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NAIK
SYNOPSIS
After observing many critical troubles in some system or the other over
the period of time in various units & systems, it had occurred to me that
most of the time we are not having any exact methodology for analysing
troubles in the machines / systems & we are relying upon past experience
& trial & error approach.
Later on, based on various other inputs & concepts, I have tried to make a
comprehensive methodology for thinking for any root cause analysis & I
have used it many no. of times to get technically verifiable root causes for
many troubles. One aspect which occurred to me was that we are mostly
asking about “What has happened?” & How much is the quantity of
trouble parameter?” but these questions can not give any answer to “Why
the trouble has appeared?” which is the most important question.
I am sure that this attempt will help all concerned in not only in O & M field
but for all others as well. I have seen good Doctors using these concepts
for diagnosing critical ailments inadvertently. Even all our elaborate
schemes for transmission lines & Transformers protections are based on
the philosophy of this “theory of trouble shooting”.
THEORY OF
TROUBLE SHOOTING
FIRST TWO SENTENCES OF THE THEORY
1. INTRODUCTION: -
These troubles are very common which arise due to worn out components and
can be solved by replacing / repairing or overhauling of the machine as per
manufacturers recommendations. This can be referred to from any good
manual prepared by the manufacturer.
-
2) Critical troubles: -
Though relatively rare, these kind of troubles are those in which a machine just
can not perform any useful intended purpose unless this trouble is rectified. And
if at all one attempts to run the machine with a critical trouble, there will be a
great risk for the machine due to which no one attempts to run a machine with a
critical trouble. Frequent recurrence of some problem can also be termed as
critical trouble.
These troubles are seen when all other conventional methods of trouble
shooting mentioned in manuals have not yielded any results.
Every mechanic & repairman solves some problem or other in his day-to-day
activities. For so many centuries, mankind has always found solutions to the
troubles in one-way or the other. You may ask me as that if it is so, then what is
so great about this so-called “Trouble Shooting Theory”.
For this question, kindly allow me to state that whenever any body has found
reasons for any trouble, he or she has inadvertently applied the same theory
described in following pages, although for relatively small problems, one may
not have concentrated so well on the logic for trouble shooting, which I have
attempted to do in some depth.
Now, since the rotation of the sphere cannot be stopped, let us imagine that we
are having a stroboscopic light with adjustable frequency for viewing the sphere.
If we synchronise the frequency of stroboscope properly, we can observe the
sphere in almost stationary condition. Now our job becomes very easy, mind
becomes very clear & any one can do it properly.
The “Theory of Trouble Shooting” being described later on is also a similar tool
in the hands of concerned persons by which the haziness in the mind
disappears & we are able to find out the real root cause for any trouble.
This theory has been designed in such a way that instead of concentrating our
minds on “What is happening & how much is the extent of the trouble?”, we
start thinking about “Why the trouble has appeared after all?”. This is the most
important question if the trouble is going to be solved at all at any stage of time.
It needs to be appreciated that our mind will never give answer to any “Why?” if
all we are thinking about is “What? & How much?”
Now, before going further, let us define at the start what is meant by trouble,
puzzle and problem. These are relevant in subsequent pages of this theory.
TROUBLE: -
A trouble is a problem in which no apparent idea is available for the reason and
solution of the problem.
PUZZLE: -
A puzzle is a problem in which some vague guidelines are available for the
solution and one has to do some hit and trial method for finding the solution of
the same.
PROBLEM: -
It is a problem in which definite method is available for solving the problem and
when one tries with the method accurately, one can easily find the solution.
In this paper, I have tried to device some method by which a trouble can be first
converted in to a puzzle and the puzzle can be latter on converted in to a
problem. The problem can be then easily solved if one is serious and accurate
with his method.
2. DOT ON PAPER: -
Before going in to details of this theory, let us try to think about a very simple
analogy, which is given for the purpose of developing abilities to observe simple
events in no. of different perspectives. These perspectives are very essential for
solving any critical troubles.
Let us consider a plain white paper without any mark on it. Now, imagine that a
pencil has marked a dot on the paper.
Now suppose this dot represents a problem, which has to be removed for
reverting the paper to the same original blank status.
First of all suppose we have a pencil eraser with us. Then removal of dot is
nothing but a small problem of erasing the dot with eraser.
Secondly, imagine that instead of pencil, we have marked the paper with a pen
and we are not having ink eraser. Now removing of dot has become difficult
without proper eraser and the simple problem has turned in to a puzzle.
When a dot was put on the paper, theoretically with very accurate weight and
other accurate devices, imagine what are the changes that have been effected
due to this simple event. The more nos. you can think off, the more will be the
probability of successful trouble shooting later on. Some of these are listed here
for example, but you are advised to think about them for some time before
reading.
1) The dot will cause the weight of paper to increase, though with very small
amount.
2) The dot, which is visible from front, can also be seen from the backside if
you hold the paper in front of light source.
3) The ink in the pen will last for lesser time & length after a dot has been
released from it on the paper.
I know that some of you are going to laugh at all this “bakwas” but please
believe me, the example is given with some particular purpose only.
Now, after applying eraser fluid, over dot, say we were happy that the dot has
been removed when suddenly it came to some body’s mind that it is the
technical requirement that the weight of the paper now must be the same or
less than as it was initially and even the weight of eraser fluid has to be
removed from it & dot also should not be visible. Now, we have really landed in
to a trouble. How to go about it.
Here a very - very simple problem was initially turned in to a puzzle and the
puzzle has been later on turned in to a trouble. This example is given for
purpose of developing aptitude with which you can turn trouble in to a puzzle
and a puzzle in to a problem later on.
Again I shall request you to ponder over the trouble for some time before
proceeding further.
Now let me offer one of the possible solution for the trouble mentioned above.
Since white eraser fluid has to be retained for covering of the dot and since the
weight of the paper is to be made equal to or less than its original weight, let us
consider we have a sharp blade by which we can make the paper thinner than
before by rubbing the edge of the blade over the paper. Now, if we make some
portion of paper slightly thinner and weigh it again, the wt. of the paper may
become equal to or less than its original weight.
The “dot” case also hence proves to establish following concept, which is going
to be used extensively later on.
3. NORMAL RUNNING: -
Before going in to abnormal behaviour of any machine or system, let us think for
some time what is meant by the term normal running of the machine / system
and why is it running normal.
For some persons, normal running may mean that the machine is well
maintained, well operated, well designed having better quality of materials and
manufacturing technique, having reputed / market leaders brand name etc.
All of above are true but if one goes still deeper in to this question and
concentrate on the times when the said system or types of machine did not
come in to existence, one can realize that for every machine / system when it is
working normally, actually it is the conceptual design of the machine which must
have been flashed in to its inventor’s mind that is working properly.
Any device or system on the earth, which is man made, could not have come
into existence if its basic idea or conceptual design did not come into its
inventor’s mind. Actually all the man made devices and systems are just the
ideas which had taken concrete shape due to some one’s initial efforts.
In these efforts, the designer or inventor generally must have had taken in to
account all the requirements, which must be fulfilled so that the device or
system will serve its intended purpose.
If one can think for some time what must have been in designer’s mind for
some particular requirement in a device, one can guess to some extent what
might have gone wrong when a particular requirement is not being mate with
resulting in the so called trouble. However, details about it will be discussed
later on.
Here is a quote from the book “Thought Power” by Swami Shivananda, which
was quite helpful for me during development of this technique.
“ Every action has a past which leads up to it, every action has a future
which proceeds from it. An action implies a desire which prompted it and
a thought which shaped it.”
On this basis, for the purpose of “Trouble Shooting” I have got the basic idea
as
“ Every event for a device (here word event includes each and every thing
which a device or system or any component there of is subjected to
undergo due to intentional or unintentional efforts by man, nature or any
other associated device or system) has a past which leads up to it, every
event has a future which proceeds from it.”
“Each event is a link in an endless chain of causes and effects, each
effect becoming a cause and each cause having been an effect”.
These observations play most important role for diagnosing a trouble. Some of
the salient points of these observations may include (This list can never become
exhaustive and one will have to apply individual judgment while observing).
The nature of these peculiar observations may be different for various spheres
of activities viz. plant O&M, civil, electrical, C&I, Computers &
telecommunications, Doctors, Cooks etc. but the basic philosophy for any root
cause analysis is the same as has been explained below.
A. PHYSICAL OBSERVATIONS
c) Visual observations: - Any sign or indication any where which may indicate
earlier presence of high temperature, water, steam, oil or any other chemical
leakage, physical deformity, rubbing and associated smoothness or dent
caused by rubbing. Deformity in insulation or support system or lining material,
normal wear & tear or excessive wear & tear of a particular component,
departure from horizontal (checked by spirit level) or vertical (checked by
plumb) component from its intended orientation. Deviation from intended
concentricity (which may be reflected in an assembled system or during
disassembly), looseness some where due to some fault in supporting system
etc.
Here a small case study may be mentioned. One of the vertical pump was
having frequent gland failures as a major problem. Many attempts like
repeated overhauling, checking of shaft straightness, replacement of
Shaft, sleeve etc. a no. of times were tried but the problem remained.
Ultimately, even manufacturers were called but they also could not
diagnose the root cause of the problem & the problem remained. At last,
when once the motor & coupling had been removed & the stuffing box
was being dissembled, it was noticed by chance that the shaft is
eccentric in the cavity of the stuffing box. The reason for this peculiar
observation was analysed & it was suspected that column pipe encasing
the shaft might not be exactly vertical & hence the shaft may also be not
in vertical position causing it to become eccentric within the stuffing box.
When the column pipe was checked for verticality by means of a Plumb,
it was found that the column pipe was itself not exactly vertical while the
base of the stuffing box was exactly horizontal. When this column pipe
was fixed properly, the problem disappeared altogether.
d) Jamming: - If a device can be rotated by hand, the nature of its free
movement or if it is requiring more force for rotation, the position in which more
force is required.
f) Log sheet parameters: - All related log sheet parameters as to the extent
any deviation has occurred. However, it must be borne in mind that while taking
log sheet reading, one can never be sure about getting accurate readings at the
particular time unless one has taken some initial efforts to ensure them.
g) Ammeters: - The periodicity and the amplitude of hunting in current and their
time relationship with abnormal sound, vibration or any other abnormality.
I) Leakages:- Any leakage in the system of oil, water steam, air etc. may also
be peculiar observations which might have caused some inadequacy of
lubricant, air, steam, cooling water etc. due to which any trouble might have
occurred.
These observations must be inquired from the person who is conversant with
the system and knows about the behaviour of the machine during earlier normal
running and subsequent “ Trouble Full “ machine.
Mostly these observations come from the operating staff including local
operators who are regularly monitoring machine and its behaviour.
k) For pipelines: - Pipes line layouts, nature & no. of bends & pipe diameter
play important role in pr. drops. For pipes carrying steam / gas, unintended
slight bends some times choke the flow of gas due to accumulation of
condensed liquid in lowest point of pipes. While taking these observations, one
will have to be careful and use his judgment for segregating between normal
and abnormal observations. During later analysis, all the abnormal observations
are going to play a great role.
Apart from these observations, which are generally valid for running
machines, a lot many more no. of peculiar observations (deviations from ideal
design state) will be seen when a big machine with trouble is being dissembled.
All of them can be judged and inferred according to situation specific
circumstances as well as prevailing trouble only and they can not be described
here.
B. CHEMICAL PARAMETERS / OBSERVATIONS
Chemical parameters of water, steam, oil, metal (composition, grain structure
revealed by replica analysis), pH value of any liquid etc. will also reveal change
of state from normal to abnormal for some parameters, which can be termed as
peculiar observations.
Impedance, megar value, PI/IR value, voltage wrt earth for earth fault, voltage/
current levels & spikes if any, DGA/BDV of oil, differential, tan delta, healthiness
of cards / microprocessors or control system sensors etc. can be termed as
peculiar observations.
A small case study may be included here. When one of the patient (my
relative) was putting on weight although she was not having any food
habits to that effect; many tests were conducted but to no avail.
Ultimately, when a Doctor observed some lump on the throat, and he
correlated all other observations with the decease, he advised for
thyroid test & the result was that thyroid gland was having some
problem, which was easily cured by taking concerned medicines. Here
also, the basic philosophy of the “Theory” can be seen to be operative.
Whenever any dish is not up to the liking of the consumer, these parameters
are relevant. Some examples are quantity / quality of ingredients, whether over
cooked or under cooked, sequence of processing different steps, staleness /
freshness of food items etc. can also be termed as peculiar observations
pertaining to culinary skills.
Most of the times a person generally only thinks about the immediate trouble
and the ways and means to overcome the trouble as given in manufacture’s
manual. When one does not get the results as per manual, one generally gets
into the mental block that this machine or system is having some problem and it
must be referred to the manufacturers. The manufacturer comes and checks all
the dimensions and if nothing can be concluded from that, the problem remains
as it is.
However, when some critical fault develops in to the machine and some
component of the system deviates from the original conceptual intended
function, it fails to serve its intended purpose and the trouble is the ultimate
effect of that abnormality in the component or sub system. The Manufacturer or
designer, while preparing manuals, takes for granted that all the components
will serve their purpose and generally their recommendations are only to the
extent of most obvious reason for abnormality. At that time, they can not
visualize that some particular component will not serve the intended purpose
based on which all their further recommendations are prepared.
In most of the troubles we witness, our minds become preoccupied with what is
happening & how much is the extent of trouble. So much so, that after trying
some obvious reasons for the trouble, which are not able to explain the trouble
properly, we stop thinking about the root causes for the trouble & start feeling
that some outsider expert will come & solve the trouble for us. Based on
credentials of the expert in the relevant field, we call the expert & do as per his
advice; which also is not able to solve the trouble at times.
5. ANALYSIS: -
Now that you have noted down all the abnormal observations, proceed as
follows: -
All the abnormal observations including the most critical trouble are the physical
realities and there has to be some explanation (usually only one) for all these.
List out all the possible reasons for the abnormal observations and plot fish
bone diagrams with abnormal observations as the ultimate result and all
possible reasons as fish bones:
R1 R2 R3 R4 R5
O1
R6 R7 R8 R9
Here O1 is the first abnormal observation and R1- R 9 are possible reasons for it.
Similarly proceed with fish bone diagrams for all other abnormal observations.
During this exercise, chances are that some one reason might give explanation
for more than one observations. If it is not so, try to analyse all reasons (R1-R 9)
as observations and guess about reasons for R1-R 9.
If you repeat the same exercise with very fundamental laws of physics,
Chemistry, Electronics, Medical science etc. as links between cause and effect,
one time will come when you can explain by one particular reason or event
more than one observations.
Now if you analyse further, you will find that the critical trouble also may be
occurring because of this event.
Although, initially I have advised for doing such an elaborate exercise on paper
for keeping mind focused on the problem, once you start using this technique
for few no. of times, you will find that all this is redundant and you only need to
work out back wards in your mind from peculiar observations to the root cause
which can also explain some other observation or critical trouble.
Normally it has been seen that at a particular point of time, only one critical fault
develops in the machine although theoretically, the possibility of two different
and independent faults developing simultaneously in a machine can not be
ruled out.
In case, even than you are not able to guess the root cause, leave the efforts
for the time being and think over it while you are lying down in a bed for night
rest. This is the time when subconscious mind takes over the problem and it
has been a proven fact established scientifically that subconscious mind is at
times mightier than the conscious mind. Most likely, if your all abnormal
observation and reasons for the same are technically correct, some vague idea
will suddenly flash in your mind, which though seems most unlike cause at the
beginning, gradually will be able to explain for all the observations as well as
critical trouble.
The job of the analyst in this manner becomes similar to that of a detective with
only difference being that the detective is trying to find out the culprit person
who has done the crime based on available evidence while the analyst is trying
to find out the “culprit” reason due to which the trouble is appearing based on all
the available “peculiar observations as well as critical trouble” as “evidence”.
Here again allow me to quote some paras from this book “Through Power” by
Swami Shivananda.
In case you are arriving at some apparently absurd reasons for the trouble, you
can check the correctness of your exercise by devising some tests or
measurements in which first you will guess about the result by further logical
analysis of “If-Then” and then can verify the same by measuring concerned
parameter.
Although by now, the chances are that you have arrived at the real root cause
but as a confirmation test of your analysis you can now start reasoning about
hitherto unanalyzed observations, or else, you can predict that if so and so is
the root cause, it will also affect some other parameter which has not been so
far checked. If that parameter also corroborates your analysis you can be rest
assured that you have actually arrived at the root cause of the problem and
declare it to all others concerned.
Most of you have at one time or another solved several problems but if now you
introspect about it, you will find that it is this same theory which was working in
your mind when you were able to predict the reason for some particular trouble.
Similarly, in second case study, the Doctor observed the lump on the throat &
treated as a peculiar observation in our theory. When he tried to find the reason for the
lump, it occurred to him that this might be due to abnormal functioning of the
THYROID. The same was confirmed after the required taste was carried out.
In both of the above cases, as well as in any other successful root cause
analysis, the real root cause could not have been found out if required attention had
not been paid towards the said peculiar observations.
I am extremely grateful to the reader who has spared his valuable time for going through this
theory so far.
Any feed back / comments / criticism regarding the subject mater is most welcome.
The utility of any new concept can only be verified if the same is useful to all concerned. In
order to establish the utility of this concept, may I request you that any case which you are able
to analyse using concepts of this theory, you may please communicate to me/others about it so
that the real potential of the theory can be properly projected.
TROUBLE
SYSTEM
In conventional thinking, our mind is concentrated on the trouble itself & based
on our experience & judgment for similar troubles encountered earlier, our
thinking tries to find out probable reasons for the trouble one after the other. In
case this does not help in finding the root cause for the trouble, we feel that the
problem is not able to be solved inspite of our best efforts & some expert or
manufacturer needs to be consulted.
The manufacturer or expert has some what wider horizon of datas / facts
pertaining to his system & he thinks from such a wider perspective. Some times,
even this is not able to solve the trouble.
Then, selective replacement of parts starts which is really a trial & error process
& we may or may not be able to solve the trouble since the root cause for the
same is not under stood by us.
PECULIAR OBSERVATION 1
TROUBLE
ROOT CAUSE FOR THE
TROUBLE SYSTEM
With the theory of trouble shooting, our mind is attracted towards not only the
trouble itself, which is being monitored meticulously, but also to all available
peculiar observations as well which are not so meticulously monitored in
conventional approach.
Hence, our mind tries to find out probable reasons for all the peculiar
observations one by one & there is maximum probability now that we may come
to some mental conclusion based on reasoning for peculiar observations.
When some particular reason is thought about for some peculiar observations,
which are also able to explain some other peculiar observation as well, our mind
locks it & tries to explain the trouble & remaining peculiar observations with the
said reason. I have seen that when ever this happens, all the peculiar
observations & the trouble it self are able to be explained logically due to some
particular root cause which can be declared as the real culprit for the trouble.
Some times, instead of the real root cause, we arrive at some intermediate
reasons (events), which are caused by the real root cause. Then similar
exercise ultimately leads us to the real culprit root cause of the trouble, which
can be relatively easily tackled without much trial & error approach.
This picture of the process of trouble shooting is very easy to remember & once
you practice this kind of analysis for few cases, you need not go through the
whole theory again & again.
Above type of thinking holds good for closed systems in which we are not
able to visualise what is happening inside the system like a Turbine, Pump
or any other closed machine. However, in case of open systems like a boiler of
a power plant or a ship or any other bigger system in which we are able to see
& witness some of the things going on inside; slightly different approach is
required as under:
In closed systems, we are able to witness only the effects of internal events as
peculiar observations & we need not consider the effects of these observations.
Only causes of these observations are required to be explored. We are only
going backwards for finding out the reasons of peculiar observations.
In open systems, some of the peculiar observations are having some of the
effects as “input” to the system. Here we shall have to extend our cause & effect
chain in forward direction as well (particularly for observations which are having
some effect as input to the system). In doing so we may stumble upon some
fact, which is the real culprit for the trouble. Words are not able to explain this
phenomenon properly but Graphically it can be easily under stood as under:
SYSTEM
TROUBLE
PECULIAR
(P. OBS.)
OBSERVATION
In such open systems, the peculiar observation itself may be the contributor for
the trouble, which can not be solved by conventional approach. Once we are
able to find out this peculiar observation, which can have some effects leading
to the ultimate trouble; we can judiciously alter the effect of peculiar observation
which is input going to the system so that the trouble is reduced in intensity /
avoided altogether.
In a nut shell, it can be said that this theory holds good for closed as well as
open system & can be perfectly understood by little practice. Once we are able
to find out the real root cause for the trouble, its solution involves some
creativity based on the person’s experience & understanding of the system so
that the harmful effects of the trouble are minimised / avoided; in case we are
not able to tackle the trouble itself completely by available resources.
8. CONCLUSIONS:-
By now, you must have realized some of the following conclusions derived by
me which are always true but have not been emphasized in following words so
far.
1. Any machine or mechanical system only behaves logically & logical reasoning is
the only language by which a human mind can get inside information about any
machine. Hence, if we develop our minds properly in this direction, we shall be
able to TALK or CONVERSE with the machines.
2. At any particular time, any particular trouble will be caused by only one root
cause just as any tree can have only one seed as its origin. There can never be
two seeds, which have grown in to one tree, & similarly, there can never be two
root causes for a particular trouble. In case there are apparently two root
causes for a particular trouble, then there are chances that one is either an
effect of another or is not really causing the trouble.
3. When ever any machine is having trouble, the trouble is the only measured and
monitored parameter of the machine but it will definitely have some unknown
effects due to root cause which are not so critically monitored.
4. Any non-conventional and peculiar trouble is the ultimate result of its “Genetic”
circumstances and hence each and every peculiar trouble is one of it’s own
kind. The data bank the manufacturers have can at best lead to statistical
probability / possibility of some what similar reason in cases of troubles which
appear very frequently in the over all population.
5. All the tests, checks and allowable deviations or tolerances, which are done &
measured by manufacturers, indicate only the health or status of the individual
part at that time, but they can NOT give the exact cause and effect relationship
of why a problem had arose without intervention of human mind.( Tests only
show us how is it at present but can not directly tell why a particular trouble or
peculiar observation has happened at all.)
7. The theory of trouble shooting can directly take the analyst’s mind to the root
cause of the problem just like a guided missile reaches its target on its own.
8. One of the most outstanding features of this theory is that it can give the
analyst’s confirmatory checks about correctness of the analysis during the
analysis itself.
9. Any root cause analysis successfully done by any one any where so far IN THE
WORLD is the result of INADVERTENT application of the same mental way of
thinking which I have systematically researched & have laid down procedures &
rules regarding same.
10. Any analysis made using this theory will lead to the solution to the trouble which
will be most economical to implement since we can attack the root cause of the
trouble directly without any trial & error.
Some useful tips: -
(a) In case it is doubtful that in which direction steam is going in side a particular
pipe, it is often useful to take pipe line metal temperatures at different points
and conclude that steam can generally travel from higher temperature to lower
temp. side only.
(c) Looking at a rotating machine with stroboscope light can show about loose
coupling bolts, damaged resilience plate etc.
(d) In case there is marked difference in erosion levels between two sides of
same boiler pressure parts, reasons for flue gas diversion towards more eroded
parts will have to be looked into.
(f) When you are looking at any trouble in the machine, please keep it in your
mind that at that point of time, the machine is the only ultimate customer and
the customers absolute satisfaction is the only way available for survival.
(g) When any help from an expert is not available for proper diagnosis at least
at mental level you have to consider yourself as if you are alone stranded on an
Iceland and you can not expect any outside help for any thing. In this situation,
your mind may come up with really wonderful ideas since it will be exerted in the
required direction.