 585 2
Example PEI Incident Investigation Guidelines 16
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Pressure Equipment Integrity Incident Investigation
The purpose of this document is to provide owner-operators with practices for developing, implementing, sustaining, and enhancing an investigation program for pressure equipment integrity (PEI) incidents. This recommended practice (RP) describes characteristics of how an effective investigation could be structured so organizations can learn from PEI failures, near-misses, or discoveries. This RP is not intended to define or supplement criteria for compliance with regulatory requirements for which companies already have defined investigation processes in place. Rather, API 585 provides a specific focus on investigating PEI failures as well as near misses or discoveries that are precursors to potential failures that could have significant impact on safety, health, and environment. As such, this RP can add value to process safety incidents/issue investigations by helping to focus specific investigative techniques that would enhance learning and enhance value from PEI incidents.
Significant pressure equipment mechanical integrity incidents are rarely the result of one isolated problem; there are almost always less severe precursors to an equipment failure. These precursors are frequently called near misses or discoveries when they are experienced. Additionally, this document highlights the value in recognizing these precursor occurrences and promotes investigating them to determine the immediate, contributing, and root causes. If these precursor occurrences are uncovered, investigated, and the contributing and root causes are resolved, then major catastrophic failures of pressure equipment could be minimized or prevented.
The investigation principles and concepts that are presented in this RP are specifically targeted for application to pressure equipment in the oil, gas, refining and petrochemical industry but could be applied to other equipment and industries at the discretion of the owner-operator.
Because of the broad diversity in an organization’s size, culture, national, and/or local regulatory requirements, API 585 offers users the flexibility to apply the investigation methodology within the context of existing incident investigation practices and to accommodate unique local circumstances. API 585 is intended to promote the use of systematic investigations as a way to learn from unexpected leaks and equipment degradation or near misses associated with PEI.
As such, API 585 is intended to supplement owner-operator incident investigation procedures when the incident involves pressure equipment failures, near-misses, and discoveries such as those that involved one of the equipment damage mechanisms outlined in API 571. As indicated below in 1.4, API 585 offers information focused on PEI incidents that can enhance the typical features of process safety incident investigations. Referencing API 585 in owner-operator and site investigation procedures may help to bring the PEI focus to bear on such incidents.
Investigation methodologies consist of investigators collecting evidence and conducting an analysis of the evidence to determine the causes. Many types of investigation analysis methods exist and are used throughout the industry. This document is not intended to single out one specific analysis method for conducting investigations. This document highlights PEI issues for investigation and provides guidelines and work processes for PEI incident investigations.
Investigation is a vital element for learning from unexpected discoveries or incidents (e.g. finding significantly more corrosion damage or other forms of deterioration than expected) and can be used in a continuous improvement process. Investigating and determining the causes of unexpected leaks, equipment degradation, or near misses
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